Nail disorders (L60)
ICD-10 code L60 and its subcategories classify various nail disorders, ranging from ingrowing nails to complex nail abnormalities. These codes specifically identify conditions affecting nail structure, growth, color, and texture.
The section includes codes like L60.0 for ingrowing nails, commonly known as paronychia or toenail infections; L60.1 for onycholysis, which describes nail separation often linked to drug reactions or fungal infections; and L60.3 covering nail dystrophy, encompassing a wide spectrum of nail damage due to psoriasis, trauma, systemic diseases, or habitual picking. L60.4 codes for Beau's lines, transverse ridges indicating systemic illness, while L60.5 pertains to yellow nail syndrome, characterized by discoloration and lymphedema. Other unspecified or complex nail conditions fall under L60.8. When the specific nail disorder is unclear, L60.9 is used for an unspecified nail disorder.
Understanding these ICD-10 codes for nail disorders helps healthcare providers precisely document conditions such as ingrowing toenails, psoriatic nail changes, or nail bed infections, facilitating accurate diagnosis, treatment, and coding-related processes. Using the correct code also assists in distinguishing between common terms and their official coding equivalents for efficient clinical communication.
Instructional Notations
Type 2 Excludes
A type 2 excludes note represents "Not included here". An excludes2 note indicates that the condition excluded is not part of the condition represented by the code, but a patient may have both conditions at the same time. When an Excludes2 note appears under a code, it is acceptable to use both the code and the excluded code together, when appropriate.
Clinical Terms
The following clinical terms provide additional context, helping users better understand the clinical background and common associations for each diagnosis listed in this section. Including related terms alongside ICD-10-CM codes supports coders, billers, and healthcare professionals in improving accuracy, enhancing documentation, and facilitating research or patient education.
Onycholysis
Separation of nail plate from the underlying nail bed. It can be a sign of skin disease, infection (such as ONYCHOMYCOSIS) or tissue injury.
Onychomycosis
A fungal infection of the nail, usually caused by DERMATOPHYTES; YEASTS; or nondermatophyte MOLDS.
Pityriasis Rubra Pilaris
A chronic skin disease characterized by small follicular papules, disseminated reddish-brown scaly patches, and often, palmoplantar hyperkeratosis. The papules are about the size of a pin and topped by a horny plug.
Yellow Nail Syndrome
A rare condition characterized by the presence of yellow nails, LYMPHEDEMA, and/or PLEURAL EFFUSION with respiratory tract involvement. Abnormal lymphatic network may play a role in its etiology. Occasionally inherited, yellow nail syndrome mostly is sporadic without apparent family history.
