2027 ICD-10-CM Diagnosis Code L60.3Nail dystrophy
ICD-10-CM Codes›L00–L99›L60-L75›L60
- Billable — Valid for Submission
- Not Chronic
L60.3 is a billable ICD-10-CM diagnosis code for nail dystrophy. It is valid on HIPAA claims for fiscal year 2027 (October 1, 2026 through September 30, 2027) and groups to MS-DRG 606 through 607. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Other specified and unspecified skin disorders.
Code Identity
Code Classification
Approximate SynonymsGuidance
Alternate terms and clinical phrases that map to this code.
- Acquired koilonychia
- Brachyonychia
- Cutaneous complication of systemic sclerosis
- Drug-induced nail abnormality
- Dystrophia unguium
- Dystrophia unguium, partial
- Dystrophia unguium, total
- Eczematous nail dystrophy
- Eggshell nail
- Elkonyxis
- Habit tic
- Habit tic affecting skin
- Hereditary acantholytic dermatosis
- Idiopathic atrophy of nail in childhood
- Idiopathic trachyonychia
- Koilonychia
- Lamellar nail splitting
- Longitudinal split nail
- Lupus erythematosus-associated nail dystrophy
- Median canaliform nail dystrophy
- Nail changes associated with systemic disease
- Nail dystrophy associated with bullous dermatoses
- Nail dystrophy associated with dermatological disease
- Nail dystrophy caused by chemical
- Nail dystrophy co-occurrent with reactive arthritis triad
- Nail dystrophy due to benign familial pemphigus
- Nail dystrophy due to cytotoxic therapy
- Nail dystrophy due to Darier's disease
- Nail dystrophy due to epidermolysis bullosa
- Nail dystrophy due to graft-versus-host disease
- Nail dystrophy due to habit tic
- Nail dystrophy due to lichen nitidus
- Nail dystrophy due to lichen striatus
- Nail dystrophy due to nail biting
- Nail dystrophy due to nail picking
- Nail dystrophy due to pityriasis rubra pilaris
- Nail dystrophy due to sarcoidosis
- Nail dystrophy due to secondary syphilis
- Nail dystrophy due to trauma
- Nutcracker nails
- Onychoatrophy
- Onychoatrophy due to lichen planus
- Onychoclasis
- Onychomalacia
- Pitting of nail due to alopecia areata
- Pitting of nails
- Pityriasis rubra pilaris
- Psoriasis of nail
- Psoriatic nail dystrophy
- Psoriatic nail pitting
- Racket nail
- Reactive arthritis of spine
- Reactive arthritis triad
- Scleroderma-associated nail dystrophy
- Shape of nail - finding
- Split in nail
- Splitting toenail
- Strength of nails - finding
- Trachyonychia
- Twenty nail dystrophy
Instructional NotesGuidance
Instructions from the official ICD-10-CM Tabular List that apply to L60.3: its own notes plus those printed at L60, block L60-L75, and Chapter 12. A note printed at a category, block or chapter applies to every code under it.
Excludes1
Not coded here: the excluded code is never reported together with this one, unless the two conditions are unrelated.
- congenital malformations of integument (Q84.-)
Excludes2
Not included here: the excluded condition is not part of this code, but a patient may have both, so both codes may be reported.
- certain conditions originating in the perinatal period (P04-P96)
- certain infectious and parasitic diseases (A00-B99)
- complications of pregnancy, childbirth and the puerperium (O00-O9A)
- congenital malformations, deformations, and chromosomal abnormalities (Q00-Q99)
- endocrine, nutritional and metabolic diseases (E00-E88)
- lipomelanotic reticulosis (I89.8)
- neoplasms (C00-D49)
- symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)
- systemic connective tissue disorders (M30-M36)
- viral warts (B07.-)
Source: CMS ICD-10-CM Tabular List. How to read instructional notes.
Index to Diseases and InjuriesGuidance
Alphabetical index entries that point to this code.
nail L60.3
Disturbance (s) See Also: Disease;
nail L60.3
Egg shell nails L60.3
nails L60.3
unguium L60.3
Koilonychia L60.3
Onychodystrophy L60.3
Onychomalacia L60.3
Onychorrhexis L60.3
Onychoschizia L60.3
nails L60.3
Spoon nail L60.3
Clinical ClassificationClinical
AHRQ’s CCSR groups this code into broader clinical categories.
Patient EducationClinical
Nail Diseases
Your toenails and fingernails protect the tissues of your toes and fingers. They are made up of layers of a hardened protein called keratin, which is also in your hair and skin. The health of your nails can be a clue to your overall health. Healthy nails are usually smooth and consistent in color.
Read the full article at MedlinePlus
Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.
Convert L60.3 to ICD-9-CMHistory
The closest ICD-9-CM equivalents under the General Equivalence Mappings.
Code HistoryHistory
Questions About L60.3Overview
What is the ICD-10 code for nail dystrophy?
The ICD-10-CM code for nail dystrophy is L60.3 (sometimes written as L603). It is billable on HIPAA-covered claims from October 1, 2026 through September 30, 2027.
Is L60.3 (Nail disorders) a billable code?
Yes. This is a billable ICD-10-CM code, specific enough to report nail dystrophy on HIPAA-covered claims from October 1, 2026 through September 30, 2027.
What MS-DRG does L60.3 group to?
When nail dystrophy is the principal diagnosis on an inpatient stay, it groups to MS-DRG 607, 606, with relative weights from 0.8772 to 1.5721 depending on complications. Higher weights mean higher Medicare reimbursement.
Can L60.3 be reported with a code from Q84?
Not as a rule. The Excludes1 note at block L60-L75, which applies to L60.3, lists "congenital malformations of integument (Q84.-)". An Excludes1 note means the excluded code is never reported together with this one; the only exception is when the two conditions are unrelated to each other (Official Guidelines, Section I.A.12.a).
What is the ICD-9 equivalent of L60.3?
Under the General Equivalence Mappings, nail dystrophy converts to ICD-9-CM 703.8 (diseases of nail NEC). The mapping is approximate, so confirm the match fits the documentation.
