My ED doc has in his note that the cuticle was lifted from nail without purulent drainage and he used an 18g needle to trephinate the nail proximally with purulent discharge

I am stuck between if this is included in the E/M since it drained on its own or if this could be a 10060 ( he does call it a mild subungal paronychia (but there wasn’t an incision done). I would appreciate any help with this one.

Thanks!