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 0HPR includes procedures performed to remove devices or tissue structures in the toe nail. These ICD-10-PCS codes are used for inpatient documentation when a clinician extracts a toenail or associated nail complex due to infection, trauma, or other clinical indications requiring removal. Accurate coding within the ICD-10-PCS 0HPR group is essential for proper inpatient reimbursement, as it captures the procedure performed and supports clinical documentation accuracy.

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Toe Nail Removal Procedure Overview

Procedures in this group involve removal of the toenail and related tissue from the skin and breast body system, specifically targeting the toe nail. These removals are performed to extract a device or tissue component from the anatomical site and may be done for infection control, pain relief, or preparation for further treatment. Accurate coding of these removals is important for inpatient reimbursement because it documents the exact operation and body part treated, which affects case mix and payment determination.

Code Attributes

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

When to Use

Use a code from this group when an inpatient procedure involves removing a toe nail or nail complex, such as for uncontrolled infection, severe trauma, or persistent pain unresponsive to conservative care. Select the specific code that matches the exact removal procedure performed and the documented approach.

ICD-10-PCS Codes

4 rows

ICD-10-PCS Code	Description
0HPRX0Z	Removal of Drainage Device from Toe Nail, External Approach
0HPRX7Z	Removal of Autologous Tissue Substitute from Toe Nail, External Approach
0HPRXJZ	Removal of Synthetic Substitute from Toe Nail, External Approach
0HPRXKZ	Removal of Nonautologous Tissue Substitute from Toe Nail, External Approach

Typical Clinical Scenarios

An elderly patient with peripheral vascular disease and poorly controlled diabetes presents to the inpatient service with a rapidly spreading paronychia and evidence of subungual abscess under the great toe nail after outpatient antibiotics failed; the team admits for IV antibiotics and bedside removal of the infected nail complex to control the source and allow drainage. Typical codes: 0HPRX0Z
A middle-aged athlete is admitted electively for recurrent painful onychocryptosis (ingrown toe nail) with chronically hypertrophied nail matrix unresponsive to conservative measures; inpatient surgical removal of the nail and associated tissue is performed to relieve pain and prevent recurrent cellulitis. Typical codes: 0HPRX7Z, 0HPRXJZ
A patient previously treated with a biologic nail matrix substitute after traumatic toe nail loss develops device-related inflammation and persistent drainage requiring inpatient extraction of the implanted substitute and debridement of the nail bed. Typical codes: 0HPRX7Z, 0HPRXKZ

Related Codes

0HPP-SKIN-REMOVAL

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

0HPQ-FINGER-NAIL-REMOVAL

ICD-10-PCS Code For Finger 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
0HPRX0Z	Removal of Drainage Device from Toe Nail, External Approach
0HPRX7Z	Removal of Autologous Tissue Substitute from Toe Nail, External Approach
0HPRXJZ	Removal of Synthetic Substitute from Toe Nail, External Approach
0HPRXKZ	Removal of Nonautologous Tissue Substitute from Toe Nail, External Approach

Typical Clinical Scenarios

An elderly patient with peripheral vascular disease and poorly controlled diabetes presents to the inpatient service with a rapidly spreading paronychia and evidence of subungual abscess under the great toe nail after outpatient antibiotics failed; the team admits for IV antibiotics and bedside removal of the infected nail complex to control the source and allow drainage. Typical codes: 0HPRX0Z
A middle-aged athlete is admitted electively for recurrent painful onychocryptosis (ingrown toe nail) with chronically hypertrophied nail matrix unresponsive to conservative measures; inpatient surgical removal of the nail and associated tissue is performed to relieve pain and prevent recurrent cellulitis. Typical codes: 0HPRX7Z, 0HPRXJZ
A patient previously treated with a biologic nail matrix substitute after traumatic toe nail loss develops device-related inflammation and persistent drainage requiring inpatient extraction of the implanted substitute and debridement of the nail bed. Typical codes: 0HPRX7Z, 0HPRXKZ

Related Codes

0HPP-SKIN-REMOVAL

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

0HPQ-FINGER-NAIL-REMOVAL

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

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

Toe Nail Removal 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 Removal Procedure Overview

Code Attributes

When to Use

ICD-10-PCS Codes

Typical Clinical Scenarios

Related Codes

What procedures are included in the ICD-10-PCS code group 0HPR?

What are the code attributes for the 0HPR group?

Which specific ICD-10-PCS codes are listed under 0HPR?

Why is accurate coding within the 0HPR group important for inpatient settings?

For what clinical indications are procedures in 0HPR typically performed?

References

When to Use

ICD-10-PCS Codes

Typical Clinical Scenarios

Related Codes

What procedures are included in the ICD-10-PCS code group 0HPR?

What are the code attributes for the 0HPR group?

Which specific ICD-10-PCS codes are listed under 0HPR?

Why is accurate coding within the 0HPR group important for inpatient settings?

For what clinical indications are procedures in 0HPR typically performed?

References