Enlarged and hypertrophic nails
ICD-10 Q84.5 is a billable code used to indicate a diagnosis of enlarged and hypertrophic nails.
Enlarged and hypertrophic nails are congenital conditions characterized by abnormal nail growth, resulting in nails that are thicker, wider, or longer than normal. This condition can occur as an isolated anomaly or as part of a syndrome involving other congenital malformations. The pathophysiology often involves genetic mutations affecting keratin production or nail matrix development. Clinically, these nails may be associated with discomfort, difficulty in nail care, and increased risk of infection. In pediatric patients, it is essential to assess for associated syndromic features, such as ectodermal dysplasia or other skin anomalies. Diagnosis is primarily clinical, supported by family history and genetic testing when syndromic associations are suspected. Management may include regular monitoring, nail care, and, in some cases, surgical intervention for severe cases. Accurate coding is crucial for appropriate treatment planning and insurance reimbursement.
Detailed growth and development assessments, family history of congenital conditions, and any associated symptoms.
A pediatric patient presenting with thickened nails and a family history of ectodermal dysplasia.
Consideration of psychosocial impacts on the child and family, as well as the need for multidisciplinary care.
Genetic testing results, family pedigree, and detailed descriptions of any syndromic features.
Referral for genetic counseling due to suspected syndromic association with nail hypertrophy.
Understanding the implications of genetic findings for family planning and management of associated conditions.
Used when surgical intervention is required for severe nail hypertrophy.
Document the reason for avulsion and any associated conditions.
Pediatric considerations for anesthesia and post-operative care.
Documentation should include a detailed clinical description of the nail condition, any associated congenital anomalies, family history, and results from genetic testing if applicable. Clear differentiation from acquired conditions is essential.
