Reasonable Hypothesis SOP [1] | 106 of 2015 |
Balance of Probabilities SOP [2] | 107 of 2015 |
SOP Bulletin 185 [3]
ICD coding:
ICD-9-CM: 703.0
ICD-10-AM: L60.0
This is a disease where the nail of a toe or finger penetrates the soft tissues surrounding the nail, leading to inflammation.
To confirm the diagnosis there needs to be evidence of clinical signs of an ingrowing nail.
The relevant medical specialist is a general surgeon or dermatologist. Specialist opinion will generally not be required.
The clinical onset will be based on self-report. The condition can affect different nails and occur episodically, so onset will be when the current episode first manifest in the affected nail, rather than at the time of any earlier resolved episode in the same or another nail.
When considering any issues concerning possible clinical worsening, it is important to ascertain whether the clinical worsening is out of keeping with the natural history of the underlying pathology.
In the case of ingrowing nails, the condition has a tendency to be chronic with episodic flare ups.
The appropriate treatment is to relieve the causal factor, and if necessary excise the segment of the nail which is prone to ingrowing.
Wearing ill-fitting footwear factor: Ill-fitting footwear is defined and indicates footwear that is too small for the foot, rather than footwear that is too large for the foot.
Hyperhidrosis of the feet: This is abnormal increased sweating of the feet.
Place holder node for Rulebase for ingrowing nail
Ingrowing nail - A deformity of a digit or nailbed Factor
Last reviewed for CCPS 12 March 2008.
Preliminary questions [652]
39055 [5] there is some evidence that a deformity of a digit or nail bed may be a factor in the development of the condition under consideration.
5933 [5] the veteran has had a deformity of a digit or nail bed at some time.
5934 [6] the veteran had a deformity of the affected digit or nail bed on side and site of the body. the deformity of the affected digit or nail bed on side and site of the body is an illness or injury which is identifiable. the veteran had the identified illness or injury, a deformity of the affected digit or nail bed on side and site of the body, at the time of the clinical onset of the condition under consideration. [9]
5885 — the veteran has established the causal connection between the identified illness or injury, a deformity of a digit or nail bed of side and site of the body, and VEA service for the clinical onset of ingrown toenail.
5887 — the veteran has established the causal connection between the identified illness or injury, a deformity of a digit or nail bed of side and site of the body, and operational service for the clinical onset of ingrown toenail.
or
5888 — the veteran has established the causal connection between the identified illness or injury, a deformity of a digit or nail bed of side and site of the body, and eligible service for the clinical onset of ingrown toenail.
Clinical onset and operational service [5887]
6162 — the identified illness or injury, a deformity of the affected digit or nail bed on side and site of the body, is causally related to operational service. [10] [11]
Clinical onset and eligible service [5888]
6163 — the identified illness or injury, a deformity of the affected digit or nail bed on side and site of the body, is causally related to eligible service. [12] [11]
Ingrowing nail - An injury to a nail or nailbed Factor
Last reviewed for CCPS 12 March 2008.
Investigative Documents
Claimant Report - Injury to a Nail or Nail Bed - Ingrowing Nail [CR9289] [13] Medical Report - Injury to a Nail or Nail Bed - Ingrowing Nail [MR9398] Preliminary questions [39057] 39065 — the veteran has established the causal connection between an injury to the affected nail or nail bed on side and site of the body and VEA service for ingrowing nail. 39066 — the veteran has established the causal connection between an injury to the affected nail or nail bed on side and site of the body and VEA service for the clinical onset of ingrowing nail. 39068 — the veteran has established the causal connection between an injury to the affected nail or nail bed on side and site of the body and operational service for the clinical onset of ingrowing nail. or 39069 — the veteran has established the causal connection between an injury to the affected nail or nail bed on side and site of the body and eligible service for the clinical onset of ingrowing nail. or 39067 — the veteran has established the causal connection between an injury to the affected nail or nail bed on side and site of the body and VEA service for the clinical worsening of ingrowing nail. 39070 — the veteran has established the causal connection between an injury to the affected nail or nail bed on side and site of the body and operational service for the clinical worsening of ingrowing nail. or 39071 — the veteran has established the causal connection between an injury to the affected nail or nail bed on side and site of the body and eligible service for the clinical worsening of ingrowing nail. Clinical onset and operational service [39068] or
39089 [21] as a consequence of the identified illness or injury, the veteran had an injury to the affected nail or nail bed on side and site of the body within the four weeks before the clinical onset of the condition under consideration. 39091 — the identified illness or injury, as a consequence of which the veteran had an injury to the affected nail or nail bed on side and site of the body, is causally related to operational service. [22] [23] Clinical onset and eligible service [39069] or
39089 [21] as a consequence of the identified illness or injury, the veteran had an injury to the affected nail or nail bed on side and site of the body within the four weeks before the clinical onset of the condition under consideration. 39092 — the identified illness or injury, as a consequence of which the veteran had an injury to the affected nail or nail bed on side and site of the body, is causally related to eligible service. [22] [23] Clinical worsening and operational service [39070] or
39090 [31] as a consequence of the identified illness or injury, the veteran had an injury to the affected nail or nail bed on side and site of the body within the four weeks before the clinical worsening of the condition under consideration. 39091 — the identified illness or injury, as a consequence of which the veteran had an injury to the affected nail or nail bed on side and site of the body, is causally related to operational service. [32] [23] Clinical worsening and eligible service [39071] or
39090 [31] as a consequence of the identified illness or injury, the veteran had an injury to the affected nail or nail bed on side and site of the body within the four weeks before the clinical worsening of the condition under consideration. 39092 — the identified illness or injury, as a consequence of which the veteran had an injury to the affected nail or nail bed on side and site of the body, is causally related to eligible service. [32] [23]
Ingrowing nail - Inability to obtain appropriate clinical management for ingrown toenail Factor
Last reviewed for CCPS 12 March 2008.
Investigative Documents
Medical Report - Inability to Obtain Appropriate Clinical Management - [GQACM] Preliminary questions [4684] 11109 — the condition under consideration has been accepted on the basis of inability to obtain appropriate clinical management for the condition under consideration.
7334 [39] the clinical onset of the condition under consideration occurred after the end of the veteran's last period of VEA service. the condition under consideration permanently worsened. the veteran was unable to obtain appropriate clinical management for the condition under consideration at some time.
7379 [40] the inability to obtain appropriate clinical management for the condition under consideration contributed to the clinical worsening of the condition under consideration. 11234 — the veteran has established the causal connection between the inability to obtain appropriate clinical management for the condition under consideration and VEA service for the clinical worsening of the condition under consideration. 11235 — the veteran has established the causal connection between the inability to obtain appropriate clinical management for the condition under consideration and operational service for the clinical worsening of the condition under consideration. or 11236 — the veteran has established the causal connection between the inability to obtain appropriate clinical management for the condition under consideration and eligible service for the clinical worsening of the condition under consideration. Clinical worsening and operational service [11235] or 7390 — the identified illness or injury which prevented the veteran from obtaining appropriate clinical management for the condition under consideration is causally related to operational service. [44] [45] Clinical worsening and eligible service [11236] or 7391 — the identified illness or injury which prevented the veteran from obtaining appropriate clinical management for the condition under consideration is causally related to eligible service. [44] [45]
Ingrowing nail - Poor foot hygiene Factor
Last reviewed for CCPS 12 March 2008.
Investigative Documents
Claimant Report - Poor Foot Hygiene - Ingrowing Nail [CR9291] [52] Medical Report - Poor Foot Hygiene - Ingrowing Nail [MR9399] Preliminary questions [650] 39054 — the condition under consideration is ingrowing toenail. [53] 5851 — the veteran has established the causal connection between the poor foot hygiene of side and site of the body and VEA service for the clinical worsening of ingrowing nail. 5854 — the veteran has established the causal connection between the poor foot hygiene of side and site of the body and operational service for the clinical worsening of ingrowing nail. or 5855 — the veteran has established the causal connection between the poor foot hygiene of side and site of the body and eligible service for the clinical worsening of ingrowing nail. Clinical worsening and operational service [5854] or
6197 — the identified illness or injury which caused the poor foot hygiene of side and site of the body is causally related to operational service. [60] the clinical onset of the condition under consideration occurred prior to that part of operational service to which the identified illness or injury that caused the poor foot hygiene of side and site of the body is causally related. Clinical worsening and eligible service [5855] or
6198 — the identified illness or injury which caused the poor foot hygiene of side and site of the body is causally related to eligible service. [66] the clinical onset of the condition under consideration occurred prior to that part of eligible service to which the identified illness or injury that caused the poor foot hygiene of side and site of the body is causally related. [68]
Ingrowing nail - Poor nail care Factor
Last reviewed for CCPS 12 March 2008.
Investigative Documents
Claimant Report - Poor Nail Care - Ingrowing Nail [CR9290] [69] Medical Report - Poor Nail Care - Ingrowing Nail [MR9018] Preliminary questions [649] 39054 — the condition under consideration is ingrowing toenail. [53] 1230 — the veteran has established the causal connection between poor nail care of side and site of the body and VEA service for ingrowing nail. 5623 — the veteran has established the causal connection between poor nail care of side and site of the body and VEA service for the clinical onset of ingrowing nail. 5626 — the veteran has established the causal connection between poor nail care of side and site of the body and operational service for the clinical onset of ingrowing nail. or 5627 — the veteran has established the causal connection between poor nail care of side and site of the body and eligible service for the clinical onset of ingrowing nail. or 5625 — the veteran has established the causal connection between poor nail care of side and site of the body and VEA service for the clinical worsening of ingrowing nail. 5628 — the veteran has established the causal connection between poor nail care of side and site of the body and operational service for the clinical worsening of ingrowing nail. or 5629 — the veteran has established the causal connection between poor nail care of side and site of the body and eligible service for the clinical worsening of ingrowing nail. Clinical onset and operational service [5626] or 5833 — the identified illness or injury, which caused the poor nail care of the affected nail of side and site of the body, is causally related to operational service. [75] [76] Clinical onset and eligible service [5627] or 5837 — the identified illness or injury, which caused the poor nail care of the affected nail of side and site of the body, is causally related to eligible service. [75] [76] Clinical worsening and operational service [5628] or 5833 — the identified illness or injury, which caused the poor nail care of the affected nail of side and site of the body, is causally related to operational service. [84] [76] Clinical worsening and eligible service [5629] or 5837 — the identified illness or injury, which caused the poor nail care of the affected nail of side and site of the body, is causally related to eligible service. [84] [76]
Ingrowing nail - Treatment with a specified drug Factor
Last reviewed for CCPS 12 March 2008.
Preliminary questions [39058]
39095 [90] there is some evidence that treatment with an epidermal growth factor receptor inhibitor or receiving antiviral treatment with indinavir may be a factor in the development or worsening of the condition under consideration.
39096 [90] the veteran has received treatment with an epidermal growth factor receptor inhibitor or antiviral treatment with indinavir at some time.
39097 [91] the veteran received treatment with an epidermal growth factor receptor inhibitor or antiviral treatment with indinavir for treatment of an illness or injury which is identifiable. 39098 — the veteran has established the causal connection between treatment with an epidermal growth factor receptor inhibitor or antiviral treatment with indinavir and VEA service for ingrowing nail. 39099 — the veteran has established the causal connection between treatment with an epidermal growth factor receptor inhibitor or antiviral treatment with indinavir and VEA service for the clinical onset of ingrowing nail. 39101 — the veteran has established the causal connection between treatment with an epidermal growth factor receptor inhibitor or antiviral treatment with indinavir and operational service for the clinical onset of ingrowing nail. or 39102 — the veteran has established the causal connection between treatment with an epidermal growth factor receptor inhibitor or antiviral treatment with indinavir and eligible service for the clinical onset of ingrowing nail. or 39100 — the veteran has established the causal connection between treatment with an epidermal growth factor receptor inhibitor or antiviral treatment with indinavir and VEA service for the clinical worsening of ingrowing nail. 39103 — the veteran has established the causal connection between treatment with an epidermal growth factor receptor inhibitor or antiviral treatment with indinavir and operational service for the clinical worsening of ingrowing nail. or 39104 — the veteran has established the causal connection between treatment with an epidermal growth factor receptor inhibitor or antiviral treatment with indinavir and eligible service for the clinical worsening of ingrowing nail. Clinical onset and operational service [39101] 39106 — the identified illness or injury, for which the veteran received treatment with an epidermal growth factor receptor inhibitor or antiviral treatment with indinavir, is causally related to operational service. [94] [95] Clinical onset and eligible service [39102] 39107 — the identified illness or injury, for which the veteran received treatment with an epidermal growth factor receptor inhibitor or antiviral treatment with indinavir, is causally related to eligible service. [96] [95] Clinical worsening and operational service [39103] 39106 — the identified illness or injury, for which the veteran received treatment with an epidermal growth factor receptor inhibitor or antiviral treatment with indinavir, is causally related to operational service. [97] [95] Clinical worsening and eligible service [39104] 39107 — the identified illness or injury, for which the veteran received treatment with an epidermal growth factor receptor inhibitor or antiviral treatment with indinavir, is causally related to eligible service. [99] [95]
Ingrowing nail - Wearing ill-fitting footwear Factor
Last reviewed for CCPS 12 March 2008.
Investigative Documents
Claimant Report - Ill-Fitting Footwear - Ingrowing Nail [CR9292] Preliminary questions [651] 39054 — the condition under consideration is ingrowing toenail. [102] 666 — the veteran has established the causal connection between wearing ill-fitting footwear and VEA service for ingrowing nail. 5868 — the veteran has established the causal connection between wearing ill-fitting footwear and VEA service for the clinical onset of ingrowing nail. 5870 — the veteran has established the causal connection between wearing ill-fitting footwear and operational service for the clinical onset of ingrowing nail. or 5871 — the veteran has established the causal connection between wearing ill-fitting footwear and eligible service for the clinical onset of ingrowing nail. or 5869 — the veteran has established the causal connection between wearing ill-fitting footwear and VEA service for the clinical worsening of ingrowing nail. 5872 — the veteran has established the causal connection between wearing ill-fitting footwear and operational service for the clinical worsening of ingrowing nail. or 5873 — the veteran has established the causal connection between wearing ill-fitting footwear and eligible service for the clinical worsening of ingrowing nail. Clinical onset and operational service [5870] Clinical onset and eligible service [5871] Clinical worsening and operational service [5872] Clinical worsening and eligible service [5873]
Links
[1] http://www.rma.gov.au/SOP/15/106.pdf
[2] http://www.rma.gov.au/SOP/15/107.pdf
[3] https://clik.dva.gov.au/system/files/media/Bull185.pdf
[4] https://clik.dva.gov.au/user/login?destination=comment/reply/63667%23comment-form
[5] https://clik.dva.gov.au/ccpsm001rc-2
[6] https://clik.dva.gov.au/652-deformity-digit-or-nail-bed
[7] https://clik.dva.gov.au/reasons-decision-233
[8] clikpopup://CCPS/reject6463No
[9] clikpopup://CCPS/reject5891No
[10] clikpopup://CCPS/reject6162No
[11] clikpopup://CCPS/reject6162,6163No
[12] clikpopup://CCPS/reject6163No
[13] https://clik.dva.gov.au/ccpsclaimant-181
[14] https://clik.dva.gov.au/ccpsm001rc-7
[15] clikpopup://CCPS/reject39064No
[16] clikpopup://CCPS/Reject/OnsetAfterService
[17] clikpopup://CCPS/Reject/NoPermanentWorsening
[18] clikpopup://CCPS/reject39074No
[19] clikpopup://CCPS/reject39078No
[20] clikpopup://CCPS/rejectwilful
[21] clikpopup://CCPS/Injury of nail or nail bed in same digit due to illness or injury in 4 weeks before onset of ingrowing nail
[22] clikpopup://CCPS/reject39089No
[23] clikpopup://CCPS/reject39091,39092No
[24] clikpopup://CCPS/Injury of nail or nail bed in same digit as ingrowing nail on El service
[25] clikpopup://CCPS/reject39075No
[26] clikpopup://CCPS/reject39077No
[27] clikpopup://CCPS/reject39079No
[28] clikpopup://CCPS/Injury of nail or nail bed in same digit as ingrowing nail on Op service
[29] clikpopup://CCPS/reject39076No
[30] clikpopup://CCPS/reject39080No
[31] clikpopup://CCPS/Injury of nail or nail bed in same digit due to illness or injury in 4 weeks before worsening of ingrowing nail
[32] clikpopup://CCPS/reject39090No
[33] clikpopup://CCPS/Onset of ingrowing nail before Op service to which illness or injury which caused injury of nail or nail bed is related
[34] clikpopup://CCPS/reject39093No
[35] clikpopup://CCPS/reject39081No
[36] clikpopup://CCPS/Onset of ingrowing nail before El service to which illness or injury which caused injury of nail or nail bed is related
[37] clikpopup://CCPS/reject39094No
[38] https://clik.dva.gov.au/ccpsother-31
[39] https://clik.dva.gov.au/node/72407
[40] clikpopup://CCPS/Ingrowing nail/ACM - contributed to worsening
[41] clikpopup://CCPS/ACM/NoContribution
[42] clikpopup://CCPS/ACM/NotOpService
[43] clikpopup://CCPS/ACM/NotOperDuties
[44] clikpopup://CCPS/ACM/NoIllness
[45] clikpopup://CCPS/reject7390,7391No
[46] clikpopup://CCPS/Ingrowing nail/ACM %C2%96 onset prior to operational service
[47] clikpopup://CCPS/ACM/OnsetFailOper
[48] clikpopup://CCPS/ACM/NotEligService
[49] clikpopup://CCPS/ACM/NotEligDuties
[50] clikpopup://CCPS/Ingrowing nail/ACM %C2%96 onset prior to eligible service
[51] clikpopup://CCPS/ACM/OnsetFailElig
[52] https://clik.dva.gov.au/ccpsclaimant-166
[53] clikpopup://CCPS/reject39054No
[54] https://clik.dva.gov.au/ccpsm001rc
[55] clikpopup://CCPS/reject5848No
[56] clikpopup://CCPS/reject5860No
[57] clikpopup://CCPS/reject5861No
[58] clikpopup://CCPS/reject39538No
[59] clikpopup://CCPS/reject39399No
[60] clikpopup://CCPS/reject6197No
[61] clikpopup://CCPS/Onset of ingrowing toenail before Op service to which identified illness or injury causing poor foot hygiene is causally related
[62] clikpopup://CCPS/reject6156No
[63] clikpopup://CCPS/reject5863No
[64] clikpopup://CCPS/reject5864No
[65] clikpopup://CCPS/reject39400No
[66] clikpopup://CCPS/reject6198No
[67] clikpopup://CCPS/Onset of ingrowing toenail before El service to which identified illness or injury causing poor foot hygiene is causally related
[68] clikpopup://CCPS/reject6157No
[69] https://clik.dva.gov.au/ccpsclaimant-120
[70] https://clik.dva.gov.au/ccpsm001rc-4
[71] clikpopup://CCPS/reject5620No
[72] clikpopup://CCPS/reject39059No
[73] clikpopup://CCPS/reject5831No
[74] clikpopup://CCPS/reject5832No
[75] clikpopup://CCPS/reject39062No
[76] clikpopup://CCPS/reject5833,5837No
[77] clikpopup://CCPS/Poor nail care on eligible service
[78] clikpopup://CCPS/reject39060No
[79] clikpopup://CCPS/reject5844No
[80] clikpopup://CCPS/reject5835No
[81] clikpopup://CCPS/Poor nail care on operational service
[82] clikpopup://CCPS/reject39061No
[83] clikpopup://CCPS/reject5840No
[84] clikpopup://CCPS/reject39063No
[85] clikpopup://CCPS/Onset of ingrowing nail before Op service to which illness or injury causing poor nail care is related
[86] clikpopup://CCPS/reject5929No
[87] clikpopup://CCPS/reject5845No
[88] clikpopup://CCPS/Onset of ingrowing nail before El service to which illness or injury causing poor nail care is related
[89] clikpopup://CCPS/reject5930No
[90] https://clik.dva.gov.au/ccpsm001rc-5
[91] clikpopup://CCPS/Treatment with a specified drug for ingrowing nail for identifiable illness or injury
[92] clikpopup://CCPS/reject39097No
[93] clikpopup://CCPS/reject39105No
[94] clikpopup://CCPS/reject39110No
[95] clikpopup://CCPS/reject39106,39107No
[96] clikpopup://CCPS/reject39107No
[97] clikpopup://CCPS/reject39106No
[98] clikpopup://CCPS/Onset of ingrowing nail before Op service to which identified illness or injury for which treated with specified drug is related
[99] clikpopup://CCPS/reject39108No
[100] clikpopup://CCPS/Onset of ingrowing nail before El service to which identified illness or injury for which treated with specified drug is related
[101] clikpopup://CCPS/reject39109No
[102] https://clik.dva.gov.au/ccpsclaimant-128
[103] https://clik.dva.gov.au/standard-commentary-195
[104] clikpopup://CCPS/reject5866No
[105] clikpopup://CCPS/reject5874No
[106] clikpopup://CCPS/reject5878No
[107] clikpopup://CCPS/reject5875No
[108] clikpopup://CCPS/reject5876No
[109] clikpopup://CCPS/reject5877No
[110] clikpopup://CCPS/reject5879No
[111] clikpopup://CCPS/reject5881No
[112] clikpopup://CCPS/reject5882No