Medicare considers nail trimming a procedure. In most cases, Medicare does not cover nail trimming.  A patient must have specific findings in order to qualify for nail care. These findings are set forth by Medicare with specific guidelines that must be followed by the treating physician, such as certain medical conditions with specific lower extremity manifestations. For example, just because a patient is diabetic, it does not mean that their nail trimming is covered; there are very specific comorbidities that must be diagnosed and documented.