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

The International Classification of Diseases, Tenth Revision, Procedure Coding System (ICD-10-PCS) code group 0HPQ includes procedures performed to remove devices or structures in the finger nail. These ICD-10-PCS codes are used for inpatient documentation when a fingernail or parts of a fingernail are surgically taken off due to injury, infection, or other pathological conditions. Accurate coding within the ICD-10-PCS 0HPQ group is essential for proper inpatient reimbursement, as it captures the procedure performed and supports clinical documentation accuracy.

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Finger Nail Removal Procedure Overview

This procedure group includes removal operations on the fingernail that target the skin and breast body system. Procedures involve taking off or extracting the nail or nail components from a finger, often to treat infection, injury, or nail disease. Accurate inpatient coding of these removal procedures supports correct clinical documentation and appropriate reimbursement for surgical care.

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
0	Section	Medical and Surgical
H	Body System	Skin and Breast
P	Operation	Removal
Q	Body Part	Finger Nail

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

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Finger Nail Removal Procedure Overview

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
0	Section	Medical and Surgical
H	Body System	Skin and Breast
P	Operation	Removal
Q	Body Part	Finger Nail

When to Use

Use a code from this group when a surgical removal of a fingernail or nail component is performed during an inpatient stay. Apply these codes for clinical situations such as treatment of severe infection, traumatic nail injury, or other conditions necessitating nail removal.

ICD-10-PCS Codes

4 rows

ICD-10-PCS Code	Description
0HPQX0Z	Removal of Drainage Device from Finger Nail, External Approach
0HPQX7Z	Removal of Autologous Tissue Substitute from Finger Nail, External Approach
0HPQXJZ	Removal of Synthetic Substitute from Finger Nail, External Approach
0HPQXKZ	Removal of Nonautologous Tissue Substitute from Finger Nail, External Approach

Typical Clinical Scenarios

An adult presents acutely after a crush injury to the distal finger with a severely damaged nail bed and a partially avulsed fingernail contaminated with debris. Due to risk of ongoing infection and to allow definitive repair of the nail bed, the nail plate and any external drainage device present are surgically removed at bedside or in the operating room. A code reflecting removal of an external drainage device from the fingernail is used when such a device is present and removed as part of the procedure. Typical codes: 0HPQX0Z
A middle-aged patient with a chronic fungal infection and recurrent subungual drainage undergoes a scheduled inpatient procedure to remove diseased nail tissue and replace it with a graft or tissue substitute to promote healing. During the procedure the surgeon removes the previously placed autologous tissue substitute from the fingernail site to allow new reconstruction. Coding reflects removal of an autologous tissue substitute from the fingernail via an external approach. Typical codes: 0HPQX7Z
A patient returns with persistent pain and failed prior synthetic nail bed augmentation after a reconstructive attempt; the synthetic material is exposed and contributing to chronic inflammation. In the inpatient setting the surgeon removes the synthetic substitute from the fingernail to treat the complication and permit further management of the nail bed. The appropriate code denotes removal of a synthetic substitute from the fingernail using an external approach. Typical codes: 0HPQXJZ

Related Codes

0HPP-SKIN-REMOVAL

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

0HPR-TOE-NAIL-REMOVAL

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

0HPS-HAIR-REMOVAL

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

0HPT-BREAST-RIGHT-REMOVAL

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

0HPU-LEFT-BREAST-REMOVAL

ICD-10-PCS Code For Breast Left: 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

4 rows

ICD-10-PCS Code	Description
0HPQX0Z	Removal of Drainage Device from Finger Nail, External Approach
0HPQX7Z	Removal of Autologous Tissue Substitute from Finger Nail, External Approach
0HPQXJZ	Removal of Synthetic Substitute from Finger Nail, External Approach
0HPQXKZ	Removal of Nonautologous Tissue Substitute from Finger Nail, External Approach

Typical Clinical Scenarios

An adult presents acutely after a crush injury to the distal finger with a severely damaged nail bed and a partially avulsed fingernail contaminated with debris. Due to risk of ongoing infection and to allow definitive repair of the nail bed, the nail plate and any external drainage device present are surgically removed at bedside or in the operating room. A code reflecting removal of an external drainage device from the fingernail is used when such a device is present and removed as part of the procedure. Typical codes: 0HPQX0Z
A middle-aged patient with a chronic fungal infection and recurrent subungual drainage undergoes a scheduled inpatient procedure to remove diseased nail tissue and replace it with a graft or tissue substitute to promote healing. During the procedure the surgeon removes the previously placed autologous tissue substitute from the fingernail site to allow new reconstruction. Coding reflects removal of an autologous tissue substitute from the fingernail via an external approach. Typical codes: 0HPQX7Z
A patient returns with persistent pain and failed prior synthetic nail bed augmentation after a reconstructive attempt; the synthetic material is exposed and contributing to chronic inflammation. In the inpatient setting the surgeon removes the synthetic substitute from the fingernail to treat the complication and permit further management of the nail bed. The appropriate code denotes removal of a synthetic substitute from the fingernail using an external approach. Typical codes: 0HPQXJZ

Related Codes

0HPP-SKIN-REMOVAL

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

0HPR-TOE-NAIL-REMOVAL

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

0HPS-HAIR-REMOVAL

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

0HPT-BREAST-RIGHT-REMOVAL

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

0HPU-LEFT-BREAST-REMOVAL

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

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

Finger Nail Removal Procedure Overview

Code Attributes

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

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

Finger Nail Removal Procedure Overview

Code Attributes

When to Use

ICD-10-PCS Codes

Typical Clinical Scenarios

Related Codes

Which procedures are included in the ICD-10-PCS 0HPQ code group?

What are the specific ICD-10-PCS codes listed in this group?

What section, body system, and operation attributes apply to 0HPQ codes?

How does accurate coding within ICD-10-PCS 0HPQ affect reimbursement?

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

References

When to Use

ICD-10-PCS Codes

Typical Clinical Scenarios

Related Codes

Which procedures are included in the ICD-10-PCS 0HPQ code group?

What are the specific ICD-10-PCS codes listed in this group?

What section, body system, and operation attributes apply to 0HPQ codes?

How does accurate coding within ICD-10-PCS 0HPQ affect reimbursement?

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

References