Notification



Notification Issue Date:



Policy Attachment

Attachment to Policy # MA11.014e


Attachment:A

Policy #:MA11.014e

Description:ICD-10 CM Codes Eligible to be Reported for Debridement of mycotic hypertrophic toe nails (A30.0 -E10.21)

Title:Debridement of Mycotic and Symptomatic Non-Mycotic Hypertrophic Toe Nails


Inclusion of a code in this table does not imply reimbursement. Eligibility, benefits, limitations, exclusions, precertification/referral requirements, provider contracts, and Company policies apply.

The codes listed below are updated on a regular basis, in accordance with nationally accepted coding guidelines. Therefore, this policy applies to any and all future applicable coding changes, revisions, or updates.

In order to ensure optimal reimbursement, all health care services, devices, and pharmaceuticals should be reported using the billing codes and modifiers that most accurately represent the services rendered, unless otherwise directed by the Company.

The Coding Table lists any CPT, ICD-9, ICD-10, and HCPCS billing codes related only to the specific policy in which they appear.


INTERNATIONAL CLASSIFICATION OF DISEASES (ICD-10) DIAGNOSIS CODES ASSOCIATED WITH DEBRIDEMENT OF MYCOTIC HYPERTROPHIC TOE NAILS


A30.0Indeterminate leprosy
A30.1Tuberculoid leprosy
A30.2Borderline tuberculoid leprosy
A30.3Borderline leprosy
A30.4Borderline lepromatous leprosy
A30.5Lepromatous leprosy
A50.1Early congenital syphilis, latent
A50.40Late congenital neurosyphilis, unspecified
A50.41Late congenital syphilitic meningitis
A50.42Late congenital syphilitic encephalitis
A50.43Late congenital syphilitic polyneuropathy
A50.45Juvenile general paresis
A52.11Tabes dorsalis
A52.13Late syphilitic meningitis
A52.14Late syphilitic encephalitis
A52.15Late syphilitic neuropathy
A52.16Charcot's arthropathy (tabetic)
A52.17General paresis
A52.19Other symptomatic neurosyphilis
A52.2Asymptomatic neurosyphilis
B20Human immunodeficiency virus [HIV] disease
B37.2Candidiasis of skin and nail
D51.0Vitamin B12 deficiency anemia due to intrinsic factor deficiency
D81.818Other biotin-dependent carboxylase deficiency
D81.819Biotin-dependent carboxylase deficiency, unspecified
E08.00Diabetes mellitus due to underlying condition with hyperosmolarity without nonketotic hyperglycemic-hyperosmolar coma (NKHHC)
E08.01Diabetes mellitus due to underlying condition with hyperosmolarity with coma
E08.10Diabetes mellitus due to underlying condition with ketoacidosis without coma
E08.11Diabetes mellitus due to underlying condition with ketoacidosis with coma
E08.21Diabetes mellitus due to underlying condition with diabetic nephropathy
E08.22Diabetes mellitus due to underlying condition with diabetic chronic kidney disease
E08.29Diabetes mellitus due to underlying condition with other diabetic kidney complication
E08.311Diabetes mellitus due to underlying condition with unspecified diabetic retinopathy with macular edema
E08.319Diabetes mellitus due to underlying condition with unspecified diabetic retinopathy without macular edema
E08.3211Diabetes mellitus due to underlying condition with mild nonproliferative diabetic retinopathy with macular edema, right eye
E08.3212Diabetes mellitus due to underlying condition with mild nonproliferative diabetic retinopathy with macular edema, left eye
E08.3213Diabetes mellitus due to underlying condition with mild nonproliferative diabetic retinopathy with macular edema, bilateral
E08.3219Diabetes mellitus due to underlying condition with mild nonproliferative diabetic retinopathy with macular edema, unspecified eye
E08.3291Diabetes mellitus due to underlying condition with mild nonproliferative diabetic retinopathy without macular edema, right eye
E08.3292Diabetes mellitus due to underlying condition with mild nonproliferative diabetic retinopathy without macular edema, left eye
E08.3293Diabetes mellitus due to underlying condition with mild nonproliferative diabetic retinopathy without macular edema, bilateral
E08.3299Diabetes mellitus due to underlying condition with mild nonproliferative diabetic retinopathy without macular edema, unspecified eye
E08.3311Diabetes mellitus due to underlying condition with moderate nonproliferative diabetic retinopathy with macular edema, right eye
E08.3312Diabetes mellitus due to underlying condition with moderate nonproliferative diabetic retinopathy with macular edema, left eye
E08.3313Diabetes mellitus due to underlying condition with moderate nonproliferative diabetic retinopathy with macular edema, bilateral
E08.3319Diabetes mellitus due to underlying condition with moderate nonproliferative diabetic retinopathy with macular edema, unspecified eye
E08.3391Diabetes mellitus due to underlying condition with moderate nonproliferative diabetic retinopathy without macular edema, right eye
E08.3392Diabetes mellitus due to underlying condition with moderate nonproliferative diabetic retinopathy without macular edema, left eye
E08.3393Diabetes mellitus due to underlying condition with moderate nonproliferative diabetic retinopathy without macular edema, bilateral
E08.3399Diabetes mellitus due to underlying condition with moderate nonproliferative diabetic retinopathy without macular edema, unspecified eye
E08.3411Diabetes mellitus due to underlying condition with severe nonproliferative diabetic retinopathy with macular edema, right eye
E08.3412Diabetes mellitus due to underlying condition with severe nonproliferative diabetic retinopathy with macular edema, left eye
E08.3413Diabetes mellitus due to underlying condition with severe nonproliferative diabetic retinopathy with macular edema, bilateral
E08.3419Diabetes mellitus due to underlying condition with severe nonproliferative diabetic retinopathy with macular edema, unspecified eye
E08.3491Diabetes mellitus due to underlying condition with severe nonproliferative diabetic retinopathy without macular edema, right eye
E08.3492Diabetes mellitus due to underlying condition with severe nonproliferative diabetic retinopathy without macular edema, left eye
E08.3493Diabetes mellitus due to underlying condition with severe nonproliferative diabetic retinopathy without macular edema, bilateral
E08.3499Diabetes mellitus due to underlying condition with severe nonproliferative diabetic retinopathy without macular edema, unspecified eye
E08.3511Diabetes mellitus due to underlying condition with proliferative diabetic retinopathy with macular edema, right eye
E08.3512Diabetes mellitus due to underlying condition with proliferative diabetic retinopathy with macular edema, left eye
E08.3513Diabetes mellitus due to underlying condition with proliferative diabetic retinopathy with macular edema, bilateral
E08.3519Diabetes mellitus due to underlying condition with proliferative diabetic retinopathy with macular edema, unspecified eye
E08.3521Diabetes mellitus due to underlying condition with proliferative diabetic retinopathy with traction retinal detachment involving the macula, right eye
E08.3522Diabetes mellitus due to underlying condition with proliferative diabetic retinopathy with traction retinal detachment involving the macula, left eye
E08.3523Diabetes mellitus due to underlying condition with proliferative diabetic retinopathy with traction retinal detachment involving the macula, bilateral
E08.3529Diabetes mellitus due to underlying condition with proliferative diabetic retinopathy with traction retinal detachment involving the macula, unspecified eye
E08.3531Diabetes mellitus due to underlying condition with proliferative diabetic retinopathy with traction retinal detachment not involving the macula, right eye
E08.3532Diabetes mellitus due to underlying condition with proliferative diabetic retinopathy with traction retinal detachment not involving the macula, left eye
E08.3533Diabetes mellitus due to underlying condition with proliferative diabetic retinopathy with traction retinal detachment not involving the macula, bilateral
E08.3539Diabetes mellitus due to underlying condition with proliferative diabetic retinopathy with traction retinal detachment not involving the macula, unspecified eye
E08.3541Diabetes mellitus due to underlying condition with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment, right eye
E08.3542Diabetes mellitus due to underlying condition with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment, left eye
E08.3543Diabetes mellitus due to underlying condition with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment, bilateral
E08.3549Diabetes mellitus due to underlying condition with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment, unspecified eye
E08.3551Diabetes mellitus due to underlying condition with stable proliferative diabetic retinopathy, right eye
E08.3552Diabetes mellitus due to underlying condition with stable proliferative diabetic retinopathy, left eye
E08.3553Diabetes mellitus due to underlying condition with stable proliferative diabetic retinopathy, bilateral
E08.3559Diabetes mellitus due to underlying condition with stable proliferative diabetic retinopathy, unspecified eye
E08.3591Diabetes mellitus due to underlying condition with proliferative diabetic retinopathy without macular edema, right eye
E08.3592Diabetes mellitus due to underlying condition with proliferative diabetic retinopathy without macular edema, left eye
E08.3593Diabetes mellitus due to underlying condition with proliferative diabetic retinopathy without macular edema, bilateral
E08.3599Diabetes mellitus due to underlying condition with proliferative diabetic retinopathy without macular edema, unspecified eye
E08.36Diabetes mellitus due to underlying condition with diabetic cataract
E08.37X1Diabetes mellitus due to underlying condition with diabetic macular edema, resolved following treatment, right eye
E08.37X2Diabetes mellitus due to underlying condition with diabetic macular edema, resolved following treatment, left eye
E08.37X3Diabetes mellitus due to underlying condition with diabetic macular edema, resolved following treatment, bilateral
E08.37X9Diabetes mellitus due to underlying condition with diabetic macular edema, resolved following treatment, unspecified eye
E08.39Diabetes mellitus due to underlying condition with other diabetic ophthalmic complication
E08.40Diabetes mellitus due to underlying condition with diabetic neuropathy, unspecified
E08.41Diabetes mellitus due to underlying condition with diabetic mononeuropathy
E08.42Diabetes mellitus due to underlying condition with diabetic polyneuropathy
E08.43Diabetes mellitus due to underlying condition with diabetic autonomic (poly)neuropathy
E08.44Diabetes mellitus due to underlying condition with diabetic amyotrophy
E08.49Diabetes mellitus due to underlying condition with other diabetic neurological complication
E08.51Diabetes mellitus due to underlying condition with diabetic peripheral angiopathy without gangrene
E08.52Diabetes mellitus due to underlying condition with diabetic peripheral angiopathy with gangrene
E08.59Diabetes mellitus due to underlying condition with other circulatory complications
E08.610Diabetes mellitus due to underlying condition with diabetic neuropathic arthropathy
E08.618Diabetes mellitus due to underlying condition with other diabetic arthropathy
E08.620Diabetes mellitus due to underlying condition with diabetic dermatitis
E08.621Diabetes mellitus due to underlying condition with foot ulcer
E08.622Diabetes mellitus due to underlying condition with other skin ulcer
E08.628Diabetes mellitus due to underlying condition with other skin complications
E08.630Diabetes mellitus due to underlying condition with periodontal disease
E08.638Diabetes mellitus due to underlying condition with other oral complications
E08.641Diabetes mellitus due to underlying condition with hypoglycemia with coma
E08.649Diabetes mellitus due to underlying condition with hypoglycemia without coma
E08.65Diabetes mellitus due to underlying condition with hyperglycemia
E08.69Diabetes mellitus due to underlying condition with other specified complication
E08.8Diabetes mellitus due to underlying condition with unspecified complications
E08.9Diabetes mellitus due to underlying condition without complications
E09.00Drug or chemical induced diabetes mellitus with hyperosmolarity without nonketotic hyperglycemic-hyperosmolar coma (NKHHC)
E09.01Drug or chemical induced diabetes mellitus with hyperosmolarity with coma
E09.10Drug or chemical induced diabetes mellitus with ketoacidosis without coma
E09.11Drug or chemical induced diabetes mellitus with ketoacidosis with coma
E09.21Drug or chemical induced diabetes mellitus with diabetic nephropathy
E09.22Drug or chemical induced diabetes mellitus with diabetic chronic kidney disease
E09.29Drug or chemical induced diabetes mellitus with other diabetic kidney complication
E09.311Drug or chemical induced diabetes mellitus with unspecified diabetic retinopathy with macular edema
E09.319Drug or chemical induced diabetes mellitus with unspecified diabetic retinopathy without macular edema
E09.3211Drug or chemical induced diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema, right eye
E09.3212Drug or chemical induced diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema, left eye
E09.3213Drug or chemical induced diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema, bilateral
E09.3219Drug or chemical induced diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema, unspecified eye
E09.3291Drug or chemical induced diabetes mellitus with mild nonproliferative diabetic retinopathy without macular edema, right eye
E09.3292Drug or chemical induced diabetes mellitus with mild nonproliferative diabetic retinopathy without macular edema, left eye
E09.3293Drug or chemical induced diabetes mellitus with mild nonproliferative diabetic retinopathy without macular edema, bilateral
E09.3299Drug or chemical induced diabetes mellitus with mild nonproliferative diabetic retinopathy without macular edema, unspecified eye
E09.3311Drug or chemical induced diabetes mellitus with moderate nonproliferative diabetic retinopathy with macular edema, right eye
E09.3312Drug or chemical induced diabetes mellitus with moderate nonproliferative diabetic retinopathy with macular edema, left eye
E09.3313Drug or chemical induced diabetes mellitus with moderate nonproliferative diabetic retinopathy with macular edema, bilateral
E09.3319Drug or chemical induced diabetes mellitus with moderate nonproliferative diabetic retinopathy with macular edema, unspecified eye
E09.3391Drug or chemical induced diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema, right eye
E09.3392Drug or chemical induced diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema, left eye
E09.3393Drug or chemical induced diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema, bilateral
E09.3399Drug or chemical induced diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema, unspecified eye
E09.3411Drug or chemical induced diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema, right eye
E09.3412Drug or chemical induced diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema, left eye
E09.3413Drug or chemical induced diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema, bilateral
E09.3419Drug or chemical induced diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema, unspecified eye
E09.3491Drug or chemical induced diabetes mellitus with severe nonproliferative diabetic retinopathy without macular edema, right eye
E09.3492Drug or chemical induced diabetes mellitus with severe nonproliferative diabetic retinopathy without macular edema, left eye
E09.3493Drug or chemical induced diabetes mellitus with severe nonproliferative diabetic retinopathy without macular edema, bilateral
E09.3499Drug or chemical induced diabetes mellitus with severe nonproliferative diabetic retinopathy without macular edema, unspecified eye
E09.3511Drug or chemical induced diabetes mellitus with proliferative diabetic retinopathy with macular edema, right eye
E09.3512Drug or chemical induced diabetes mellitus with proliferative diabetic retinopathy with macular edema, left eye
E09.3513Drug or chemical induced diabetes mellitus with proliferative diabetic retinopathy with macular edema, bilateral
E09.3519Drug or chemical induced diabetes mellitus with proliferative diabetic retinopathy with macular edema, unspecified eye
E09.3521Drug or chemical induced diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment involving the macula, right eye
E09.3522Drug or chemical induced diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment involving the macula, left eye
E09.3523Drug or chemical induced diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment involving the macula, bilateral
E09.3529Drug or chemical induced diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment involving the macula, unspecified eye
E09.3531Drug or chemical induced diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment not involving the macula, right eye
E09.3532Drug or chemical induced diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment not involving the macula, left eye
E09.3533Drug or chemical induced diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment not involving the macula, bilateral
E09.3539Drug or chemical induced diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment not involving the macula, unspecified eye
E09.3541Drug or chemical induced diabetes mellitus with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment, right eye
E09.3542Drug or chemical induced diabetes mellitus with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment, left eye
E09.3543Drug or chemical induced diabetes mellitus with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment, bilateral
E09.3549Drug or chemical induced diabetes mellitus with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment, unspecified eye
E09.3551Drug or chemical induced diabetes mellitus with stable proliferative diabetic retinopathy, right eye
E09.3552Drug or chemical induced diabetes mellitus with stable proliferative diabetic retinopathy, left eye
E09.3553Drug or chemical induced diabetes mellitus with stable proliferative diabetic retinopathy, bilateral
E09.3559Drug or chemical induced diabetes mellitus with stable proliferative diabetic retinopathy, unspecified eye
E09.3591Drug or chemical induced diabetes mellitus with proliferative diabetic retinopathy without macular edema, right eye
E09.3592Drug or chemical induced diabetes mellitus with proliferative diabetic retinopathy without macular edema, left eye
E09.3593Drug or chemical induced diabetes mellitus with proliferative diabetic retinopathy without macular edema, bilateral
E09.3599Drug or chemical induced diabetes mellitus with proliferative diabetic retinopathy without macular edema, unspecified eye
E09.36Drug or chemical induced diabetes mellitus with diabetic cataract
E09.37X1Drug or chemical induced diabetes mellitus with diabetic macular edema, resolved following treatment, right eye
E09.37X2Drug or chemical induced diabetes mellitus with diabetic macular edema, resolved following treatment, left eye
E09.37X3Drug or chemical induced diabetes mellitus with diabetic macular edema, resolved following treatment, bilateral
E09.37X9Drug or chemical induced diabetes mellitus with diabetic macular edema, resolved following treatment, unspecified eye
E09.39Drug or chemical induced diabetes mellitus with other diabetic ophthalmic complication
E09.40Drug or chemical induced diabetes mellitus with neurological complications with diabetic neuropathy, unspecified
E09.41Drug or chemical induced diabetes mellitus with neurological complications with diabetic mononeuropathy
E09.42Drug or chemical induced diabetes mellitus with neurological complications with diabetic polyneuropathy
E09.43Drug or chemical induced diabetes mellitus with neurological complications with diabetic autonomic (poly)neuropathy
E09.44Drug or chemical induced diabetes mellitus with neurological complications with diabetic amyotrophy
E09.49Drug or chemical induced diabetes mellitus with neurological complications with other diabetic neurological complication
E09.51Drug or chemical induced diabetes mellitus with diabetic peripheral angiopathy without gangrene
E09.52Drug or chemical induced diabetes mellitus with diabetic peripheral angiopathy with gangrene
E09.59Drug or chemical induced diabetes mellitus with other circulatory complications
E09.610Drug or chemical induced diabetes mellitus with diabetic neuropathic arthropathy
E09.618Drug or chemical induced diabetes mellitus with other diabetic arthropathy
E09.620Drug or chemical induced diabetes mellitus with diabetic dermatitis
E09.621Drug or chemical induced diabetes mellitus with foot ulcer
E09.622Drug or chemical induced diabetes mellitus with other skin ulcer
E09.628Drug or chemical induced diabetes mellitus with other skin complications
E09.630Drug or chemical induced diabetes mellitus with periodontal disease
E09.638Drug or chemical induced diabetes mellitus with other oral complications
E09.641Drug or chemical induced diabetes mellitus with hypoglycemia with coma
E09.649Drug or chemical induced diabetes mellitus with hypoglycemia without coma
E09.65Drug or chemical induced diabetes mellitus with hyperglycemia
E09.69Drug or chemical induced diabetes mellitus with other specified complication
E09.8Drug or chemical induced diabetes mellitus with unspecified complications
E09.9Drug or chemical induced diabetes mellitus without complications
E10.10Type 1 diabetes mellitus with ketoacidosis without coma
E10.11Type 1 diabetes mellitus with ketoacidosis with coma
E10.21Type 1 diabetes mellitus with diabetic nephropathy


Version Effective Date: 10/01/2019
Version Issued Date: 10/03/2019
Version Reissued Date: N/A

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Independence Blue Cross is an independent licensee of the Blue Cross and Blue Shield Association, serving the health insurance needs of Philadelphia and southeastern Pennsylvania.