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ICD-10 Coding for Paronychia of the Finger(L03.011, L03.012)

Complete ICD-10-CM coding and documentation guide for Paronychia of the Finger. Includes clinical validation requirements, documentation requirements, and coding pitfalls.

Also known as:

Nail InfectionPerionychiaWhitlow

Related ICD-10 Code Ranges

Complete code families applicable to Paronychia of the Finger

L03.0-L03.01Primary Range

Cellulitis and acute lymphangitis of finger

This range includes codes for cellulitis and paronychia of the finger, specifying laterality.

Code Comparison: When to Use Each Code

Compare key differences between these codes to ensure accurate selection

CodeDescriptionWhen to UseKey Documentation
L03.011Cellulitis of right fingerUse when paronychia or cellulitis is present in the right finger.
  • Erythema, fluctuance, purulence, pain in right finger
L03.012Cellulitis of left fingerUse when paronychia or cellulitis is present in the left finger.
  • Erythema, fluctuance, purulence, pain in left finger

Clinical Decision Support

Always review the patient's clinical documentation thoroughly. When in doubt, choose the more specific code and ensure documentation supports it.

Key Information: ICD-10 code for paronychia finger

Essential facts and insights about Paronychia of the Finger

The ICD-10 code for paronychia of the right finger is L03.011, and for the left finger, it is L03.012. Ensure laterality is documented for accurate coding.

Primary ICD-10-CM Codes for paronychia finger

Cellulitis of right finger
Billable Code

Decision Criteria

clinical Criteria

  • Presence of erythema and purulence in right finger

Applicable To

  • Paronychia of right finger

Excludes

Clinical Validation Requirements

  • Erythema, fluctuance, purulence, pain in right finger

Code-Specific Risks

  • Ensure laterality is documented to avoid unspecified coding.

Coding Notes

  • Document laterality and presence of abscess for accurate coding.

Ancillary Codes

Additional codes that should be used in conjunction with the main diagnosis codes when applicable.

Staphylococcus aureus as the cause of diseases classified elsewhere

B95.6
Use if culture confirms Staphylococcus aureus.

Differential Codes

Alternative codes to consider when ruling out similar conditions to the primary diagnosis.

Herpetic whitlow

B00.8
Presence of vesicles and HSV confirmation.

Documentation & Coding Risks

Avoid these common documentation and coding issues when documenting Paronychia of the Finger to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code L03.011.

Impact

Clinical: Leads to incorrect treatment tracking., Regulatory: Non-compliance with coding standards., Financial: Potential claim denials or delays.

Mitigation Strategy

Always document the affected side in the patient's record.

Impact

Reimbursement: Incorrect coding may lead to claim denials., Compliance: Non-compliance with ICD-10 coding guidelines., Data Quality: Reduces accuracy of clinical data.

Mitigation Strategy

Use L03.011 or L03.012 based on the documented laterality.

Impact

Using unspecified codes when laterality is documented.

Mitigation Strategy

Ensure documentation includes laterality before coding.

Documentation errors, coding pitfalls, and audit risks are interconnected aspects of medical coding and billing. Addressing all three areas helps ensure accurate coding, optimal reimbursement, and regulatory compliance.

Frequently Asked Questions

Common questions about ICD-10 coding for Paronychia of the Finger, with expert answers to help guide accurate code selection and documentation.

Documentation Templates for Paronychia of the Finger

Use these documentation templates to ensure complete and accurate documentation for Paronychia of the Finger. These templates include all required elements for proper coding and billing.

Acute Paronychia with Abscess

Specialty: Emergency Medicine

Required Elements

  • Laterality
  • Presence of abscess
  • Procedure performed
  • Culture results if applicable

Examples: Poor vs. Good Documentation

Poor Documentation Example
Patient has finger infection. I&D done.
Good Documentation Example
Acute paronychia with 1 cm abscess, right ring finger. Digital block performed. Incision made at lateral nail fold with expression of 2 mL purulent material. Wound packed with iodoform gauze. Culture sent.
Explanation
The good example specifies laterality, procedure details, and culture, which are crucial for accurate coding.

Need help with ICD-10 coding for Paronychia of the Finger? Ask your questions below.

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