L60.1 — Onycholysis
L60.1 is a billable, specific ICD-10-CM code for onycholysis. It is valid for submission on a claim.
Risk adjustment
L60.1 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.
Medicare coverage
L60.1 is named in 6 Medicare coverage policies — 6 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A52998Billing and Coding: Surgical Treatment of Nails
- A57193Billing and Coding: Routine Foot Care and Debridement of Nails
- A57666Billing and Coding: Surgical Treatment of Nails
- A57954Billing and Coding: Routine Foot Care
How L60.1 is indexed
Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to L60.1.
- Onycholysis
Related codes at this level
Codes that share L60. If L60.1 is not quite right, the correct code is usually one of these.
Questions about L60.1
- Is L60.1 a billable ICD-10-CM code?
- Yes. L60.1 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does L60.1 sit in the tabular list?
- Diseases of the skin and subcutaneous tissue (L00-L99), in the block Disorders of skin appendages (L60-L75).