L60 vs R68.3
L60 (Nail disorders) compared with R68.3 (Clubbing of fingers), from the official CMS tabular data. Both may be reported when both conditions are documented (Excludes2).
Can these codes be reported together?
Yes, when both are documented. L60 carries an Excludes2 note covering R68.3: “clubbing of nails (R68.3)”
Excludes2 marks distinct conditions — both may be reported when both are documented.
Side by side
| L60Nail disorders | R68.3Clubbing of fingers | |
|---|---|---|
| Billing status | Non-billable header | Billable |
| Classification | L00-L99 — Diseases of the Skin and Subcutaneous Tissue (L00-L99) | R00-R99 — Symptoms, Signs and Abnormal Clinical and Laboratory Findings, Not Elsewhere Classified (R00-R99) |
| Definition | Nail disorders is a non-billable ICD-10-CM category code (L60). | Clubbing of fingers is a billable ICD-10-CM diagnosis code (R68.3). |
| Includes | — | Clubbing of nails |
Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources