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Home/Diagnosis/ICD-10 Coding for Toenail Fungus

ICD-10 Coding for Toenail Fungus

B35.1

Complete ICD-10-CM coding and documentation guide for icd-10 coding for toenail fungus includes clinical validation requirements, medical necessity guidelines, and coding policies.

Also Known as:
Onychomycosis
Tinea Unguium
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Key Information: ICD-10 Coding for Toenail Fungus

Essential facts and insights about ICD-10 Coding for Toenail Fungus

Use ICD-10 code B35.1 for tinea unguium, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Tinea unguium

Billable Code
B35.1
Billable

Diagnostic Criteria

clinical:
  • • Presence of hyphae on KOH prep
documentation:
  • • Documented failure of OTC antifungals

Applicable To

  • • Onychomycosis

Important Notes

  • • Sequence B35.1 first, followed by complication codes.
Ancillary Codes

Additional codes that may be used with this diagnosis

L60.1

Onycholysis

Use when nail separation is present.

M79.67-

Pain in toe

Use if pain impacts function.

Frequently Asked Questions

What is the ICD-10 code for toenail fungus?

The ICD-10 code for toenail fungus, also known as onychomycosis, is B35.1. This code is used when a fungal infection of the nail is confirmed by laboratory tests.

How do you code toenail fungus in ICD-10?

Toenail fungus is coded as B35.1 in ICD-10, provided there is lab confirmation of the fungal infection. Ancillary codes like L60.1 may be used for nail separation.

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