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Medical Policy Routine Foot Care and Debridement of Nails

Table of Contents • Policy: Commercial • Description • Coding Information

• Policy: Medicare • Policy History • Endnotes

• Authorization Information • Information Pertaining to All Policies

Policy Number: 385 BCBSA Reference Number: None NCD/LCD: Local Coverage Determination (LCD): Routine Foot Care and Debridement of Nails (L33636)

Related Policies None

Policy

Commercial Members: Managed Care (HMO and POS), PPO, and Indemnity1 Routine foot care may be considered MEDICALLY NECESSARY when the patient has a systemic disease, such as metabolic, neurologic, or peripheral vascular disease, of sufficient severity that performance of such services by a nonprofessional person would put the patient at risk (for example, a systemic condition that has resulted in severe circulatory embarrassment or areas of desensitization in the patient’s legs or feet). Services ordinarily considered routine may be considered MEDICALLY NECESSARY if they are performed as a necessary and integral part of otherwise covered services, such as:

• Diagnosis and treatment of diabetic ulcers

• Wounds, and

• Infections. Treatment of mycotic nails may be considered MEDICALLY NECESSARY under the exceptions to the routine foot care exclusion. The class findings, outlined below, or the presence of qualifying systemic illnesses causing a peripheral neuropathy, must be present. Debridement of a mycotic nail may be considered MEDICALLY NECESSARY (whether by manual method or by electrical grinder) when definitive antifungal treatment options have been reviewed and discussed with the patient at the initial visit and the physician attending the mycotic condition documents that the following criteria are met: In the absence of a systemic condition, the following criteria must be met:

• In the case of ambulatory patients there exists: o Clinical evidence of mycosis of the toenail, and

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o Marked limitation of ambulation, pain, or secondary infection resulting from the thickening and dystrophy of the infected toenail plate.

• In the case of non-ambulatory patients there exists: o Clinical evidence of mycosis of the toenail, and o The patient suffers from pain or secondary infection resulting from the thickening and

dystrophy of the infected toenail plate.

In addition, procedures for treating toenails may be considered MEDICALLY NECESSARY for the following:

• Onychogryphosis (defined as long-standing thickening, in which typically a curved hooked nail [ram's horn nail] occurs), and there is marked limitation of ambulation, pain, and/or secondary infection where the nail plate is causing symptomatic indentation of or minor laceration of the affected distal toe; and/or

• Onychauxis (defined as a thickening [hypertrophy] of the base of the nail/nail bed) and there is marked limitation of ambulation, pain, and/or secondary infection that causes symptoms.

The following physical and clinical findings, which are indicative of severe peripheral involvement, must be documented and maintained in the patient record, in order for routine foot care services to be reimbursable. Class A findings Non-traumatic amputation of foot or integral skeletal portion thereof. Class B findings

• Absent posterior tibial pulse

• Advanced trophic changes as (three required): o hair growth (decrease or absence) o nail changes (thickening) o pigmentary changes (discoloration) o skin texture (thin, shiny) o skin color (rubor or redness); and o Absent dorsalis pedis pulse.

Class C findings

• Claudication

• Temperature changes (e.g., cold feet)

• Edema

• Paresthesias (abnormal spontaneous sensations in the feet); and

• Burning. Note: Benefits for routine foot care are also available for patients with peripheral neuropathy involving the feet, but without the vascular impairment outlined in Class B findings. The neuropathy should be of such severity that care by a non-professional person would put the patient at risk. If the patient has evidence of neuropathy but no vascular impairment, the use of class findings modifiers is not necessary. BCBSMA generally does not cover routine foot care. However, this policy outlines the specific conditions for which coverage may be considered MEDICALLY NECESSARY. The following services are considered to be components of routine foot care, regardless of the provider rendering the service, may be considered NOT MEDICALLY NECESSARY:

• The cutting or removal of corns and calluses;

• Clipping, trimming, or debridement of nails, including debridement of mycotic nails;

• Shaving, paring, cutting or removal of keratoma, tyloma, and heloma;

• Non-definitive simple, palliative treatments like shaving or paring of plantar warts which do not require thermal or chemical cautery and curettage;

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• Other hygienic and preventive maintenance care, such as cleaning and soaking the feet, the use of skin creams to maintain skin tone of either ambulatory or bedfast patients, and any other service performed in the absence of localized illness, injury, or symptoms involving the foot.

Medicare HMO BlueSM and Medicare PPO BlueSM Members Medical necessity criteria and coding guidance for Medicare Advantage members living in Massachusetts can be found through the link below. Local Coverage Determinations (LCDs) for National Government Services, Inc. Local Coverage Determination (LCD): Routine Foot Care and Debridement of Nails (L33636) Note: To review the specific LCD, please remember to click “accept” on the CMS licensing agreement at the bottom of the CMS webpage. For medical necessity criteria and coding guidance for Medicare Advantage members living outside of Massachusetts, please see the Centers for Medicare and Medicaid Services website at https://www.cms.gov for information regarding your specific jurisdiction.

Prior Authorization Information Inpatient

• For services described in this policy, precertification/preauthorization IS REQUIRED for all products if the procedure is performed inpatient.

Outpatient

• For services described in this policy, see below for products where prior authorization might be required if the procedure is performed outpatient.

Outpatient

Commercial Managed Care (HMO and POS) Prior authorization is not required.

Commercial PPO and Indemnity Prior authorization is not required.

Medicare HMO BlueSM Prior authorization is not required.

Medicare PPO BlueSM Prior authorization is not required.

Description Routine foot care services include the examination, diagnosis, and medical treatment of conditions and dysfunctions of the foot. Services normally considered routine foot care include: cutting or removal of corns and calluses; trimming, cutting, and clipping; other hygienic and preventive maintenance care considered self-care (i.e., cleaning and soaking the feet, and the use of skin creams to maintain skin tone of both ambulatory and bedridden patients); and any services performed in the absence of localized illness, injury or symptoms involving the foot. Nail debridement is the removal of all diseased nail to the nail bed or viable nail plate or to the point where bleeding is imminent. Simple trimming of the nail ends of the toenails by cutting or grinding is not considered debridement.

Summary

The research for this policy was compiled using a combination of medical society recommendations, Medicare recommendations, and expert opinion.

Policy History Date Action

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10/2019 Clarified coding information

2/2019 Class B findings clarified.

12/2017 Commercial policy aligned with Local Coverage Determination (LCD): Routine Foot Care and Debridement of Nails (L33636). Clarified coding information. Effective 12/1/2017.

8/2017 Local Coverage Determination (LCD): Routine Foot Care and Debridement of Nails (L33636) for Medicare Advantage members. Benefits for routine foot care are also available for patients with peripheral neuropathy involving the feet, but without the vascular impairment outlined in Class B findings. 8/15/2017.

10/2016 Clarified coding information.

9/2015 Local Coverage Determination (LCD): Routine Foot Care and Debridement of Nails (L33636) added.

3/2015 Clarified coding information.

8/2014 Medical policy remediation: Formatting, editing and coding updates. No changes to policy statements.

5/2011 Medical Policy Group - Pediatrics and Endocrinology, no changes in coverage.

7/2006 Medical Policy Group - Orthopedic/Rheumatology, no changes in coverage.

7/2003 Medical Policy Group - orthopedics/Rheumatology, no changes in coverage.

Information Pertaining to All Blue Cross Blue Shield Medical Policies Click on any of the following terms to access the relevant information: Medical Policy Terms of Use Managed Care Guidelines Indemnity/PPO Guidelines Clinical Exception Process Medical Technology Assessment Guidelines

CPT Codes / HCPCS Codes / ICD Codes Inclusion or exclusion of a code does not constitute or imply member coverage or provider reimbursement. Please refer to the member’s contract benefits in effect at the time of service to determine coverage or non-coverage as it applies to an individual member. Providers should report all services using the most up-to-date industry-standard procedure, revenue, and diagnosis codes, including modifiers where applicable.

CPT Codes

CPT codes: Code Description

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

11057 Paring or cutting of benign hyperkeratotic lesion (eg, corn or callus); more than 4 lesions

11719 Trimming of nondystrophic nails, any number

11720 Debridement of nail(s) by any method(s); 1 to 5

11721 Debridement of nail(s) by any method(s); 6 or more

HCPCS Codes HCPCS codes:

Code Description

G0127 Trimming of dystrophic nails, any number

G0247 Routine foot care by a physician of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (LOPS) to include the local care of superficial wounds (i.e., superficial to muscle and fascia) and at least the following, if present: (1)

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local care of superficial wounds, (2) debridement of corns and calluses, and (3) trimming and debridement of nails

ICD-10-CM Diagnosis Codes ICD-10-CM diagnosis codes: Code Description

A30.0 Indeterminate leprosy

A30.1 Tuberculoid leprosy

A30.2 Borderline tuberculoid leprosy

A30.3 Borderline leprosy

A30.4 Borderline lepromatous leprosy

A30.5 Lepromatous leprosy

A30.8 Other forms of leprosy

A50.40 Late congenital neurosyphilis, unspecified

A50.41 Late congenital syphilitic meningitis

A50.42 Late congenital syphilitic encephalitis

A50.43 Late congenital syphilitic polyneuropathy

A50.45 Juvenile general paresis

A52.10 Symptomatic neurosyphilis, unspecified

A52.11 Tabes dorsalis

A52.12 Other cerebrospinal syphilis

A52.13 Late syphilitic meningitis

A52.14 Late syphilitic encephalitis

A52.15 Late syphilitic neuropathy

A52.16 Charcôt's arthropathy (tabetic)

A52.17 General paresis

A52.19 Other symptomatic neurosyphilis

A52.2 Asymptomatic neurosyphilis

A52.3 Neurosyphilis, unspecified

B35.1 Tinea unguium

C76.50 Malignant Neoplasm Of Unspecified Lower Limb

C79.89 Secondary Malignant Neoplasm Of Other Specified Sites

D51.0 Vitamin B12 deficiency anemia due to intrinsic factor deficiency

D81.81 Other biotin-dependent carboxylase deficiency

E08.41 Diabetes mellitus due to underlying condition with diabetic mononeuropathy

E08.42 Diabetes Mellitus Due To Underlying Condition With Diabetic Polyneuropathy

E08.43 Diabetes mellitus due to underlying condition with diabetic autonomic (poly)neuropathy

E08.44 Diabetes mellitus due to underlying condition with diabetic amyotrophy

E08.49 Diabetes mellitus due to underlying condition with other diabetic neurological complication

E08.51 Diabetes mellitus due to underlying condition with diabetic peripheral angiopathy without gangrene

E08.52 Diabetes mellitus due to underlying condition with diabetic peripheral angiopathy with gangrene

E08.59 Diabetes mellitus due to underlying condition with other circulatory complications

E08.610 Diabetes mellitus due to underlying condition with diabetic neuropathic arthropathy

E09.42 Drug or Chemical Induced Diabetes Mellitus With Neurological Complications With Diabetic Polyneuropathy

E09.49 Drug or chemical induced diabetes mellitus with neurological complications with other diabetic neurological complication

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E09.51 Drug or chemical induced diabetes mellitus with diabetic peripheral angiopathy without gangrene

E09.52 Drug or chemical induced diabetes mellitus with diabetic peripheral angiopathy with gangrene

E09.59 Drug or chemical induced diabetes mellitus with other circulatory complications

E09.610 Drug or chemical induced diabetes mellitus with diabetic neuropathic arthropathy

E10.21 Type 1 diabetes mellitus with diabetic nephropathy

E10.22 Type 1 diabetes mellitus with diabetic chronic kidney disease

E10.29 Type 1 diabetes mellitus with other diabetic kidney complication

E10.311 Type 1 diabetes mellitus with unspecified diabetic retinopathy with macular edema

E10.319 Type 1 diabetes mellitus with unspecified diabetic retinopathy without macular edema

E10.3211 Type 1 diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema, right eye

E10.3212 Type 1 diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema, left eye

E10.3213 Type 1 diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema, bilateral

E10.3219 Type 1 diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema, unspecified eye

E10.3291 Type 1 diabetes mellitus with mild nonproliferative diabetic retinopathy without macular edema, right eye

E10.3292 Type 1 diabetes mellitus with mild nonproliferative diabetic retinopathy without macular edema, left eye

E10.3293 Type 1 diabetes mellitus with mild nonproliferative diabetic retinopathy without macular edema, bilateral

E10.3299 Type 1 diabetes mellitus with mild nonproliferative diabetic retinopathy without macular edema, unspecified eye

E10.3311 Type 1 diabetes mellitus with moderate nonproliferative diabetic retinopathy with macular edema, right eye

E10.3312 Type 1 diabetes mellitus with moderate nonproliferative diabetic retinopathy with macular edema, left eye

E10.3313 Type 1 diabetes mellitus with moderate nonproliferative diabetic retinopathy with macular edema, bilateral

E10.3319 Type 1 diabetes mellitus with moderate nonproliferative diabetic retinopathy with macular edema, unspecified eye

E10.3391 Type 1 diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema, right eye

E10.3392 Type 1 diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema, left eye

E10.3393 Type 1 diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema, bilateral

E10.3399 Type 1 diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema, unspecified eye

E10.3411 Type 1 diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema, right eye

E10.3412 Type 1 diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema, left eye

E10.3413 Type 1 diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema, bilateral

E10.3419 Type 1 diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema, unspecified eye

E10.3491 Type 1 diabetes mellitus with severe nonproliferative diabetic retinopathy without macular edema, right eye

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E10.3492 Type 1 diabetes mellitus with severe nonproliferative diabetic retinopathy without macular edema, left eye

E10.3493 Type 1 diabetes mellitus with severe nonproliferative diabetic retinopathy without macular edema, bilateral

E10.3499 Type 1 diabetes mellitus with severe nonproliferative diabetic retinopathy without macular edema, unspecified eye

E10.3511 Type 1 diabetes mellitus with proliferative diabetic retinopathy with macular edema, right eye

E10.3512 Type 1 diabetes mellitus with proliferative diabetic retinopathy with macular edema, left eye

E10.3513 Type 1 diabetes mellitus with proliferative diabetic retinopathy with macular edema, bilateral

E10.3519 Type 1 diabetes mellitus with proliferative diabetic retinopathy with macular edema, unspecified eye

E10.3521 Type 1 diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment involving the macula, right eye

E10.3522 Type 1 diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment involving the macula, left eye

E10.3523 Type 1 diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment involving the macula, bilateral

E10.3529 Type 1 diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment involving the macula, unspecified eye

E10.3531 Type 1 diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment not involving the macula, right eye

E10.3532 Type 1 diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment not involving the macula, left eye

E10.3533 Type 1 diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment not involving the macula, bilateral

E10.3539 Type 1 diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment not involving the macula, unspecified eye

E10.3541 Type 1 diabetes mellitus with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment, right eye

E10.3542 Type 1 diabetes mellitus with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment, left eye

E10.3543 Type 1 diabetes mellitus with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment, bilateral

E10.3549 Type 1 diabetes mellitus with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment, unspecified eye

E10.3551 Type 1 diabetes mellitus with stable proliferative diabetic retinopathy, right eye

E10.3552 Type 1 diabetes mellitus with stable proliferative diabetic retinopathy, left eye

E10.3553 Type 1 diabetes mellitus with stable proliferative diabetic retinopathy, bilateral

E10.3559 Type 1 diabetes mellitus with stable proliferative diabetic retinopathy, unspecified eye

E10.3591 Type 1 diabetes mellitus with proliferative diabetic retinopathy without macular edema, right eye

E10.3592 Type 1 diabetes mellitus with proliferative diabetic retinopathy without macular edema, left eye

E10.3593 Type 1 diabetes mellitus with proliferative diabetic retinopathy without macular edema, bilateral

E10.3599 Type 1 diabetes mellitus with proliferative diabetic retinopathy without macular edema, unspecified eye

E10.36 Type 1 diabetes mellitus with diabetic cataract

E10.37X1 Type 1 diabetes mellitus with diabetic macular edema, resolved following treatment, right eye

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E10.37X2 Type 1 diabetes mellitus with diabetic macular edema, resolved following treatment, left eye

E10.37X3 Type 1 diabetes mellitus with diabetic macular edema, resolved following treatment, bilateral

E10.37X9 Type 1 diabetes mellitus with diabetic macular edema, resolved following treatment, unspecified eye

E10.39 Type 1 diabetes mellitus with other diabetic ophthalmic complication

E10.40 Type 1 diabetes mellitus with diabetic neuropathy, unspecified

E10.41 Type 1 diabetes mellitus with diabetic mononeuropathy

E10.42 Type 1 diabetes mellitus with diabetic polyneuropathy

E10.43 Type 1 diabetes mellitus with diabetic autonomic (poly)neuropathy

E10.44 Type 1 diabetes mellitus with diabetic amyotrophy

E10.49 Type 1 diabetes mellitus with other diabetic neurological complication

E10.51 Type 1 diabetes mellitus with diabetic peripheral angiopathy without gangrene

E10.52 Type 1 diabetes mellitus with diabetic peripheral angiopathy with gangrene

E10.59 Type 1 diabetes mellitus with other circulatory complications

E10.610 Type 1 diabetes mellitus with diabetic neuropathic arthropathy

E10.618 Type 1 Diabetes Mellitus With Other Diabetic Arthropathy

E10.620 Type 1 Diabetes Mellitus With Diabetic Dermatitis

E10.621 Type 1 Diabetes Mellitus With Foot Ulcer

E10.622 Type 1 Diabetes Mellitus With Other Skin Ulcer

E10.628 Type 1 Diabetes Mellitus With Other Skin Complications

E10.630 Type 1 Diabetes Mellitus With Periodontal Disease

E10.638 Type 1 Diabetes Mellitus With Other Oral Complications

E10.649 Type 1 Diabetes Mellitus With Hypoglycemia Without Coma

E10.65 Type 1 diabetes mellitus with hyperglycemia

E10.69 Type 1 Diabetes Mellitus With Other Specified Complication

E10.8 Type 1 diabetes mellitus with unspecified complications

E10.9 Type 1 Diabetes Mellitus Without Complications

E11.21 Type 2 diabetes mellitus with diabetic nephropathy

E11.22 Type 2 diabetes mellitus with diabetic chronic kidney disease

E11.29 Type 2 diabetes mellitus with other diabetic kidney complication

E11.311 Type 2 diabetes mellitus with unspecified diabetic retinopathy with macular edema

E11.319 Type 2 diabetes mellitus with unspecified diabetic retinopathy without macular edema

E11.3211 Type 2 diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema, right eye

E11.3212 Type 2 diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema, left eye

E11.3213 Type 2 diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema, bilateral

E11.3219 Type 2 diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema, unspecified eye

E11.3291 Type 2 diabetes mellitus with mild nonproliferative diabetic retinopathy without macular edema, right eye

E11.3292 Type 2 diabetes mellitus with mild nonproliferative diabetic retinopathy without macular edema, left eye

E11.3293 Type 2 diabetes mellitus with mild nonproliferative diabetic retinopathy without macular edema, bilateral

E11.3299 Type 2 diabetes mellitus with mild nonproliferative diabetic retinopathy without macular edema, unspecified eye

E11.3311 Type 2 diabetes mellitus with moderate nonproliferative diabetic retinopathy with macular edema, right eye

9

E11.3312 Type 2 diabetes mellitus with moderate nonproliferative diabetic retinopathy with macular edema, left eye

E11.3313 Type 2 diabetes mellitus with moderate nonproliferative diabetic retinopathy with macular edema, bilateral

E11.3319 Type 2 diabetes mellitus with moderate nonproliferative diabetic retinopathy with macular edema, unspecified eye

E11.3391 Type 2 diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema, right eye

E11.3392 Type 2 diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema, left eye

E11.3393 Type 2 diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema, bilateral

E11.3399 Type 2 diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema, unspecified eye

E11.3411 Type 2 diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema, right eye

E11.3412 Type 2 diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema, left eye

E11.3413 Type 2 diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema, bilateral

E11.3419 Type 2 diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema, unspecified eye

E11.3491 Type 2 diabetes mellitus with severe nonproliferative diabetic retinopathy without macular edema, right eye

E11.3492 Type 2 diabetes mellitus with severe nonproliferative diabetic retinopathy without macular edema, left eye

E11.3493 Type 2 diabetes mellitus with severe nonproliferative diabetic retinopathy without macular edema, bilateral

E11.3499 Type 2 diabetes mellitus with severe nonproliferative diabetic retinopathy without macular edema, unspecified eye

E11.351 Type 2 diabetes mellitus with proliferative diabetic retinopathy with macular edema

E11.3511 Type 2 diabetes mellitus with proliferative diabetic retinopathy with macular edema, right eye

E11.3512 Type 2 diabetes mellitus with proliferative diabetic retinopathy with macular edema, left eye

E11.3513 Type 2 diabetes mellitus with proliferative diabetic retinopathy with macular edema, bilateral

E11.3519 Type 2 diabetes mellitus with proliferative diabetic retinopathy with macular edema, unspecified eye

E11.3521 Type 2 diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment involving the macula, right eye

E11.3522 Type 2 diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment involving the macula, left eye

E11.3523 Type 2 diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment involving the macula, bilateral

E11.3529 Type 2 diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment involving the macula, unspecified eye

E11.3531 Type 2 diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment not involving the macula, right eye

E11.3532 Type 2 diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment not involving the macula, left eye

E11.3533 Type 2 diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment not involving the macula, bilateral

E11.3539 Type 2 diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment not involving the macula, unspecified eye

10

E11.3541 Type 2 diabetes mellitus with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment, right eye

E11.3542 Type 2 diabetes mellitus with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment, left eye

E11.3543 Type 2 diabetes mellitus with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment, bilateral

E11.3549 Type 2 diabetes mellitus with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment, unspecified eye

E11.3551 Type 2 diabetes mellitus with stable proliferative diabetic retinopathy, right eye

E11.3552 Type 2 diabetes mellitus with stable proliferative diabetic retinopathy, left eye

E11.3553 Type 2 diabetes mellitus with stable proliferative diabetic retinopathy, bilateral

E11.3559 Type 2 diabetes mellitus with stable proliferative diabetic retinopathy, unspecified eye

E11.359 Type 2 diabetes mellitus with proliferative diabetic retinopathy without macular edema

E11.3591 Type 2 diabetes mellitus with proliferative diabetic retinopathy without macular edema, right eye

E11.3592 Type 2 diabetes mellitus with proliferative diabetic retinopathy without macular edema, left eye

E11.3593 Type 2 diabetes mellitus with proliferative diabetic retinopathy without macular edema, bilateral

E11.3599 Type 2 diabetes mellitus with proliferative diabetic retinopathy without macular edema, unspecified eye

E11.36 Type 2 diabetes mellitus with diabetic cataract

E11.37X1 Type 2 diabetes mellitus with diabetic macular edema, resolved following treatment, right eye

E11.37X2 Type 2 diabetes mellitus with diabetic macular edema, resolved following treatment, left eye

E11.37X3 Type 2 diabetes mellitus with diabetic macular edema, resolved following treatment, bilateral

E11.37X9 Type 2 diabetes mellitus with diabetic macular edema, resolved following treatment, unspecified eye

E11.39 Type 2 diabetes mellitus with other diabetic ophthalmic complication

E11.40 Type 2 diabetes mellitus with diabetic neuropathy, unspecified

E11.41 Type 2 diabetes mellitus with diabetic mononeuropathy

E11.42 Type 2 diabetes mellitus with diabetic polyneuropathy

E11.43 Type 2 diabetes mellitus with diabetic autonomic (poly)neuropathy

E11.44 Type 2 diabetes mellitus with diabetic amyotrophy

E11.49 Type 2 diabetes mellitus with other diabetic neurological complication

E11.51 Type 2 diabetes mellitus with diabetic peripheral angiopathy without gangrene

E11.52 Type 2 diabetes mellitus with diabetic peripheral angiopathy with gangrene

E11.59 Type 2 diabetes mellitus with other circulatory complications

E11.610 Type 2 diabetes mellitus with diabetic neuropathic arthropathy

E11.618 Type 2 Diabetes Mellitus With Other Diabetic Arthropathy

E11.620 Type 2 Diabetes Mellitus With Diabetic Dermatitis

E11.621 Type 2 Diabetes Mellitus With Foot Ulcer

E11.622 Type 2 Diabetes Mellitus With Other Skin Ulcer

E11.630 Type 2 Diabetes Mellitus With Periodontal Disease

E11.638 Type 2 Diabetes Mellitus With Other Oral Complications

E11.649 Type 2 Diabetes Mellitus With Hypoglycemia Without Coma

E11.65 Type 2 diabetes mellitus with hyperglycemia

E11.69 Type 2 Diabetes Mellitus With Other Specified Complication

E11.8 Type 2 diabetes mellitus with unspecified complications

E11.9 Type 2 Diabetes Mellitus Without Complications

11

E13.21 Other specified diabetes mellitus with diabetic nephropathy

E13.22 Other specified diabetes mellitus with diabetic chronic kidney disease

E13.29 Other specified diabetes mellitus with other diabetic kidney complication

E13.311 Other specified diabetes mellitus with unspecified diabetic retinopathy with macular edema

E13.319 Other specified diabetes mellitus with unspecified diabetic retinopathy without macular edema

E13.3211 Other specified diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema, right eye

E13.3212 Other specified diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema, left eye

E13.3213 Other specified diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema, bilateral

E13.3219 Other specified diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema, unspecified eye

E13.3291 Other specified diabetes mellitus with mild nonproliferative diabetic retinopathy without macular edema, right eye

E13.3292 Other specified diabetes mellitus with mild nonproliferative diabetic retinopathy without macular edema, left eye

E13.3293 Other specified diabetes mellitus with mild nonproliferative diabetic retinopathy without macular edema, bilateral

E13.3299 Other specified diabetes mellitus with mild nonproliferative diabetic retinopathy without macular edema, unspecified eye

E13.3311 Other specified diabetes mellitus with moderate nonproliferative diabetic retinopathy with macular edema, right eye

E13.3312 Other specified diabetes mellitus with moderate nonproliferative diabetic retinopathy with macular edema, left eye

E13.3313 Other specified diabetes mellitus with moderate nonproliferative diabetic retinopathy with macular edema, bilateral

E13.3319 Other specified diabetes mellitus with moderate nonproliferative diabetic retinopathy with macular edema, unspecified eye

E13.3391 Other specified diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema, right eye

E13.3392 Other specified diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema, left eye

E13.3393 Other specified diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema, bilateral

E13.3399 Other specified diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema, unspecified eye

E13.3411 Other specified diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema, right eye

E13.3412 Other specified diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema, left eye

E13.3413 Other specified diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema, bilateral

E13.3419 Other specified diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema, unspecified eye

E13.3491 Other specified diabetes mellitus with severe nonproliferative diabetic retinopathy without macular edema, right eye

E13.3492 Other specified diabetes mellitus with severe nonproliferative diabetic retinopathy without macular edema, left eye

E13.3493 Other specified diabetes mellitus with severe nonproliferative diabetic retinopathy without macular edema, bilateral

12

E13.3499 Other specified diabetes mellitus with severe nonproliferative diabetic retinopathy without macular edema, unspecified eye

E13.3511 Other specified diabetes mellitus with proliferative diabetic retinopathy with macular edema, right eye

E13.3512 Other specified diabetes mellitus with proliferative diabetic retinopathy with macular edema, left eye

E13.3513 Other specified diabetes mellitus with proliferative diabetic retinopathy with macular edema, bilateral

E13.3519 Other specified diabetes mellitus with proliferative diabetic retinopathy with macular edema, unspecified eye

E13.3521 Other specified diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment involving the macula, right eye

E13.3522 Other specified diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment involving the macula, left eye

E13.3523 Other specified diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment involving the macula, bilateral

E13.3529 Other specified diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment involving the macula, unspecified eye

E13.3531 Other specified diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment not involving the macula, right eye

E13.3532 Other specified diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment not involving the macula, left eye

E13.3533 Other specified diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment not involving the macula, bilateral

E13.3539 Other specified diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment not involving the macula, unspecified eye

E13.3541 Other specified diabetes mellitus with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment, right eye

E13.3542 Other specified diabetes mellitus with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment, left eye

E13.3543 Other specified diabetes mellitus with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment, bilateral

E13.3549 Other specified diabetes mellitus with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment, unspecified eye

E13.3551 Other specified diabetes mellitus with stable proliferative diabetic retinopathy, right eye

E13.3552 Other specified diabetes mellitus with stable proliferative diabetic retinopathy, left eye

E13.3553 Other specified diabetes mellitus with stable proliferative diabetic retinopathy, bilateral

E13.3559 Other specified diabetes mellitus with stable proliferative diabetic retinopathy, unspecified eye

E13.3591 Other specified diabetes mellitus with proliferative diabetic retinopathy without macular edema, right eye

E13.3592 Other specified diabetes mellitus with proliferative diabetic retinopathy without macular edema, left eye

E13.3593 Other specified diabetes mellitus with proliferative diabetic retinopathy without macular edema, bilateral

E13.3599 Other specified diabetes mellitus with proliferative diabetic retinopathy without macular edema, unspecified eye

E13.36 Other specified diabetes mellitus with diabetic cataract

E13.37X1 Type 2 diabetes mellitus with diabetic macular edema, resolved following treatment, right eye

E13.37X2 Type 2 diabetes mellitus with diabetic macular edema, resolved following treatment, left eye

E13.37X3 Type 2 diabetes mellitus with diabetic macular edema, resolved following treatment, bilateral

13

E13.37X9 Type 2 diabetes mellitus with diabetic macular edema, resolved following treatment, unspecified eye

E13.39 Other specified diabetes mellitus with other diabetic ophthalmic complication

E13.40 Other specified diabetes mellitus with diabetic neuropathy, unspecified

E13.41 Other specified diabetes mellitus with diabetic mononeuropathy

E13.42 Other specified diabetes mellitus with diabetic polyneuropathy

E13.43 Other specified diabetes mellitus with diabetic autonomic (poly)neuropathy

E13.44 Other specified diabetes mellitus with diabetic amyotrophy

E13.49 Other specified diabetes mellitus with other diabetic neurological complication

E13.51 Other specified diabetes mellitus with diabetic peripheral angiopathy without gangrene

E13.52 Other specified diabetes mellitus with diabetic peripheral angiopathy with gangrene

E13.59 Other specified diabetes mellitus with other circulatory complications

E13.610 Other specified diabetes mellitus with diabetic neuropathic arthropathy

E13.8 Other specified diabetes mellitus with unspecified complications

E46 Unspecified Protein-Calorie Malnutrition

E51.11 Dry beriberi

E51.12 Wet beriberi

E52 Niacin deficiency [pellagra]

E53.1 Pyridoxine deficiency

E53.8 Deficiency of other specified B group vitamins

E64.0 Sequelae of protein-calorie malnutrition

E75.21 Fabry (-Anderson) disease

E75.22 Gaucher disease

E75.240 Niemann-Pick disease type A

E75.241 Niemann-Pick disease type B

E75.242 Niemann-Pick disease type C

E75.243 Niemann-Pick disease type D

E75.248 Other Niemann-Pick disease

E77.0 Defects in post-translational modification of lysosomal enzymes

E77.1 Defects in glycoprotein degradation

E77.8 Other disorders of glycoprotein metabolism

E85.0 Non-neuropathic heredofamilial amyloidosis

E85.1 Neuropathic heredofamilial amyloidosis

E85.2 Heredofamilial amyloidosis, unspecified

E85.3 Secondary systemic amyloidosis

E85.4 Organ-limited amyloidosis

E85.81 Light chain (AL) amyloidosis

E85.82 Wild-type transthyretin-related (ATTR) amyloidosis

E85.89 Other amyloidosis

E85.9 Amyloidosis, unspecified

G04.1 Tropical spastic paraplegia

G11.1 Early-onset cerebellar ataxia

G12.21 Amyotrophic lateral sclerosis

G13.0 Paraneoplastic neuromyopathy and neuropathy

G13.1 Other systemic atrophy primarily affecting central nervous system in neoplastic disease

G35 Multiple sclerosis

G60.0 Hereditary motor and sensory neuropathy

G60.1 Refsum'S Disease

G60.2 Neuropathy in association with hereditary ataxia

G60.3 Idiopathic Progressive Neuropathy

G60.8 Other Hereditary And Idiopathic Neuropathies

14

G60.9 Hereditary And Idiopathic Neuropathy, Unspecified

G61.0 Guillain-Barre syndrome

G61.1 Serum neuropathy

G61.81 Chronic Inflammatory Demyelinating Polyneuritis

G61.89 Other Inflammatory Polyneuropathies

G62.0 Drug-induced polyneuropathy

G62.1 Alcoholic polyneuropathy

G62.2 Polyneuropathy due to other toxic agents

G62.81 Critical Illness Polyneuropathy

G62.82 Radiation-induced polyneuropathy

G62.89 Radiation-induced polyneuropathy

G63 Polyneuropathy in diseases classified elsewhere

G64 Other disorders of peripheral nervous system

G65.0 Sequelae of Guillain-Barré syndrome

G65.1 Sequelae of other inflammatory polyneuropathy

G65.2 Sequelae of toxic polyneuropathy

G70.1 Toxic myoneural disorders

G70.81 Lambert-Eaton syndrome in disease classified elsewhere

G73.3 Lambert-Eaton syndrome in neoplastic disease

G82.21 Paraplegia, complete

G82.22 Paraplegia, incomplete

G82.51 Quadriplegia, C1-C4 complete

G82.52 Quadriplegia, C1-C4 incomplete

G82.53 Quadriplegia, C5-C7 complete

G82.54 Quadriplegia, C5-C7 incomplete

G95.0 Syringomyelia and syringobulbia

I70.201 Unspecified atherosclerosis of native arteries of extremities, right leg

I70.202 Unspecified atherosclerosis of native arteries of extremities, left leg

I70.203 Unspecified atherosclerosis of native arteries of extremities, bilateral legs

I70.208 Unspecified atherosclerosis of native arteries of extremities, other extremity

I70.209 Unspecified atherosclerosis of native arteries of extremities, unspecified extremity

I70.211 Atherosclerosis of native arteries of extremities with intermittent claudication, right leg

I70.212 Atherosclerosis of native arteries of extremities with intermittent claudication, left leg

I70.213 Atherosclerosis of native arteries of extremities with intermittent claudication, bilateral legs

I70.218 Atherosclerosis of native arteries of extremities with intermittent claudication, other extremity

I70.219 Atherosclerosis of native arteries of extremities with intermittent claudication, unspecified extremity

I70.221 Atherosclerosis of native arteries of extremities with rest pain, right leg

I70.222 Atherosclerosis of native arteries of extremities with rest pain, left leg

I70.223 Atherosclerosis of native arteries of extremities with rest pain, bilateral legs

I70.228 Atherosclerosis of native arteries of extremities with rest pain, other extremity

I70.229 Atherosclerosis of native arteries of extremities with rest pain, unspecified extremity

I70.232 Atherosclerosis of native arteries of right leg with ulceration of calf

I70.233 Atherosclerosis of native arteries of right leg with ulceration of ankle

I70.234 Atherosclerosis of native arteries of right leg with ulceration of heel and midfoot

I70.235 Atherosclerosis of native arteries of right leg with ulceration of other part of foot

I70.238 Atherosclerosis of native arteries of right leg with ulceration of other part of lower right leg

I70.239 Atherosclerosis of native arteries of right leg with ulceration of unspecified site

15

I70.241 Atherosclerosis of native arteries of left leg with ulceration of thigh

I70.242 Atherosclerosis of native arteries of left leg with ulceration of calf

I70.243 Atherosclerosis of native arteries of left leg with ulceration of ankle

I70.244 Atherosclerosis of native arteries of left leg with ulceration of heel and midfoot

I70.245 Atherosclerosis of native arteries of left leg with ulceration of other part of foot

I70.248 Atherosclerosis of native arteries of left leg with ulceration of other part of lower left leg

I70.249 Atherosclerosis of native arteries of left leg with ulceration of unspecified site

I70.25 Atherosclerosis of native arteries of other extremities with ulceration

I70.261 Atherosclerosis of native arteries of extremities with gangrene, right leg

I70.262 Atherosclerosis of native arteries of extremities with gangrene, left leg

I70.263 Atherosclerosis of native arteries of extremities with gangrene, bilateral legs

I70.268 Atherosclerosis of native arteries of extremities with gangrene, other extremity

I70.269 Atherosclerosis of native arteries of extremities with gangrene, unspecified extremity

I70.291 Other atherosclerosis of native arteries of extremities, right leg

I70.292 Other atherosclerosis of native arteries of extremities, left leg

I70.293 Other atherosclerosis of native arteries of extremities, bilateral legs

I70.299 Other Atherosclerosis Of Native Arteries Of Extremities, Unspecified Extremity

I70.90 Unspecified atherosclerosis

I70.91 Generalized atherosclerosis

I73.00 Raynaud's syndrome without gangrene

I73.01 Raynaud's syndrome with gangrene

I73.1 Thromboangiitis obliterans [Buerger's disease]

I73.81 Erythromelalgia

I73.89 Other specified peripheral vascular diseases

I73.9 Peripheral vascular disease, unspecified

I79.1 Aortitis in diseases classified elsewhere

I79.8 Other disorders of arteries, arterioles and capillaries in diseases classified elsewhere

I80.01 Phlebitis and thrombophlebitis of superficial vessels of right lower extremity

I80.02 Phlebitis and thrombophlebitis of superficial vessels of left lower extremity

I80.03 Phlebitis and thrombophlebitis of superficial vessels of lower extremities, bilateral

I80.10 Phlebitis and thrombophlebitis of unspecified femoral vein

I80.11 Phlebitis and thrombophlebitis of right femoral vein

I80.12 Phlebitis and thrombophlebitis of left femoral vein

I80.13 Phlebitis and thrombophlebitis of femoral vein, bilateral

I80.211 Phlebitis and thrombophlebitis of right iliac vein

I80.212 Phlebitis and thrombophlebitis of left iliac vein

I80.213 Phlebitis and thrombophlebitis of iliac vein, bilateral

I80.201 Phlebitis and thrombophlebitis of unspecified deep vessels of right lower extremity

I80.202 Phlebitis and thrombophlebitis of unspecified deep vessels of left lower extremity

I80.203 Phlebitis and thrombophlebitis of unspecified deep vessels of lower extremities, bilateral

I80.209 Phlebitis and thrombophlebitis of unspecified deep vessels of unspecified lower extremity

I80.221 Phlebitis and thrombophlebitis of right popliteal vein

I80.222 Phlebitis and thrombophlebitis of left popliteal vein

I80.223 Phlebitis and thrombophlebitis of popliteal vein, bilateral

I80.229 Phlebitis and thrombophlebitis of unspecified popliteal vein

I80.231 Phlebitis and thrombophlebitis of right tibial vein

I80.232 Phlebitis and thrombophlebitis of left tibial vein

I80.233 Phlebitis and thrombophlebitis of tibial vein, bilateral

I80.239 Phlebitis and thrombophlebitis of unspecified tibial vein

I80.241 Phlebitis and thrombophlebitis of right peroneal vein

16

I80.242 Phlebitis and thrombophlebitis of left peroneal vein

I80.243 Phlebitis and thrombophlebitis of peroneal vein, bilateral

I80.251 Phlebitis and thrombophlebitis of right calf muscular vein

I80.252 Phlebitis and thrombophlebitis of left calf muscular vein

I80.253 Phlebitis and thrombophlebitis of calf muscular vein, bilateral

I80.291 Phlebitis and thrombophlebitis of other deep vessels of right lower extremity

I80.292 Phlebitis and thrombophlebitis of other deep vessels of left lower extremity

I80.293 Phlebitis and thrombophlebitis of other deep vessels of lower extremity, bilateral

I80.299 Phlebitis and thrombophlebitis of other deep vessels of unspecified lower extremity

I80.3 Phlebitis And Thrombophlebitis Of Lower Extremities, Unspecified

I82.541 Chronic embolism and thrombosis of right tibial vein

I82.542 Chronic embolism and thrombosis of left tibial vein

I82.543 Chronic embolism and thrombosis of tibial vein, bilateral

I82.811 Embolism and thrombosis of superficial veins of right lower extremity

I82.812 Embolism and thrombosis of superficial veins of left lower extremity

I82.813 Embolism and thrombosis of superficial veins of lower extremities, bilateral

I82.891 Chronic embolism and thrombosis of other specified veins

I89.0 Lymphedema, not elsewhere classified

K90.0 Celiac disease

K90.1 Tropical sprue

K90.2 Blind loop syndrome, not elsewhere classified

K90.3 Pancreatic steatorrhea

K91.2 Postsurgical malabsorption, not elsewhere classified

M05.471 Rheumatoid myopathy with rheumatoid arthritis of right ankle and foot

M05.472 Rheumatoid myopathy with rheumatoid arthritis of left ankle and foot

M05.571 Rheumatoid polyneuropathy with rheumatoid arthritis of right ankle and foot

M05.572 Rheumatoid polyneuropathy with rheumatoid arthritis of left ankle and foot

M05.771 Rheumatoid polyneuropathy with rheumatoid arthritis of left ankle and foot

M05.772 Rheumatoid arthritis with rheumatoid factor of left ankle and foot without organ or systems involvement

M05.871 Other rheumatoid arthritis with rheumatoid factor of right ankle and foot

M05.872 Other rheumatoid arthritis with rheumatoid factor of left ankle and foot

M06.071 Rheumatoid arthritis without rheumatoid factor, right ankle and foot

M06.072 Rheumatoid arthritis without rheumatoid factor, left ankle and foot

M06.871 Other specified rheumatoid arthritis, right ankle and foot

M06.872 Other specified rheumatoid arthritis, right ankle and foot

M30.0 Polyarteritis nodosa

M30.2 Juvenile polyarteritis

M30.8 Other conditions related to polyarteritis nodosa

M31.4 Aortic arch syndrome [Takayasu]

M31.7 Microscopic polyangiitis

L60.1 Onycholysis

L60.2 Onychogryphosis

L60.3 Nail dystrophy

L60.4 Beau's lines

L60.5 Yellow nail syndrome

L60.8 Other nail disorders

L62 Nail disorders in diseases classified elsewhere

M34.83 Systemic sclerosis with polyneuropathy

N18.1 Chronic kidney disease, stage 1

N18.2 Chronic kidney disease, stage 2 (mild)

17

N18.3 Chronic kidney disease, stage 3 (moderate)

N18.4 Chronic kidney disease, stage 4 (severe)

N18.5 Chronic kidney disease, stage 5

N18.6 End stage renal disease

N18.9 Chronic kidney disease, unspecified

N19 Unspecified Kidney Failure

S84.00xA Injury of tibial nerve at lower leg level, unspecified leg, initial encounter

S84.00xD Injury of tibial nerve at lower leg level, unspecified leg, subsequent encounter

S84.00xS Injury of tibial nerve at lower leg level, unspecified leg, sequela

S84.01xA Injury of tibial nerve at lower leg level, right leg, initial encounter

S84.01xD Injury of tibial nerve at lower leg level, right leg, subsequent encounter

S84.01xS Injury of tibial nerve at lower leg level, right leg, sequela

S84.02xA Injury of tibial nerve at lower leg level, left leg, initial encounter

S84.02xD Injury of tibial nerve at lower leg level, left leg, subsequent encounter

S84.02xS Injury of tibial nerve at lower leg level, left leg, sequela

S84.10xA Injury of peroneal nerve at lower leg level, unspecified leg, initial encounter

S84.10xD Injury of peroneal nerve at lower leg level, unspecified leg, subsequent encounter

S84.10xS Injury of peroneal nerve at lower leg level, unspecified leg, sequela

S84.11xA Injury of peroneal nerve at lower leg level, right leg, initial encounter

S84.11xD Injury of peroneal nerve at lower leg level, right leg, subsequent encounter

S84.11xS Injury of peroneal nerve at lower leg level, right leg, sequela

S84.12xA Injury of peroneal nerve at lower leg level, left leg, initial encounter

S84.12xD Injury of peroneal nerve at lower leg level, left leg, subsequent encounter

S84.12xS Injury of peroneal nerve at lower leg level, left leg, sequela

S84.20xA Injury of cutaneous sensory nerve at lower leg level, unspecified leg, initial encounter

S84.20xD Injury of cutaneous sensory nerve at lower leg level, unspecified leg, subsequent encounter

S84.20xS Injury of cutaneous sensory nerve at lower leg level, unspecified leg, sequela

S84.21xA Injury of cutaneous sensory nerve at lower leg level, right leg, initial encounter

S84.21xD Injury of cutaneous sensory nerve at lower leg level, right leg, subsequent encounter

S84.21xS Injury of cutaneous sensory nerve at lower leg level, right leg, sequela

S84.22xA Injury of cutaneous sensory nerve at lower leg level, left leg, initial encounter

S84.22xD Injury of cutaneous sensory nerve at lower leg level, left leg, subsequent encounter

S84.22xS Injury of cutaneous sensory nerve at lower leg level, left leg, sequela

S84.801A Injury of other nerves at lower leg level, right leg, initial encounter

S84.801D Injury of other nerves at lower leg level, right leg, subsequent encounter

S84.801S Injury of other nerves at lower leg level, right leg, sequela

S84.802A Injury of other nerves at lower leg level, left leg, initial encounter

S84.802D Injury of other nerves at lower leg level, left leg, subsequent encounter

S84.802S Injury of other nerves at lower leg level, left leg, sequela

S84.809A Injury of other nerves at lower leg level, unspecified leg, initial encounter

S84.809D Injury of other nerves at lower leg level, unspecified leg, subsequent encounter

S84.809S Injury of other nerves at lower leg level, unspecified leg, sequela

S84.90xA Injury of unspecified nerve at lower leg level, unspecified leg, initial encounter

S84.90xD Injury of unspecified nerve at lower leg level, unspecified leg, subsequent encounter

S84.90xS Injury of unspecified nerve at lower leg level, unspecified leg, sequela

S84.91xA Injury of unspecified nerve at lower leg level, right leg, initial encounter

S84.91xD Injury of unspecified nerve at lower leg level, right leg, subsequent encounter

S84.91xS Injury of unspecified nerve at lower leg level, right leg, sequela

S84.92xA Injury of unspecified nerve at lower leg level, left leg, initial encounter

S84.92xD Injury of unspecified nerve at lower leg level, left leg, subsequent encounter

18

S84.92xS Injury of unspecified nerve at lower leg level, left leg, sequela

S89.80XA Other specified injuries of unspecified lower leg, initial encounter

S89.80XD Other specified injuries of unspecified lower leg, subsequent encounter

S89.80XS Other specified injuries of unspecified lower leg, sequela

S89.90XA Unspecified injury of unspecified lower leg, initial encounter

S89.90XD Unspecified injury of unspecified lower leg, subsequent encounter

S89.90XS Unspecified injury of unspecified lower leg, sequela

S94.00xA Injury of lateral plantar nerve, unspecified leg, initial encounter

S94.00xD Injury of lateral plantar nerve, unspecified leg, subsequent encounter

S94.00xS Injury of lateral plantar nerve, unspecified leg, sequela

S94.01xA Injury of lateral plantar nerve, right leg, initial encounter

S94.01xD Injury of lateral plantar nerve, right leg, subsequent encounter

S94.01xS Injury of lateral plantar nerve, right leg, sequela

S94.02xA Injury of lateral plantar nerve, left leg, initial encounter

S94.02xD Injury of lateral plantar nerve, left leg, subsequent encounter

S94.02xS Injury of lateral plantar nerve, left leg, sequela

S94.10xA Injury of medial plantar nerve, unspecified leg, initial encounter

S94.10xD Injury of medial plantar nerve, unspecified leg, subsequent encounter

S94.10xS Injury of medial plantar nerve, unspecified leg, sequela

S94.11xA Injury of medial plantar nerve, right leg, initial encounter

S94.11xD Injury of medial plantar nerve, right leg, subsequent encounter

S94.11xS Injury of medial plantar nerve, right leg, sequela

S94.12xA Injury of medial plantar nerve, left leg, initial encounter

S94.12xD Injury of medial plantar nerve, left leg, subsequent encounter

S94.12xS Injury of medial plantar nerve, left leg, sequela

S94.20xA Injury of deep peroneal nerve at ankle and foot level, unspecified leg, initial encounter

S94.20xD Injury of deep peroneal nerve at ankle and foot level, unspecified leg, subsequent encounter

S94.20xS Injury of deep peroneal nerve at ankle and foot level, unspecified leg, sequela

S94.21xA Injury of deep peroneal nerve at ankle and foot level, right leg, initial encounter

S94.21xD Injury of deep peroneal nerve at ankle and foot level, right leg, subsequent encounter

S94.21xS Injury of deep peroneal nerve at ankle and foot level, right leg, sequela

S94.22xA Injury of deep peroneal nerve at ankle and foot level, left leg, initial encounter

S94.22xD Injury of deep peroneal nerve at ankle and foot level, left leg, subsequent encounter

S94.22xS Injury of deep peroneal nerve at ankle and foot level, left leg, sequela

S94.30xA Injury of cutaneous sensory nerve at ankle and foot level, unspecified leg, initial encounter

S94.30xD Injury of cutaneous sensory nerve at ankle and foot level, unspecified leg, subsequent encounter

S94.30xS Injury of cutaneous sensory nerve at ankle and foot level, unspecified leg, sequela

S94.31xA Injury of cutaneous sensory nerve at ankle and foot level, right leg, initial encounter

S94.31xD Injury of cutaneous sensory nerve at ankle and foot level, right leg, subsequent encounter

S94.31xS Injury of cutaneous sensory nerve at ankle and foot level, right leg, sequela

S94.32xA Injury of cutaneous sensory nerve at ankle and foot level, left leg, initial encounter

S94.32xD Injury of cutaneous sensory nerve at ankle and foot level, left leg, subsequent encounter

S94.32xS Injury of cutaneous sensory nerve at ankle and foot level, left leg, sequela

S94.8x1A Injury of other nerves at ankle and foot level, right leg, initial encounter

S94.8x1D Injury of other nerves at ankle and foot level, right leg, subsequent encounter

S94.8x1S Injury of other nerves at ankle and foot level, right leg, sequela

S94.8x2A Injury of other nerves at ankle and foot level, left leg, initial encounter

19

S94.8x2D Injury of other nerves at ankle and foot level, left leg, subsequent encounter

S94.8x2S Injury of other nerves at ankle and foot level, left leg, sequela

S94.8x9A Injury of other nerves at ankle and foot level, unspecified leg, initial encounter

S94.8x9D Injury of other nerves at ankle and foot level, unspecified leg, subsequent encounter

S94.8x9S Injury of other nerves at ankle and foot level, unspecified leg, sequela

S94.90xA Injury of unspecified nerve at ankle and foot level, unspecified leg, initial encounter

S94.90xD Injury of unspecified nerve at ankle and foot level, unspecified leg, subsequent encounter

S94.90xS Injury of unspecified nerve at ankle and foot level, unspecified leg, sequela

S94.91xA Injury of unspecified nerve at ankle and foot level, right leg, initial encounter

S94.91xD Injury of unspecified nerve at ankle and foot level, right leg, subsequent encounter

S94.91xS Injury of unspecified nerve at ankle and foot level, right leg, sequela

S94.92xA Injury of unspecified nerve at ankle and foot level, left leg, initial encounter

S94.92xD Injury of unspecified nerve at ankle and foot level, left leg, subsequent encounter

S94.92xS Injury of unspecified nerve at ankle and foot level, left leg, sequela

S99.819A Other specified injuries of unspecified ankle, initial encounter

S99.819D Other specified injuries of unspecified ankle, subsequent encounter

S99.819S Other specified injuries of unspecified ankle, sequela

S99.919A Unspecified injury of unspecified ankle, initial encounter

S99.919D Unspecified injury of unspecified ankle, subsequent encounter

S99.919S Unspecified injury of unspecified ankle, sequela

Endnotes

1 Local Coverage Determination (LCD): Routine Foot Care and Debridement of Nails (L33636)