FAQ

FAQ

Frequently asked questions
Regulation
Who is allowed to treat an ingrown nail?

Podiatrists / Medical Foot Care

Podiatrists (Medical Foot Care) are generally allowed to treat ingrown nails (Unguis incarnatus), as this falls within their area of expertise. Based on a doctor's prescription, they can even bill the statutory health insurance funds . Without a doctor's prescription, podiatrists are not allowed to bill for the treatment through the health insurance, they can only charge for it privately.

• Cosmetic Foot Care

Cosmetic foot care specialists are only allowed to care for healthy feet. This includes, for example, trimming nails, removing calluses, or massages. Treatment for inflamed or diseased nails is not legally permitted for them.

Regulation
Difference: ingrowing vs. ingrown nail

Ingrowing Nail: The Early Stage. The nail presses against or slightly begins to grow into the skin.

Initial pain or skin irritation may occur.

Ingrown Nail (Unguis incarnatus): The nail has already grown into the skin – usually with severe pain, inflammation, or granulation tissue. This stage absolutely requires medical treatment by podiatrists or physicians.

Regulation
Legal Basis

• As of 01.07.2022 the nail brace treatment for ingrown nails is a prescribable medical treatment under the Medical Devices Directive. This allows podiatrists to perform the therapy on medical prescription and bill health insurance companies.

• As of 01.10.2025 the regulations were further clarified:

- The Medical Devices Directive and the nationwide contract for podiatric services now clearly define the indication stages (1–3) and the respective documentation requirements.

- For stages 2 and 3, podiatrists must provide photo documentation to be created (before treatment begins, if it worsens, and after treatment concludes). This measure serves quality assurance and is a prerequisite for billing with statutory health insurance funds.

- In addition, the precise description of the nail brace used as well as the location of the treated nail must be documented.

- A change of model (e.g., from a plastic to a metal brace) may be carried out independently.

Thus, the legal basis for nail brace treatment has been even more clearly regulated since October 2025 – both for podiatrists and for health insurance funds.

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