ICD-10-CM 2026 · Effective October 1, 2025

ICD-10 Q84.5

Billable / Specific

Enlarged and hypertrophic nails

Q84
Block
2
Synonyms
12
LCDs
3
Payer Policies
3
Linked CPTs

About ICD-10-CM Q84.5

ICD-10-CM code Q84.5 represents Enlarged and hypertrophic nails. This is a billable/specific code in the Congenital Malformations chapter (block Q84). The 2026 edition of ICD-10-CM Q84.5 became effective on October 1, 2025.

Inclusion Terms / Approximate Synonyms

Clinical terms and conditions classified under Q84.5. Per CMS ICD-10-CM Tabular 2026.

  • Congenital onychauxis
  • Pachyonychia

Medicare LCD Coverage for Q84.5

Local Coverage Determinations (LCDs) from CMS MACs that list Q84.5 as a covered diagnosis.

12 LCDs

Showing top 10 of 12 total . Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: Surgical Treatment of Nails
Article ID: 57666, Effective: 2026-01-01 00:00:00, 392 covered, 1 non-covered
CPT 11750 →
CMS LCD: Billing and Coding: Surgical Treatment of Nails
Article ID: 57666, Effective: 2026-01-01 00:00:00, 392 covered, 1 non-covered
CPT 11765 →
CMS LCD: Billing and Coding: Surgical Treatment of Nails
Article ID: 57666, Effective: 2026-01-01 00:00:00, 392 covered, 1 non-covered
CPT 11730 →
CMS LCD: Billing and Coding: Surgical Treatment of Nails
Article ID: 57666, Effective: 2026-01-01 00:00:00, 392 covered, 1 non-covered
CPT 11732 →
CMS LCD: Billing and Coding: Surgical Treatment of Nails
Article ID: 59028, Effective: 2026-01-01 00:00:00, 392 covered, 0 non-covered
CPT 11750 →
CMS LCD: Billing and Coding: Surgical Treatment of Nails
Article ID: 59028, Effective: 2026-01-01 00:00:00, 392 covered, 0 non-covered
CPT 11765 →
CMS LCD: Billing and Coding: Surgical Treatment of Nails
Article ID: 59028, Effective: 2026-01-01 00:00:00, 392 covered, 0 non-covered
CPT 11730 →
CMS LCD: Billing and Coding: Surgical Treatment of Nails
Article ID: 59028, Effective: 2026-01-01 00:00:00, 392 covered, 0 non-covered
CPT 11732 →
CMS LCD: Billing and Coding: Surgical Treatment of Nails
Article ID: 52998, Effective: 2026-01-01 00:00:00, 392 covered, 1 non-covered
CPT 11750 →
CMS LCD: Billing and Coding: Surgical Treatment of Nails
Article ID: 52998, Effective: 2026-01-01 00:00:00, 392 covered, 1 non-covered
CPT 11765 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing Q84.5.

3 policies

3 Medicare

Billing and Coding: Surgical Treatment of Nails
Policy ID: ART-52998
Billing and Coding: Surgical Treatment of Nails
Policy ID: ART-57666
Billing and Coding: Surgical Treatment of Nails
Policy ID: ART-59028

CPT Codes Commonly Billed with Q84.5

Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.

3 linkages
  • 11732 CMS LCD: Billing and Coding: Surgical Treatment of Nails CMS LCD
  • 11765 CMS LCD: Billing and Coding: Surgical Treatment of Nails CMS LCD
  • 11750 CMS LCD: Billing and Coding: Surgical Treatment of Nails CMS LCD

Convert Q84.5 to ICD-9-CM

Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.

ICD-10ICD-9Mapping Flags
Q84.5 7575 10000

Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).

ICD-10 Q84.5, Billing FAQ

Is ICD-10 code Q84.5 billable? +

Yes, Q84.5 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.

What other names or terms map to Q84.5? +

ICD-10 Q84.5 includes: Congenital onychauxis; Pachyonychia.

What CPT codes are commonly billed with Q84.5? +

Procedures frequently paired with Q84.5 include: 11732, 11765, 11750.

What ICD-9 codes does Q84.5 map to? +

Per CMS GEMs, Q84.5 maps to ICD-9 codes: 7575. Useful for legacy data review and historical claim analysis.

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Reviewed by the PayerReady Medical Coding Team

Verified against the CMS 2026 code set on May 31, 2026.

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