Cpt code for ingrown toenail removal - Your fingernails and toenails can be surprising indicators of what’s going on inside your body. In this video, the folks at SciShow illustrate five things our nails can tell us abo...

 
This document lists the CPT codes for various foot care services, including surgical removal or care of ingrown toenail(s), and the conditions under which they are …. Gabapentin methocarbamol

ICD-10-CM Diagnosis Code T81.507A [convert to ICD-9-CM] Unspecified complication of foreign body accidentally left in body following removal of catheter or packing, initial encounter. Unsp comp of fb acc left in body fol remov cath/pack, init; Foreign object accidentally left in body following removal of catheter or packing.CPT code 97110 provides information about medical procedures and services to payers and indicate that the procedure involves therapeutic exercises that develop endurance, range of ...Illinois Subscriber. Answer: No, you shouldn’t code 11750 (Excision of nail and nail matrix, partial or complete (eg, ingrown or deformed nail), for permanent removal) in this case, even though the procedure note documents removal to the nail matrix. The 11750 procedure involves intentional destruction of the nail matrix for permanent removal ...CPT Codes: • 1 – CPT 11104 – RT • 2 – CPT 99213 - 25 modifier 10 . New Patient • Ingrown toenail with partial nail avulsion . 11 . New Patient • Ingrown toenail with partial nail avulsion . With supporting documentation . ICD-10 Codes: • 1 – L60.8 Deformity of nail • Ingrown toenail with partial nail avulsion . With supporting documentation . ICD-10 Codes: • 1 – L60.8 Deformity of nail • 2 – L60.0 Ingrowing nail CPT Codes: • 1 – CPT 99202 • 2 – CPT 11730 - TA 12 The causes of an ingrown toenail are multiple and include trimming the toenails too short, using sharp tools to clean the toenail gutters, wearing improperly fitted (too tight) shoes, rotated digits, and bony deformities. Improper toenail trimming can result in a small nail spike on the lateral aspect of the toenail (Figure 184-1). As the ...When a patient presents with a dystrophic toenail, we often send a sample of the affected nail for culture, pathology and/or molecular genetic testing. If you obtain this sample by clipping off a distal portion of the nail plate and scraping out subungual debris, the question is often asked if you should code this with CPT 11755. The short answer to the …All compression upon the toe should be removed, including socks or hosiery. Warm water soaks should be performed at least 4-5 times daily. Antibiotics are of unclear value but should be given in the setting of significant cellulitis or to patients who are diabetic or immunocompromised. Wound cultures may be obtained to direct antibiotic choice.Learn how to code different nail and nail bed procedures for injuries or medical conditions, such as subungual hematoma, nail avulsion, and nail bed repair. Find out the CPT codes, RVUs, and Medicare reimbursement for each code.CPT 11750 "may only be reported once per digit. A partial excision, even when the partial excision requires two incisions (medial & lateral aspects), of the nail does not count as two separate procedures." Excerpt from the Ingenix Coding Companion for Podiatry. This CPT also includes the destruction of the nail matrix for permanent removal.Immerse digit in warm soapy water for 10-15 minutes. Prepare area with Betadine or hibbiclens. Digital Block Anesthesia. Consider Tourniquet (brief application only) Apply penrose drain or Rubber band at base of digit. Reduces bleeding during procedure. Drape area. III. Technique: Toenail Removal.I code for 3 podiatrists. You would use CPT 11750 only once per digit. CPT 11750 "may only be reported once per digit. A partial excision, even when the partial excision requires two incisions (medial & lateral aspects), of the nail does not count as two separate procedures." Excerpt from the Ingenix Coding Companion for Podiatry.The removal of an ingrown toenail now has its own CPT code, which is 11750. The procedure involves removing a portion or all of the toenail to treat an ingrown toenail. Why is the Removal Ingrown Toenail CPT Code Important? The implementation of the Removal Ingrown Toenail CPT Code is crucial as it allows healthcare providers …Best answers. 0. May 14, 2012. #1. Procedure: Digital block with local augmenation with 0.5% bupivacaine 5 with s/epi. Lateral edge of nail undermined and freed from nail bed. Eponychial fold undermined and freed from nail. Nail incised vertically with scissors. Approximately 4 mm-wide naile edge removed with hemostat.ICD-10-CM Codes. Diseases of the skin and subcutaneous tissue. Disorders of skin appendages. Nail disorders (L60) Ingrowing nail (L60.0) L60. L60.0. L60.1.Ingrown toenail removal surgery is a quick and effective procedure to address the discomfort and potential complications associated with ingrown toenails. Consulting with a podiatrist and following their pre- and post-operative instructions will optimize your experience and ensure a smooth recovery.removal of index finger nailbed tissue. Look at 11760 From AAPC coder: The nail bed can be injured due to laceration, crush, or avulsion. This procedure is performed to repair such damage. [B]Clinical Responsibility [/B] The physician remo... [ Read More ] Nail bed repair and bone debridement.The split tape-strap technique is a procedure that involves elastic tape cut into pieces about 3 cm wide and about 10 cm long, folded longitudinally in half. A slit is then created on the width of the ingrown nail along the short edge of one third of the tape length. The ingrown nail is then inserted in the slit, orienting the tape with the ... I am not an expert but I will provide links to experts on ingrown toenail billing: This explains how to bill a simple ingrown toenail removal or if you do more than one 11730 or 2: CPT code 99214 is a Current Procedural Terminology (CPT) code that is used in the medical field. According to E/M University, CPT 99214 refers to a Level 4 established office patie...Toenails curl when they have reached the end of the nail bed. They begin to grow in the wrong direction when they are no longer connected to a part of the body. Curling toenails ca...Ingrown nails, the most common nail impairment, are nails whose corners or sides dig painfully into the soft tissue of nail grooves, often leading to irritation, redness, and swelling. Usually, toenails grow straight out. Sometimes, however, one or both corners or sides curve and grow into the flesh. The big toe is the most common location for ...The split tape-strap technique is a procedure that involves elastic tape cut into pieces about 3 cm wide and about 10 cm long, folded longitudinally in half. A slit is then created on the width of the ingrown nail along the short edge of one third of the tape length. The ingrown nail is then inserted in the slit, orienting the tape with the ...• Ingrown toenail requires a procedure-removal . E&M working up the patient for this initial encounter for a new problem requiring a procedure. ICD-10 Codes: • 1 – M79.675 Pain in …For each additional nail plate avulsed, turn to add-on code +11732 Avulsion of nail plate, partial or complete, simple; each additional nail plate (List separately in addition to code for primary procedure). For example, if the provider performed three avulsions, report 11730, 11732 x 2.Z48.817 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. Short description: Encntr for surgical aftcr fol surgery on the skin, subcu The 2024 edition of ICD-10-CM Z48.817 became effective on October 1, 2023.Oct 3, 2018 · When billing for non-covered services, use the appropriate modifier. The description of CPT codes 11730, 11732 and 11750 indicates partial or complete avulsion or excision of a nail plate. When CPT code 11730, 11732 or 11750 is reported, it represents all services performed on that nail for that date of service (DOS). In the ever-evolving landscape of healthcare, accurate and efficient medical coding is crucial. One important aspect of medical coding is understanding and utilizing Current Proced...Illinois Subscriber. Answer: No, you shouldn’t code 11750 (Excision of nail and nail matrix, partial or complete (eg, ingrown or deformed nail), for permanent removal) in this case, even though the procedure note documents removal to the nail matrix. The 11750 procedure involves intentional destruction of the nail matrix for permanent …The causes of an ingrown toenail are multiple and include trimming the toenails too short, using sharp tools to clean the toenail gutters, wearing improperly fitted (too tight) shoes, rotated digits, and bony deformities. Improper toenail trimming can result in a small nail spike on the lateral aspect of the toenail (Figure 184-1). As the ...In the world of medical billing and coding, accurate CPT code descriptions are essential for ensuring proper reimbursement and maintaining compliance. CPT codes, or Current Procedu...ICD-10-CM Diagnosis Code T81.507A [convert to ICD-9-CM] Unspecified complication of foreign body accidentally left in body following removal of catheter or packing, initial encounter. Unsp comp of fb acc left in body fol remov cath/pack, init; Foreign object accidentally left in body following removal of catheter or packing.Stain removal tools should be near at hand in order to treat stains and spots when they occur. Learn about the tools you need to remove stains fast. Advertisement ­­In order to tre...forms on ingrown toenail removal are provided on pages 2551, 2552 and 2554. This article is one in a series adapted from the Academy Collec-tion book “Office Pro-cedures,” written forAn ingrown toenail is incurvation or impingement of a nail border into its adjacent nail fold, causing pain. (See also Overview of Nail Disorders.). Causes of ingrown toenail include tight shoes, abnormal gait (eg, toe-walking), bulbous toe shape, excessive trimming of the nail plate, or congenital variations in nail contour (eg, congenital pincer nail deformity).ingrown lateral nail edge.11 Both methods are effective for mild to moderate cases. 12 A newer treatment approach involves using tape to pull the nail fold away from the nailMar 5, 2023 · The information in this article contains billing, coding, or other guidelines that complement the Local Coverage Determination (LCD) for Surgical Treatment of Nails L39258. Coding Guidelines. When billing for non-covered services, use the appropriate modifier. When CPT® code 11730, 11732 or 11750 is reported, it represents all services ... Illinois Subscriber. Answer: No, you shouldn’t code 11750 (Excision of nail and nail matrix, partial or complete (eg, ingrown or deformed nail), for permanent removal) in this case, even though the procedure note documents removal to the nail matrix. The 11750 procedure involves intentional destruction of the nail matrix for permanent …Removing a signer from a corporate bank account requires the approval of everyone on the account. As long as everyone approves the name removal, the process is straightforward. Cal...ingrown lateral nail edge.11 Both methods are effective for mild to moderate cases. 12 A newer treatment approach involves using tape to pull the nail fold away from the nailBest answers. 0. May 14, 2012. #1. Procedure: Digital block with local augmenation with 0.5% bupivacaine 5 with s/epi. Lateral edge of nail undermined and freed from nail bed. Eponychial fold undermined and freed from nail. Nail incised vertically with scissors. Approximately 4 mm-wide naile edge removed with hemostat.In the healthcare industry, accurate coding is essential for proper billing and reimbursement. Two important coding systems used are CPT codes and diagnosis codes. These codes play...ICD-10-CM Codes. Diseases of the skin and subcutaneous tissue. Disorders of skin appendages. Nail disorders (L60) Ingrowing nail (L60.0) L60. L60.0. L60.1.ingrown lateral nail edge.11 Both methods are effective for mild to moderate cases. 12 A newer treatment approach involves using tape to pull the nail fold away from the nailBest answers. 0. May 14, 2012. #1. Procedure: Digital block with local augmenation with 0.5% bupivacaine 5 with s/epi. Lateral edge of nail undermined and freed from nail bed. Eponychial fold undermined and freed from nail. Nail incised vertically with scissors. Approximately 4 mm-wide naile edge removed with hemostat.When to use CPT code cpt 11765. cpt 11765 should be used when the provider performs a wedge excision of the skin of the nail fold at the lateral margin (groove) of a nail. This code is appropriate for cases involving conditions such as ingrown toenails, paronychia, lacerations, crush injuries, or other wounds of the nail components.• Ingrown toenail with partial nail avulsion . With supporting documentation . ICD-10 Codes: • 1 – L60.8 Deformity of nail • 2 – L60.0 Ingrowing nail CPT Codes: • 1 – CPT 99202 • 2 – CPT 11730 - TA 12May 27, 2020 · As noted with ingrown toenail. 6. Ingrown toenail of right foot Notes: Patient educated to condition treatment options. Aseptic technique utilized to remove painful ingrown nail to the medial and lateral borders of the right foot utilizing nipper and curette. After care bacitracin and Band-Aid. Soaking instructions provided. We'll continue to ... In a particular case, a patient presents for a follow-up of an ingrown toe nail. The podiatrist finds that the patient now has two ingrown toenails – one on each foot. He removes both from each toe and also did a silver nitrate cauterization. How should I report this? Should I report 99212-25? Well, the answer is yes. Besides coding 99212-25, you should bill …The second procedure that was performed, CPT code 11730 (Avulsion of nail plate, partial or complete, simple; single) X 3 (T2, T7, T9) was rejected for all three toes. When the Medically Unlikely Edits are accessed, the number is 1 which indicates that CPT code 11730 can only be billed 1 time on a given date of service. It was billed 3 times.The new ICD-10 code has laterality but only for the great toes. Right great toe infected ingrown toe nail is L03.031 and left is L03.032. So if you are billing a 11730 or a 11750 the modifier for ...To do this when you have an ingrown nail: Soak your foot in warm water for about 15 minutes to soften the nail. Wedge a small piece of wet cotton under the corner of the nail to cushion the nail and lift it slightly. This keeps it from cutting the skin. Repeat daily until the nail has grown out and can be trimmed.An ingrown toenail is a toenail that has grown into the skin instead of over it. This usually happens to the big toe, but it can also happen to other toes. It often occurs because a nail is not trimmed correctly or because shoes are too tight. Most ingrown toenails can be treated at home. But an ingrown nail can cause an infection.INTRODUCTION. Ingrown toenails caused by compression of the lateral nail edge on the underlying soft tissue is one of the most common nail problems, accounting for 20% of patients seen by family physicians for foot conditions. 1 Adolescents and young adults are affected more frequently than other age-groups. Ingrown toenail most often occurs on …When to use CPT code cpt 11765. cpt 11765 should be used when the provider performs a wedge excision of the skin of the nail fold at the lateral margin (groove) of a nail. This code is appropriate for cases involving conditions such as ingrown toenails, paronychia, lacerations, crush injuries, or other wounds of the nail components.Again, it is best to follow your doctor’s specific instructions based on your surgery and day-to-day physical demands. For more information about caring for an ingrown toenail, or to talk with a foot specialist about a foot or ankle condition you’re dealing with, reach out to the team at Silverman Ankle & Foot today at (952) 224-8500.The average Medicare reimbursement for 15853 and 15854 is $11.52 and $16.27, respectively. While not as common in family medicine settings, when suture or staple removal requires either moderate ...Feb 19, 2019 · Report each additional nail with the add-on code 11732 (avulsion of nail plate, partial or complete, simple, additional nail plate, 0.51 RVUs, Medicare $18.38). If a nail bed injury requires repair, report it with 11760 (repair of nail bed, 3.27 RVUs, Medicare $117.84). Note that when an avulsion is performed to facilitate a nail bed repair, it ... Wedge excision: CPT ® code 11765 describes removal of the inflamed tissue adjacent to the nail and a section of the nail itself, along the whole length of the nail. It is used as a treatment of a nail bed that has been injured due to laceration, crush, or avulsion, or for pain caused by an ingrown toenail.A layer of moss on your roof can cause serious damage. Here’s how to remove moss from a roof and prevent it from growing back. Expert Advice On Improving Your Home Videos Latest Vi...When a removal of either a medial or lateral border of a toenail is performed, CPT code 11730 (Avulsion of nail plate, partial or complete, simple; single) nor 11750 (Excision of nail and nail matrix, partial or complete (e.g., ingrown or deformed nail), for permanent removal) differentiate between a medial or lateral border avulsion.(1) Background: Ingrown toenail is a common disorder of the toe that induces severe toe pain and limits daily activities. The Winograd method, the most widely used operative modality for ingrown toenails, has been modified over years to include wedge resection of the nail fold and complete ablation of the germinal matrix.1. Introduction. Ingrown toenail, also called onychocryptosis, is a common disorder involving big toes. Although considered a relatively minor foot ailment, ingrown toenail causes severe toe pain when walking, and eventually limits routine daily activities [1,2].Besides, if a patient has diabetes mellitus, ingrown toenail can deteriorate into a …Am Fam Physician. 2002;65 (12):2547-2550. A more recent article on ingrown toenail management is available. A patient information handout on ingrown toenail removal is provided on page 2557 ...Nov 18, 2011. #1. I need help picking a CPT code for the following: 3. Toenail concerns. In November of 2010, underwent toenail extraction with. nail plate ablation of the left second toenail. Twice since that procedure, she has had a portion of the lateral edge of the toenail recur.Based on comments that CPT ® code 11730 includes avulsion of nail plate, ... Zuber T. Ingrown toenail removal. Am Family Physician. 2002;65(12):2547-2550. Revision History Information. Revision History Date Revision History Number Revision History Explanation Reasons for Change;An ingrown toenail is a painful condition routinely managed by podiatrists and general medical practitioners alike. The surgical techniques available include the Winograd and phenol-ablation procedures. The choice of technique is largely dependent on practitioner experience and preference. Competing interests: None.The removal of an ingrown toenail now has its own CPT code, which is 11750. The procedure involves removing a portion or all of the toenail to treat an ingrown toenail. Why is the Removal Ingrown Toenail CPT Code Important? The implementation of the Removal Ingrown Toenail CPT Code is crucial as it allows healthcare providers to report the ...AAPC members discuss the codes for excision and avulsion of ingrown toenails in ambulatory outpatient settings. See the answers and explanations from experts and networkers.Excision of Toe Nail, External Approach 0HBRXZZ. ICD-10-PCS code 0HBRXZZ for Excision of Toe Nail, External Approach is a medical classification as listed by CMS under Skin and Breast range. Excision of Toe Nail, External Approach. DRG. ICD9-Vol3.The code verbiage says partial or complete. Most podiatrists bill the medial and lateral nail Winograd nail excisions using CPT 11750 with "1" unit. However, there are some coders who would tell you to try billing the procedures twice on two separate lines. The first CPT 11750-T_ and the second CPT 11750-T_-59.Avulsion of a nail plate (CPT codes 11730 and 11732) is, generally, performed under local anesthesia. This procedure involves the separation and removal of a border of the nail or removal of the entire nail from the nail bed to the eponychium. Excision of nail and nail matrix (CPT code 11750) is performed under local anesthesia and requires ...If you get healthcare services and receive a statement or bill, you’ll see medical CPT codes on the paperwork. But what do they all mean? Here’s a guide to reading CPT codes to see...Medicine Matters Sharing successes, challenges and daily happenings in the Department of Medicine Due to a time conflict with our 2023 AMA E&M Inpatient Guideline Changes webinar, ...ICD-10-CM identifies three different causes for pathological fractures: “neoplastic disease,” “osteoporosis” and other specified disease. ICD-10-CM introduces the seventh character that describes type of encounter, or the state of a fracture’s healing and any sequela. Some codes in this chapter will have the seventh character applied.For each additional nail plate avulsed, turn to add-on code +11732 Avulsion of nail plate, partial or complete, simple; each additional nail plate (List separately in addition to code for primary procedure). For example, if the provider performed three avulsions, report 11730, 11732 x 2.To do this when you have an ingrown nail: Soak your foot in warm water for about 15 minutes to soften the nail. Wedge a small piece of wet cotton under the corner of the nail to cushion the nail and lift it slightly. This keeps it from cutting the skin. Repeat daily until the nail has grown out and can be trimmed.To perform this procedure, we will first numb the toe with a local anesthetic. The necessary portion of nail is then carefully removed and a chemical called ...The permanent portion of the procedure is when I apply a dilute chemical called Phenol to the nail bed. This helps cauterize the nail bed and prevents recurrence. Although this is referred to as permanent, they do recur occasionally. The application of Phenol in addition to clipping the nail reduces the recurrence rate from 65% to around 5 …

Here are some tips: Soak the foot in warm water 3–4 times a day, while using a cotton bud to gently push the skin away from the toenail. A doctor may advise you to add Epsom salt to the warm .... Mo great dane

cpt code for ingrown toenail removal

Aug 11, 2010. #2. 11730 - Plain english description: All or part of a fingernail or toenail is removed. The area is numbed by a digital nerve block, and the physician separates the nail plate from the nail bed. Any bleeding is cauterized and the site is bandaged. Code 11730 if only one nail is removed. Code 11732 for each additional nail removal.Jan 10, 2023 · For each additional nail plate avulsed, turn to add-on code +11732 Avulsion of nail plate, partial or complete, simple; each additional nail plate (List separately in addition to code for primary procedure). For example, if the provider performed three avulsions, report 11730, 11732 x 2. If both nail borders are involved or if the nail is very small, the entire nail can be removed. This procedure can be done temporarily or permanently. Canadian Foot Clinic & Orthotic Centre & Podiatrist Michael Mesic DPM & Associates in St. Catharines Ontario offers Podiatry & Chiropody, 905-346-0222.CPT Code 11750. CPT 11750 describes the permanent removal of a partial or complete nail and nail matrix, such as an ingrown or deformed nail. CPT Code 11755. CPT 11755 describes a biopsy of the nail unit, including the plate, bed, matrix, hyponychium, and proximal and lateral nail folds, as a separate procedure.An ingrown toenail often affects the big toe, either on one or both sides. The nail curls and pierces the skin which becomes red, swollen and tender. Other possible symptoms include: pain if pressure is placed on the toe. inflammation of the skin at the end of the toe. a build-up of fluid (oedema) in the area surrounding the toe.Jan 10, 2023 · For each additional nail plate avulsed, turn to add-on code +11732 Avulsion of nail plate, partial or complete, simple; each additional nail plate (List separately in addition to code for primary procedure). For example, if the provider performed three avulsions, report 11730, 11732 x 2. The information in this article contains billing, coding, or other guidelines that complement the Local Coverage Determination (LCD) for Surgical Treatment of Nails L39258. Coding Guidelines. When billing for non-covered services, use the appropriate modifier. When CPT® code 11730, 11732 or 11750 is reported, it represents all services ...The second procedure that was performed, CPT code 11730 (Avulsion of nail plate, partial or complete, simple; single) X 3 (T2, T7, T9) was rejected for all three toes. When the Medically Unlikely Edits are accessed, the number is 1 which indicates that CPT code 11730 can only be billed 1 time on a given date of service. It was billed 3 times.ingrown lateral nail edge.11 Both methods are effective for mild to moderate cases. 12 A newer treatment approach involves using tape to pull the nail fold away from the nailCPT Codes: • 1 – CPT 11104 – RT • 2 – CPT 99213 - 25 modifier 10 . New Patient • Ingrown toenail with partial nail avulsion . 11 . New Patient • Ingrown toenail with partial nail avulsion . With supporting documentation . ICD-10 Codes: • 1 – L60.8 Deformity of nailICD-10-CM Codes. Diseases of the skin and subcutaneous tissue. Disorders of skin appendages. Nail disorders (L60) Ingrowing nail (L60.0) L60. L60.0. L60.1.CPT 11720: Debridement of nail(s) by any method(s); one to five • CPT 11721: Debridement of nail(s) by any method(s); six or more • Trimming of toenails = Cutting only in length • Debride(ment) = reduce bulk= Must include “length and Girth to Patient Tolerance”. • You must state which toenails were debrided CPT Codes for Nail Care 26Illinois Subscriber. Answer: No, you shouldn’t code 11750 (Excision of nail and nail matrix, partial or complete (eg, ingrown or deformed nail), for permanent removal) in this case, even though the procedure note documents removal to the nail matrix. The 11750 procedure involves intentional destruction of the nail matrix for permanent …[QUOTE="Lunap99, post: 503093, member: 448266"] A similar question, we do a lot of ingrown toenail removals. I have attached a visit note. The providers like to try to bill office visits with the nai...Calcium Removal; Chaper 9: A Patient's Guide to Arthroscopic Shoulder Surgery; Chapter 10: A Patient's Guide to Arthroscopic Shoulder Surgery ... This procedure is used to remove the problem portion of an ingrown toenail and to prevent the ingrown toenail from recurring. This procedure is performed under local anesthetic, and takes only a few ...Ingrown Toenail Removal (In Office) Price: $778.06 CPT Code: 99213, 11750x2, 64450. Surgery Pricing. Choose Procedure or SurgeryI am not an expert but I will provide links to experts on ingrown toenail billing: This explains how to bill a simple ingrown toenail removal or if you do more than one 11730 or 2:If both nail borders are involved or if the nail is very small, the entire nail can be removed. This procedure can be done temporarily or permanently. Canadian Foot Clinic & Orthotic Centre & Podiatrist Michael Mesic DPM & Associates in St. Catharines Ontario offers Podiatry & Chiropody, 905-346-0222.Dec 30, 2011 · When 3 toenails are removed, do I need to use any other modifiers besides the toe modifiers? 11750-T1 11750-T2 11750-T7 Or do I need 59s or 51s? CPT 11730 is a medical procedure code used to describe the simple avulsion of a single nail plate, either partial or complete. This procedure is typically performed to treat conditions such as ingrown toenails, paronychia, lacerations, crush injuries, or other wounds of the nail components. Medical professionals use this code to accurately ... If you’re having trouble, skip this step.) Use small scissors to cut proximally all the way to the nail matrix. Use the hemostat to remove the free portion of the nail. (Don’t leave any nail in the nail fold or matrix.) Apply bacitracin, wrap the toe, recommend hard sole shoes (nothing tight) for comfort. For follow-up, refer to podiatry or ....

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