removal of ingrown toenail cpt code

CPT 11055, 11056, 11057, 11719, 11720, 11721 - Routine Foot Care Services Coding Code Description CPT 11055 Paring or cutting of benign hyperkeratotic lesion (eg, corn or callus); single lesion 11056 Paring or cutting of benign hyperkeratotic lesion (eg, corn or callus); 2 to 4 lesions WebThe following surgical procedures represent the options used to treat complicated/symptomatic ingrowing nail (s): Avulsion of a nail (CPT codes 11730 and "JavaScript" disabled. #2. "JavaScript" disabled. Postoperative observation and treatment of the surgical site (e.g., minimal bleeding, sterile dressing applied). This policy describes conditions under which Medicare payment for nail avulsion may be made. WebAvulsion of a nail plate (CPT codes 11730 and 11732) is, generally, performed under local anesthesia. Also, you can decide how often you want to get updates. Any use not authorized herein is prohibited, including by way of illustration and not by way of limitation, making copies of CDT for resale and/or license, transferring copies of CDT to any party not bound by this agreement, creating any modified or derivative work of CDT, or making any commercial use of CDT. Appropriate, including the duration and frequency that is considered appropriate for the service, in terms of whether it is: Contractors may specify Bill Types to help providers identify those Bill Types typically used to report this service. 5. Applicable FARS/HHSARS apply. You shall not remove, alter, or obscure any ADA copyright notices or other proprietary rights notices included in the materials. ISSN 2333-2603. Procedure code 11730 (Avulsion of nail CPT is provided "as is" without warranty of any kind, either expressed or implied, including but not limited to, the implied warranties of merchantability and fitness for a particular purpose. required field. The article was reformatted to place pertinent information toward the beginning of the article. that coverage is not influenced by Bill Type and the article should be assumed to By clicking below on the button labeled "I accept", you hereby acknowledge that you have read, understood and agreed to all terms and conditions set forth in this agreement. Use 11730 for 'Avulsion' of the ingrown nail and nail plate for temporary removal. Short description: Encntr for surgical aftcr fol surgery on the skin, subcu The 2023 edition of ICD-10-CM End User License Agreement: Every page of the record must be legible and include appropriate patient identification information (e.g., complete name, dates of service[s]). You, your employees and agents are authorized to use CPT only as agreed upon with the AMA internally within your organization within the United States for the sole use by yourself, employees and agents. WebHow do you properly code bilateral hallux nail avulsions? For purpose of this exclusion, "the term 'usually' means more than 50 percent of the time for all Medicare beneficiaries who use the drug. The following surgical procedures represent the options used to treat a complicated/symptomatic ingrown nail(s): Avulsion of a nail (CPT codes 11730 and 11732) involving separation and removal of the entire nail plate or a portion of nail plate (including the entire length of the nail border to and under the eponychium). End Users do not act for or on behalf of the CMS. Medicare Fee Schedule, Payment and Reimbursement Benefit Guideline, Medicare revalidation process how often provide need to do FAQ, Step by step Guide Medicare participation program. %%EOF For every subsequent avulsion, CPT 11732 is reported as the add-on code with one UOS and the appropriate identifying digit modifier appended. You can use your browser's Print function (Ctrl-P on a PC or Command-P on a Mac) to view a print preview and then select PDF as the output. Articles often contain coding or other guidelines that are related to a Local Coverage Determination (LCD). If you are experiencing any technical issues related to the search, selecting the 'OK' button to reset the search data should resolve your issues. The Utilization Parameters section of the Article has been revised to remove the direction for the use of modifiers 76 and 77 and to add instructions that repeat services on the same nail, within 32 weeks, will be considered upon redetermination. WebEncounter for removal of intrauterine contraceptive device Intrauterine device removal done; Iud removal; Removal of intrauterine contraceptive device done ICD-10-CM Diagnosis Organizations who contract with CMS acknowledge that they may have a commercial CDT license with the ADA, and that use of CDT codes as permitted herein for the administration of CMS programs does not extend to any other programs or services the organization may administer and royalties dues for the use of the CDT codes are governed by their commercial license. Nail avulsions usually offer only temporary relief for ingrown toenails. CMS DISCLAIMS RESPONSIBILITY FOR ANY LIABILITY ATTRIBUTABLE TO END USER USE OF THE CPT. This LCD imposes utilization guideline limitations. that coverage is not influenced by Revenue Code and the article should be assumed to apply equally to all Revenue Codes. hbbd```b``Y"H^0[~ Dr. Granovsky is president of coding for LogixHealth. which insurance is primary. Any use not authorized herein is prohibited, including by way of illustration and not by way of limitation, making copies of CPT for resale and/or license, transferring copies of CPT to any party not bound by this agreement, creating any modified or derivative work of CPT, or making any commercial use of CPT. For the following CPT/HCPCS code either the short description and/or the long description was changed. DISCLOSED HEREIN. You are using an out of date browser. Ingrown toenail surgery is a relatively minor outpatient procedure to remove part of an ingrown toenail and to kill the portion of the nail matrix from which it grows. Wedge excision of skin of nail fold (CPT code 11765) is designed to relieve pressure on the nail/soft If your session expires, you will lose all items in your basket and any active searches. Revenue Codes are equally subject to this coverage determination. CMS has defined "not usually self-administered" according to how the Medicare population as a whole uses the drug, not how an individual patient or physician may choose to use a particular drug. Before sharing sensitive information, make sure you're on a federal government site. The nail often grows back to its original thickness and the offending margin again may become problematic, resulting in another nail avulsion. In the numeric section of the CPT, the removal of the nail and nail matrix is code 11750. WebExpansion of the codes to reflect manifestations of the disease. 11730 is more appropriate. 11750 is for permanent removal and your note does not give any indication that this was permanent. Check with the insurance company on whether I&D is also billable. Title XVIII of the Social Security Act, Section 1833(e) states that no payment shall be made to any provider of services or other person under this part unless there has been furnished such information as may be necessary in order to determine the amounts due such provider or other person under this part for the period with respect to which the amounts are being paid or for any prior period. CPT 91311, 0111A, 0112A Covid Vaccine for children, 5 Important points to improve claim submission success rate. The 2023 edition of ICD-10-CM L60.0 became Depending on which description is used in this Article, there may not be any change in how the code displays in the document: 11750. All Rights Reserved. You acknowledge that the ADA holds all copyright, trademark and other rights in CDT. Article revised and published on 07/16/2015 to include reference to the Routine Foot Care LCD and Article, to include modifiers for the fingers and to provide direction regarding proper billing of CPT code, Some older versions have been archived. endstream endobj 847 0 obj <>/Metadata 75 0 R/OCProperties<>/OCGs[875 0 R]>>/Outlines 84 0 R/PageLayout/SinglePage/Pages 839 0 R/StructTreeRoot 139 0 R/Type/Catalog>> endobj 848 0 obj <>/ExtGState<>/Font<>/Pattern<>/Properties<>/XObject<>>>/Rotate 0/StructParents 0/Type/Page>> endobj 849 0 obj <>stream Topics: Nail ProceduresReimbursement & Coding, No Responses Question: Are there different codes for managing nail problems? Equally effective treatments for ingrown toenails are partial nail avulsion followed by phenolization or direct surgical excision of the nail matrix. A claim submitted without a valid ICD-10-CM diagnosis code will be returned to the provider as an incomplete claim under Section 1833 (e) of the Social Security Act. hWmO8+jRz[&$gZgA&eL{Lz(POJ$C Q|D| bJ)PbR,AAqL Reporting CPT code 11750 (excision) with CPT code 11765 (wedge resection) for the same digit on the same DOS is not correct coding.CPT code 11765 requires an excision of a wedge of the skin of the nail fold from the involved side of the toe. All Rights Reserved to AMA. Copyright © 2022, the American Hospital Association, Chicago, Illinois. CMS and its products and services are Using modifier 50 to the second removal tells the insurer that the podiatrist carries out the toe removal as bilateral procedure. A Draft article will eventually be replaced by a Billing and Coding article once the Proposed LCD is released to a final LCD. Applicable FARS\DFARS Restrictions Apply to Government Use. All Rights Reserved (or such other date of publication of CPT). not endorsed by the AHA or any of its affiliates. However, please note that once a group is collapsed, the browser Find function will not find codes in that group. If injectable anesthesia was not used, the reason must be clearly documented in the patients medical record. The following ICD-10-CM codes support medical necessity and provide coverage for CPT codes: 11730, 11732, 11750, and 11765: * Note: Report standalone ICD-10-CM code L60.8 for the indication of subungual abscess, subungual tumor, periungual tumor, subungual hematoma, or melanoma. This Agreement will terminate upon notice if you violate its terms. While every effort has been made to provide accurate and Wedge excision of the nail fold hypertrophic granulation tissue with removal of the offending portion of the nail (CPT procedure code 11765). This email will be sent from you to the Type and quantity of local anesthetic agent used. Medicare expects that patients will not routinely require the maximum allowable number of services. In no event shall CMS be liable for direct, indirect, special, incidental, or consequential WebWhat is the code for partial laparoscopic colectomy with anastomosis and coloproctostomy? to How to Code Nail Procedures, Your email address will not be published. Postoperative instructions given to the patient and any follow-up care (e.g., soaks, antibiotics, follow-up appointments). Draft articles are articles written in support of a Proposed LCD. The submitted medical record must support the use of the selected ICD-10-CM code(s). License to use CDT for any use not authorized herein must be obtained through the American Dental Association, 211 East Chicago Avenue, Chicago, IL 60611. Contractors may specify Bill Types to help providers identify those Bill Types typically End User Point and Click Amendment: WebLogic for incision: You should report each toenail removal: 11750 for the first complete removal and 11750 for the second removal. The scope of this license is determined by the AMA, the copyright holder. The ACEP Coding and Nomenclature Committee has partnered with ACEP Now to provide you with practical, impactful tips to help you navigate through this coding and reimbursement maze. Note that when an avulsion is performed to facilitate a nail bed repair, it is bundled and not separately reportable. Coverage Indications, Limitations, and/or Medical Necessity. Any questions pertaining to the license or use of the CPT should be addressed to the AMA. In most instances Revenue Codes are purely advisory; unless specified in the policy services reported under other Revenue Codes are equally subject to this coverage determination. Regrowth of the nail usually requires at least four months. If a nail bed injury requires repair, report it with 11760 (repair of nail bed, 3.27 RVUs, Medicare $117.84). There are multiple ways to create a PDF of a document that you are currently viewing. Brought to you by the ACEP Coding and Nomenclature Committee. Please reach out and we would do the investigation and remove the article. Complete absence of all Bill Types indicates Injuries may include contusions, nail damage, and nail bed lacerations. preparation of this material, or the analysis of information provided in the material. 11750. An official website of the United States government. Ordered and furnished by qualified personnel. Use is limited to use in Medicare, Medicaid or other programs administered by the Centers for Medicare and Medicaid Services (CMS). Should the foregoing terms and conditions be acceptable to you, please indicate your agreement and acceptance by clicking below on the button labeled "I Accept". This page displays your requested Article. The following information must be clearly documented in the patients medical record: Complete detailed description of the pre-operative findings. Therefore, if a drug is self-administered by more than 50 percent of Medicare beneficiaries, the drug is excluded from coverage" and the MAC will make no payment for the drug. of the Medicare program. Reporting CPT code 11765 for the removal of a small piece of the skin and/or the nail without local anesthesia is not correct coding. It may not display this or other websites correctly. Article revised and published on 09/26/2019 due to system changes in response to CMS Change Request 10901, this article has undergone some reorganization in the coding section and the following new fields have been added: CPT/HCPCS Modifier, Additional ICD-10 Information, and Other Coding Information. Another option is to use the Download button at the top right of the document view pages (for certain document types). and/or making any commercial use of UB‐04 Manual or any portion thereof, including the codes and/or descriptions, is only These materials contain Current Dental Terminology (CDTTM), copyright© 2022 American Dental Association (ADA). 846 0 obj <> endobj The code lists in the article help explain which services (procedures) the related LCD applies to, the diagnosis codes for which the service is covered, or for which the service is not considered reasonable and necessary and therefore not covered. The revenue codes and UB-04 codes are the IP of the American Hospital Association. WebI was hoping someone could help me with coding for the procedure for a chemical matrixectomy. Payment for services beyond this number will require medical review of patient records to determine medical necessity. Making copies or utilizing the content of the UB‐04 Manual, including the codes and/or descriptions, for internal purposes, The AMA is a third party beneficiary to this Agreement. A medically reasonable and necessary repeat avulsion or excision of the same nail within 32 weeks of a previous avulsion, or excision, of the same nail, will be considered upon redetermination. The medical record must support the service, for example, there is an ingrown nail of the opposite border or a new significant pathology on the same border recently treated. A complete detailed description of the procedure performed. CMS believes that the Internet is All Rights Reserved to AMA. If you would like to extend your session, you may select the Continue Button. authorized with an express license from the American Hospital Association. Required fields are marked *. What code do you use? All rights reserved. JavaScript is disabled. will not infringe on privately owned rights. Deformed nails that prevent wearing shoes or otherwise jeopardize the integrity of the toe. The patients primary symptoms and previous treatment (if any) and description of the nail(s) at the time of avulsion services. Applicable Federal Acquisition Regulation Clauses (FARS)/Department of Defense Federal Acquisition Regulation supplement (DFARS) Restrictions Apply to Government Use. Not experimental or investigational (exception: routine costs of qualifying clinical trial services with dates of service on or after September 19, 2000, which meet the requirements of the clinical trials NCD are considered reasonable and necessary). Instructions for enabling "JavaScript" can be found here. Federal government websites often end in .gov or .mil. copied without the express written consent of the AHA. Applications are available at the AMA Web site, http://www.ama-assn.org/go/cpt. The following information should be included in the patients medical record (in the operative note or in progress notes related to a recent/contemporaneous/subsequent E/M encounter): A complete detailed description of the procedure performed including exact portion of nail removed. Routine foot care is covered only when certain systemic conditions are present. As used herein, "you" and "your" refer to you and any organization on behalf of which you are acting. In the numeric section of the CPT, the removal of the nail and nail matrix is code 11750. There is no mention of removing a wedge of restrictive skin in the nail fold to relieve the ingrown toenail CPT code 26010, Drainage of finger abscess; simple represents this type of procedure. AHA copyrighted materials including the UB‐04 codes and Reporting CPT code 11765 for the removal of a small piece of the skin and/or the nail without local anesthesia is not correct coding.Procedure code 11730 (Avulsion of nail plate, partial or complete, simple; single) is reported when removing part of the nail plate or the entire nail plate. Complicated wounds of the toes involving nail components. All Rights Reserved. The use of specific terminology is important in applying codes for this condition. Instructions for enabling "JavaScript" can be found here. Is the proper way to code these procedures: - CPT 11730 (twice) with the correct "T" codes, or - CPT 11730 for the first and CPT 11732 for the second avulsion, using the correct "T" codes on each? Medicare contractors are required to develop and disseminate Articles. Report each additional nail with the add-on code 11732 (avulsion of nail plate, partial or complete, simple, additional nail plate, 0.51 RVUs, Medicare $18.38). Deformed nails that prevent wearing shoes or otherwise jeopardize the integrity of the toe. No portion of the American Hospital Association (AHA) copyrighted materials contained within this publication may be Current Dental Terminology © 2022 American Dental Association. recipient email address(es) you enter. Applications are available at the American Dental Association web site. The AMA does not directly or indirectly practice medicine or dispense medical services. All rights reserved. used to report this service. ICD-10-CM Codes that Support Medical Necessity, ICD-10-CM Codes that DO NOT Support Medical Necessity, A58961 - Response to Comments: Surgical Treatment of Nails, Contusion of right thumb with damage to nail, initial encounter, Contusion of right thumb with damage to nail, subsequent encounter, Contusion of right thumb with damage to nail, sequela, Contusion of left thumb with damage to nail, initial encounter, Contusion of left thumb with damage to nail, subsequent encounter, Contusion of left thumb with damage to nail, sequela, Contusion of right index finger with damage to nail, initial encounter, Contusion of right index finger with damage to nail, subsequent encounter, Contusion of right index finger with damage to nail, sequela, Contusion of left index finger with damage to nail, initial encounter, Contusion of left index finger with damage to nail, subsequent encounter, Contusion of left index finger with damage to nail, sequela, Contusion of right middle finger with damage to 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without foreign body of left index finger with damage to nail, subsequent encounter, Laceration without foreign body of left index finger with damage to nail, sequela, Laceration without foreign body of right middle finger with damage to nail, initial encounter, Laceration without foreign body of right middle finger with damage to nail, subsequent encounter, Laceration without foreign body of right middle finger with damage to nail, sequela, Laceration without foreign body of left middle finger with damage to nail, initial encounter, Laceration without foreign body of left middle finger with damage to nail, subsequent encounter, Laceration without foreign body of left middle finger with damage to nail, sequela, Laceration without foreign body of right ring finger with damage to nail, initial encounter, Laceration without foreign body of right ring finger with damage to nail, subsequent encounter, Laceration without foreign body of right ring finger with damage to nail, sequela, 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foreign body of right ring finger with damage to nail, subsequent encounter, Laceration with foreign body of right ring finger with damage to nail, sequela, Laceration with foreign body of left ring finger with damage to nail, initial encounter, Laceration with foreign body of left ring finger with damage to nail, subsequent encounter, Laceration with foreign body of left ring finger with damage to nail, sequela, Laceration with foreign body of right little finger with damage to nail, initial encounter, Laceration with foreign body of right little finger with damage to nail, subsequent encounter, Laceration with foreign body of right little finger with damage to nail, sequela, Laceration with foreign body of left little finger with damage to nail, initial encounter, Laceration with foreign body of left little finger with damage to nail, subsequent encounter, Laceration with foreign body of left little finger with damage to nail, sequela, Puncture wound without foreign body of right 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middle finger, sequela, Crushing injury of right ring finger, initial encounter, Crushing injury of right ring finger, subsequent encounter, Crushing injury of right ring finger, sequela, Crushing injury of left ring finger, initial encounter, Crushing injury of left ring finger, subsequent encounter, Crushing injury of left ring finger, sequela, Crushing injury of right little finger, initial encounter, Crushing injury of right little finger, subsequent encounter, Crushing injury of right little finger, sequela, Crushing injury of left little finger, initial encounter, Crushing injury of left little finger, subsequent encounter, Crushing injury of left little finger, sequela, Contusion of right great toe with damage to nail, initial encounter, Contusion of right great toe with damage to nail, subsequent encounter, Contusion of right great toe with damage to nail, sequela, Contusion of left great toe with damage to nail, initial encounter, Contusion of left great toe with damage to 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great toe with damage to nail, sequela, Laceration without foreign body of right lesser toe(s) with damage to nail, initial encounter, Laceration without foreign body of right lesser toe(s) with damage to nail, subsequent encounter, Laceration without foreign body of right lesser toe(s) with damage to nail, sequela, Laceration without foreign body of left lesser toe(s) with damage to nail, initial encounter, Laceration without foreign body of left lesser toe(s) with damage to nail, subsequent encounter, Laceration without foreign body of left lesser toe(s) with damage to nail, sequela, Laceration with foreign body of right great toe with damage to nail, initial encounter, Laceration with foreign body of right great toe with damage to nail, subsequent encounter, Laceration with foreign body of right great toe with damage to nail, sequela, Laceration with foreign body of left great toe with damage to nail, initial encounter, Laceration with foreign body of left great toe with damage to nail, subsequent encounter, Laceration with foreign body of left great toe with damage to nail, sequela, Laceration with foreign body of right lesser toe(s) with damage to nail, initial encounter, Laceration with foreign body of right lesser toe(s) with damage to nail, subsequent encounter, Laceration with foreign body of right lesser toe(s) with damage to nail, sequela, Laceration with foreign body of left lesser toe(s) with damage to nail, initial encounter, Laceration with foreign body of left lesser toe(s) with damage to nail, subsequent encounter, Laceration with foreign body of left lesser toe(s) with damage to nail, sequela, Puncture wound without foreign body of right great toe with damage to nail, initial encounter, Puncture wound without foreign body of right great toe with damage to nail, subsequent encounter, Puncture wound without foreign body of right great toe with damage to nail, sequela, Puncture wound without foreign body of left great toe with damage to nail, initial encounter, Puncture wound without foreign body of left great toe with damage to nail, subsequent encounter, Puncture wound without foreign body of left great toe with damage to nail, sequela, Puncture wound without foreign body of right lesser toe(s) with damage to nail, initial encounter, Puncture wound without foreign body of right lesser toe(s) with damage to nail, subsequent encounter, Puncture wound without foreign body of right lesser toe(s) with damage to nail, sequela, Puncture wound without foreign body of left lesser toe(s) with damage to nail, initial encounter, Puncture wound without foreign body of left lesser toe(s) with damage to nail, subsequent encounter, Puncture wound without foreign body of left lesser toe(s) with damage to nail, sequela, Puncture wound with foreign body of right great toe with damage to nail, initial encounter, Puncture wound with foreign body of right great toe with damage to nail, subsequent encounter, Puncture wound with foreign body of right great toe with damage to nail, sequela, Puncture wound with foreign body of left great toe with damage to nail, initial encounter, Puncture wound with foreign body of left great toe with damage to nail, subsequent encounter, Puncture wound with foreign body of left great toe with damage to nail, sequela, Puncture wound with foreign body of right lesser toe(s) with damage to nail, initial encounter, Puncture wound with foreign body of right lesser toe(s) with damage to nail, subsequent encounter, Puncture wound with foreign body of right lesser toe(s) with damage to nail, sequela, Puncture wound with foreign body of left lesser toe(s) with damage to nail, initial encounter, Puncture wound with foreign body of left lesser toe(s) with damage to nail, subsequent encounter, Puncture wound with foreign body of left lesser toe(s) with damage to nail, sequela, Open bite of right great toe with damage to nail, initial encounter, Open bite of right great toe with damage to nail, subsequent encounter, Open bite of right great toe with damage to nail, sequela, Open bite of left great toe with damage to nail, initial encounter, Open bite of left great toe with damage to nail, subsequent encounter, Open bite of left great toe with damage to nail, sequela, Open bite of right lesser toe(s) with damage to nail, initial encounter, Open bite of right lesser toe(s) with damage to nail, subsequent encounter, Open bite of right lesser toe(s) with damage to nail, sequela, Open bite of left lesser toe(s) with damage to nail, initial encounter, Open bite of left lesser toe(s) with damage to nail, subsequent encounter, Open bite of left lesser toe(s) with damage to nail, sequela, Crushing injury of right great toe, initial encounter, Crushing injury of right great toe, subsequent encounter, Crushing injury of right great toe, sequela, Crushing injury of left great toe, initial encounter, Crushing injury of left great toe, subsequent encounter, Crushing injury of left great toe, sequela, Crushing injury of right lesser toe(s), initial encounter, Crushing injury of right lesser toe(s), subsequent encounter, Crushing injury of right lesser toe(s), sequela, Crushing injury of left lesser toe(s), initial encounter, Crushing injury of left lesser toe(s), subsequent encounter, Crushing injury of left lesser toe(s), sequela, Burn of third degree of right thumb (nail), initial encounter, Burn of third degree of right thumb (nail), subsequent encounter, Burn of third degree of right thumb (nail), sequela, Burn of third degree of left thumb (nail), initial encounter, Burn of third degree of left thumb (nail), subsequent encounter, Burn of third degree of left thumb (nail), sequela, Burn of third degree of single right finger (nail) except thumb, initial encounter, Burn of third degree of single right finger (nail) except thumb, subsequent encounter, Burn of third degree of single right finger (nail) except thumb, sequela, Burn of third degree of single left finger (nail) except thumb, initial encounter, Burn of third degree of single left finger (nail) except thumb, subsequent encounter, Burn of third degree of single left finger (nail) except thumb, sequela, Burn of third degree of multiple right fingers (nail), not including thumb, initial encounter, Burn of third degree of multiple right fingers (nail), not including thumb, subsequent encounter, Burn of third degree of multiple right fingers (nail), not including thumb, sequela, Burn of third degree of multiple left fingers (nail), not including thumb, initial encounter, Burn of third degree of multiple left fingers (nail), not including thumb, subsequent encounter, Burn of third degree of multiple left fingers (nail), not including thumb, sequela, Burn of third degree of multiple right fingers (nail), including thumb, initial encounter, Burn of third degree of multiple right fingers (nail), including thumb, subsequent encounter, Burn of third degree of multiple right fingers (nail), including thumb, sequela, Burn of third degree of multiple left fingers (nail), including thumb, initial encounter, Burn of third degree of multiple left fingers (nail), including thumb, subsequent encounter, Burn of third degree of multiple left fingers (nail), including thumb, sequela, Corrosion of third degree of right thumb (nail), initial encounter, Corrosion of third degree of right thumb (nail), subsequent encounter, Corrosion of third degree of right thumb (nail), sequela, Corrosion of third degree of left thumb (nail), initial encounter, Corrosion of third degree of left thumb (nail), subsequent encounter, Corrosion of third degree of left thumb (nail), sequela, Corrosion of third degree of single right finger (nail) except thumb, initial encounter, Corrosion of third degree of single right finger (nail) except thumb, subsequent encounter, Corrosion of third degree of single right finger (nail) except thumb, sequela, Corrosion of third degree of single left finger (nail) except thumb, initial encounter, Corrosion of third degree of single left finger (nail) except thumb, subsequent encounter, Corrosion of third degree of single left finger (nail) except thumb, sequela, Corrosion of third degree of multiple right fingers (nail), not including thumb, initial encounter, Corrosion of third degree of multiple right fingers (nail), not including thumb, subsequent encounter, Corrosion of third degree of multiple right fingers (nail), not including thumb, sequela, Corrosion of third degree of multiple left fingers (nail), not including thumb, initial encounter, Corrosion of third degree of multiple left fingers (nail), not including thumb, subsequent encounter, Corrosion of third degree of multiple left fingers (nail), not including thumb, sequela, Corrosion of third degree of multiple right fingers (nail), including thumb, initial encounter, Corrosion of third degree of multiple right fingers (nail), including thumb, subsequent encounter, Corrosion of third degree of multiple right fingers (nail), including thumb, sequela, Corrosion of third degree of multiple left fingers (nail), including thumb, initial encounter, Corrosion of third degree of multiple left fingers (nail), including thumb, subsequent encounter, Corrosion of third degree of multiple left fingers (nail), including thumb, sequela, Burn of third degree of right toe(s) (nail), initial encounter, Burn of third degree of right toe(s) (nail), subsequent encounter, Burn of third degree of right toe(s) (nail), sequela, Burn of third degree of left toe(s) (nail), initial encounter, Burn of third degree of left toe(s) (nail), subsequent encounter, Burn of third degree of left toe(s) (nail), sequela, Corrosion of third degree of right toe(s) (nail), initial encounter, Corrosion of third degree of right toe(s) (nail), subsequent encounter, Corrosion of third degree of right toe(s) (nail), sequela, Corrosion of third degree of left toe(s) (nail), initial encounter, Corrosion of third degree of left toe(s) (nail), subsequent encounter, Corrosion of third degree of left toe(s) (nail), sequela, Superficial frostbite of right finger(s), initial encounter, Superficial frostbite of right finger(s), subsequent encounter, Superficial frostbite of right finger(s), sequela, Superficial frostbite of left finger(s), initial encounter, Superficial frostbite of left finger(s), subsequent encounter, Superficial frostbite of left finger(s), sequela, Superficial frostbite of right toe(s), initial encounter, Superficial frostbite of right toe(s), subsequent encounter, Superficial frostbite of right toe(s), sequela, Superficial frostbite of left toe(s), initial encounter, Superficial frostbite of left toe(s), subsequent encounter, Superficial frostbite of left toe(s), sequela.