Quick answer: Nail Care Bloomfield Hills Mi is a common nail condition with multiple causes including trauma, fungal infection, biomechanical pressure, and underlying medical conditions. Treatment depends on the cause: trauma resolves as the nail grows out (6-12 months), fungus needs antifungal therapy, and biomechanical issues need shoe and orthotic correction. Call (810) 206-1402.
Medical Nail Care in Bloomfield Hills, MI | Nail Trimming & Treatment
Board-certified podiatrists providing professional nail care for thick toenails, fungal nails, ingrown nails, and diabetic foot nail maintenance at our Bloomfield Hills office. Medicare-covered for qualifying patients. Walk-ins welcome.
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💰 Medicare Covered
🏥 Walk-Ins Welcome
📍 Bloomfield Hills, MI
What Is Medical Nail Care?
Medical nail care (podiatric nail debridement) goes far beyond a standard pedicure. Our podiatrists use sterile, medical-grade instruments to safely trim, thin, and treat nails that are too thick, curved, infected, or painful to cut at home. This is a clinical service — not cosmetic — and is covered by Medicare and many insurance plans when medically necessary.
At our Bloomfield Hills office, we see patients of all ages for nail care, with particular expertise in diabetic nail management, nail fungus treatment, and relief from painful thickened nails (onychogryphosis).
Who Needs Professional Nail Care?
Medical nail care is appropriate for patients with: thick toenails (onychogryphosis) that cannot be safely trimmed at home, toenail fungus causing nail thickening or discoloration, ingrown toenails — recurring or complicated, diabetic neuropathy making self-care difficult or dangerous, poor circulation reducing safe nail trimming at home, psoriasis-related nail changes, elderly patients with limited flexibility or vision, and any patient who has developed nail pain, cracking, or bleeding from improper trimming.
Services Included in a Nail Care Visit
Nail Debridement (CPT 11720 / 11721)
We carefully thin and reduce thickened, dystrophic, or fungal nails using medical-grade clippers and a sterile rotary burr. CPT 11720 covers up to 5 nails; CPT 11721 covers 6 or more nails in one visit. This is the most common nail care procedure we perform and is covered by Medicare for qualifying patients with Class findings.
Diabetic Nail Care & Risk Assessment
Diabetic patients receive a full lower extremity vascular and neurological assessment at each nail care visit. We check pulses, sensation, and skin integrity in addition to nail trimming. Early identification of ulcers, Charcot changes, or circulation problems can prevent hospitalizations and amputations.
Nail Fungus Treatment Integration
If nail fungus is present, we can initiate laser treatment (PinPointe FootLaser or similar), topical antifungal therapy, or oral medication during the same visit. Addressing fungal nails alongside mechanical debridement produces significantly better outcomes than debridement alone.
60-Day Recall Program for Ongoing Nail Maintenance
Many patients — especially those with diabetes, thick nails, or compromised circulation — benefit from professional nail care every 60 days. Our recall program keeps you scheduled automatically so you never miss a visit. Regular maintenance prevents painful nail problems from developing between appointments.
Medicare Coverage for Nail Care
Medicare Part B covers routine nail care (CPT 11720/11721) when the patient has a systemic condition — such as diabetes, peripheral arterial disease, or peripheral neuropathy — that makes self-care hazardous. This is called a “Class A” finding. An examination by a physician confirming the Class finding is required every 6 months. Our team documents and manages this process for you. Most Medicare patients have minimal out-of-pocket cost for nail care visits.
Frequently Asked Questions
Is medical nail care the same as a pedicure?
No. A pedicure is a cosmetic service performed by a nail technician using non-medical instruments in a salon setting. Medical nail care is a clinical procedure performed by a licensed podiatrist using sterile instruments, with clinical documentation, diagnosis coding, and insurance billing. The instruments, techniques, and clinical oversight are completely different. Medicare does not cover pedicures — it does cover medically necessary podiatric nail debridement.
How often should diabetic patients have nail care?
Most diabetic patients benefit from professional nail care every 60 days. This frequency allows consistent monitoring of circulation and sensation while keeping nails at a safe length. Medicare covers up to 6 nail care visits per year for qualifying diabetic patients with documented Class findings.
Do I need a referral for nail care in Bloomfield Hills?
No referral is needed to see our Bloomfield Hills podiatrists for nail care. Simply call or book online. If your insurance requires a referral, we can assist you in coordinating that with your primary care physician. Walk-in nail care appointments are welcome when our schedule allows.
Visit Our Bloomfield Hills Office
Balance Foot & Ankle — Bloomfield Hills
43494 Woodward Ave Suite 208
Bloomfield Hills, MI 48302
Phone: (810) 206-1402
Walk-in nail care welcome. Serving Bloomfield Hills, Birmingham, West Bloomfield, Troy, Pontiac, Farmington Hills, and surrounding Oakland County.
Related: Toenail Fungus Bloomfield Hills | Ingrown Toenail Bloomfield Hills | Diabetic Foot Care Bloomfield Hills | Nail Care Howell | Bloomfield Hills Podiatrist
Podiatrist-Recommended Products for Nail Health | Bloomfield Hills MI
- Doctor Hoy’s Natural Pain Relief Gel — natural topical formula for nail bed care and surrounding skin between professional appointments
- FLAT SOCKS No-Sock Insoles — reduce the moisture and heat in your shoes that drives fungal nail and skin conditions
- DASS Medical Compression Socks — graduated compression socks that improve toe circulation and support overall nail health
These are the same products Dr. Biernacki recommends at our Bloomfield Hills clinic. Available through our partner Foundation Wellness.
Frequently Asked Questions
How long does it take a toenail to grow back?
6-12 months for a full big toenail. Smaller toenails 4-6 months. Speed varies with age, circulation, and nutrition.
Will this affect other nails?
Trauma affects only the injured nail. Fungal infection can spread without treatment. Systemic causes affect multiple nails simultaneously.
Should I cover the nail or leave it open?
Cover with a breathable bandage during work or activity. Leave open at night for healing. Keep dry and clean.
Our podiatrists treat the underlying cause, not just the symptom. Same-week appointments at our Howell and Bloomfield Hills, Michigan offices.