ICD-10-PCS Code For Toe Nail: Procedure Code Group Overview

The International Classification of Diseases, Tenth Revision, Procedure Coding System (ICD-10-PCS) code group 0HJR includes procedures performed to inspect structures in the toe nail. These ICD-10-PCS codes are used for inpatient documentation when a clinician performs a visual and/or manual examination of the toe nail to evaluate for pathology, injury, or treatment response. Accurate coding within the ICD-10-PCS 0HJR group is essential for proper inpatient reimbursement, as it captures the procedure performed and supports clinical documentation accuracy.

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Toe Nail Inspection Procedure Overview

Procedures in this group involve visually and/or manually exploring the toe nail to assess its condition, integrity, or pathology and target the skin and breast body system. Inspection of the toe nail is performed externally and may include direct visualization, palpation, or use of simple instruments to evaluate abnormalities such as infection, trauma, or dystrophy. Accurate ICD-10-PCS coding for these inspections supports complete inpatient clinical documentation and appropriate case mix assignment for reimbursement.

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
0	Section	Medical and Surgical
H	Body System	Skin and Breast
J	Operation	Inspection
R	Body Part	Toe Nail

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ICD-10-PCS Code For Toe Nail: Procedure Code Group Overview

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Toe Nail Inspection Procedure Overview

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
0	Section	Medical and Surgical
H	Body System	Skin and Breast
J	Operation	Inspection
R	Body Part	Toe Nail

When to Use

Use a code from this group when a documented external inspection of a toe nail is performed during an inpatient encounter to evaluate for infection, trauma, deformity, or treatment response. Do not use these codes for interventions that go beyond inspection, such as excision or repair, which require different ICD-10-PCS root operations.

ICD-10-PCS Codes

1 rows

ICD-10-PCS Code	Description
0HJRXZZ	Inspection of Toe Nail, External Approach

Typical Clinical Scenarios

An elderly patient admitted with diabetic foot infection presents with pain, localized swelling, and purulent drainage beneath the great toe nail. The inpatient team performs a focused external visual inspection and manual palpation of the affected toe nail to assess the extent of paronychia and to document presence of subungual debris before planning further medical or surgical management. The inspection is performed at bedside without invasive intervention. Typical codes: 0HJRXZZ
A patient is admitted for optimization of chronic peripheral vascular disease and scheduled nail care due to thickened, dystrophic toenails causing recurrent skin breakdown. During the planned inpatient podiatry evaluation, the clinician carries out an external inspection of the toe nail to document nail morphology, areas of pressure-related pathology, and to guide conservative management such as debridement or topical therapy. No excision or invasive procedure is performed during this inspection. Typical codes: 0HJRXZZ
A postoperative patient with recent hallux surgery returns to the inpatient unit with concerns about delayed wound healing and possible fungal involvement of the adjacent toenail. The team performs a targeted external inspection of the neighboring toe nail to evaluate for discoloration, subungual detachment, or signs that could complicate the surgical site, documenting findings to inform ongoing wound care and to determine if further intervention is needed. This inspection is strictly visual and manual without procedural alteration of the nail. Typical codes: 0HJRXZZ

Related Codes

0HJP-SKIN-INSPECTION

ICD-10-PCS Code For Skin: Procedure Code Group Overview

0HJQ-FINGER-NAIL-INSPECTION

ICD-10-PCS Code For Finger Nail: Procedure Code Group Overview

0HJT-BREAST-RIGHT-INSPECTION

ICD-10-PCS Code For Breast Right: Procedure Code Group Overview

0HJU-LEFT-BREAST-INSPECTION

ICD-10-PCS Code For Left Breast: Procedure Code Group Overview

Frequently Asked Questions

References

1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.

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When to Use

ICD-10-PCS Codes

1 rows

ICD-10-PCS Code	Description
0HJRXZZ	Inspection of Toe Nail, External Approach

Typical Clinical Scenarios

An elderly patient admitted with diabetic foot infection presents with pain, localized swelling, and purulent drainage beneath the great toe nail. The inpatient team performs a focused external visual inspection and manual palpation of the affected toe nail to assess the extent of paronychia and to document presence of subungual debris before planning further medical or surgical management. The inspection is performed at bedside without invasive intervention. Typical codes: 0HJRXZZ
A patient is admitted for optimization of chronic peripheral vascular disease and scheduled nail care due to thickened, dystrophic toenails causing recurrent skin breakdown. During the planned inpatient podiatry evaluation, the clinician carries out an external inspection of the toe nail to document nail morphology, areas of pressure-related pathology, and to guide conservative management such as debridement or topical therapy. No excision or invasive procedure is performed during this inspection. Typical codes: 0HJRXZZ
A postoperative patient with recent hallux surgery returns to the inpatient unit with concerns about delayed wound healing and possible fungal involvement of the adjacent toenail. The team performs a targeted external inspection of the neighboring toe nail to evaluate for discoloration, subungual detachment, or signs that could complicate the surgical site, documenting findings to inform ongoing wound care and to determine if further intervention is needed. This inspection is strictly visual and manual without procedural alteration of the nail. Typical codes: 0HJRXZZ

Related Codes

0HJP-SKIN-INSPECTION

ICD-10-PCS Code For Skin: Procedure Code Group Overview

0HJQ-FINGER-NAIL-INSPECTION

ICD-10-PCS Code For Finger Nail: Procedure Code Group Overview

0HJT-BREAST-RIGHT-INSPECTION

ICD-10-PCS Code For Breast Right: Procedure Code Group Overview

0HJU-LEFT-BREAST-INSPECTION

ICD-10-PCS Code For Left Breast: Procedure Code Group Overview

Frequently Asked Questions

References

1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.

Published by

Trek Health powers OpenPayer with a leading commercial payer intelligence platform, seamlessly converting fragmented payer data into actionable insights for provider organizations.

ICD-10-PCS Code For Toe Nail: Procedure Code Group Overview

Sign up for ICD-10-PCS Code For Toe Nail: Procedure Code Group Overview policy alerts

Toe Nail Inspection Procedure Overview

Code Attributes

ICD-10-PCS Code For Toe Nail: Procedure Code Group Overview

Sign up for ICD-10-PCS Code For Toe Nail: Procedure Code Group Overview policy alerts

Toe Nail Inspection Procedure Overview

Code Attributes

When to Use

ICD-10-PCS Codes

Typical Clinical Scenarios

Related Codes

What does the ICD-10-PCS code group 0HJR represent?

Which ICD-10-PCS code corresponds to inspection of the toe nail via an external approach?

What section and body system are assigned to these toe nail inspection procedures?

How does accurate coding in the 0HJR group affect inpatient documentation and reimbursement?

Are there related DRGs listed for the 0HJR code group?

References

When to Use

ICD-10-PCS Codes

Typical Clinical Scenarios

Related Codes

What does the ICD-10-PCS code group 0HJR represent?

Which ICD-10-PCS code corresponds to inspection of the toe nail via an external approach?

What section and body system are assigned to these toe nail inspection procedures?

How does accurate coding in the 0HJR group affect inpatient documentation and reimbursement?

Are there related DRGs listed for the 0HJR code group?

References