ICD-10-CM 2027
ICD-10 code for egg shell nails
From the official ICD-10-CM alphabetic index entry “Egg shell nails”. Page updated September 29, 2026.
About coding egg shell nails
The ICD-10-CM code for egg shell nails is L60.3 (Nail dystrophy). The official index lists 1 more specific code, so check the documentation for details such as type, cause, site or severity before settling on L60.3.
Within L60 (nail disorders), L60.3 is specifically for nail dystrophy. Related codes cover Ingrowing nail (L60.0), Onycholysis (L60.1), Onychogryphosis (L60.2), Beau's lines (L60.4), yellow nail syndrome (L60.5), other nail disorders (L60.8) and nail disorder, unspecified (L60.9).
It is not a CC or MCC, so as a secondary diagnosis it doesn't change the MS-DRG severity level.
In MS-DRG v44.0, it is part of the grouping logic for DRG 606 (Minor Skin Disorders with MCC, relative weight 1.5728) and DRG 607 (Minor Skin Disorders without MCC, relative weight 0.8772), in MDC 09 (Diseases and Disorders of the Skin, Subcutaneous Tissue and Breast), as a principal or secondary diagnosis. The DRG a claim lands in depends on the principal diagnosis, procedures and any CC/MCC secondary diagnoses.
More specific egg shell nails codes (official index)
- congenital Q84.6 — Other congenital malformations of nails
Common questions about egg shell nails ICD-10 codes
What is the ICD-10 code for egg shell nails?
- L60.3 — Nail dystrophy. More specific codes apply when the documentation supports them: Q84.6.
What is the ICD-10 code for congenital egg shell nails?
- Q84.6 — Other congenital malformations of nails.
Is L60.3 billable?
- Yes. L60.3 is a billable/specific ICD-10-CM code valid for FY2027 (October 1, 2026 – September 30, 2027).
Can L60.3 be used as a principal diagnosis?
- Yes. The Medicare Code Editor doesn't restrict L60.3 as a principal diagnosis.
Is L60.3 a CC or MCC?
- No. L60.3 is neither a CC nor an MCC under MS-DRG v44.0.