2025 ICD-10-CM code S92.412A
(Active) Effective Date: N/A Injury, poisoning and certain other consequences of external causes - Injuries to the ankle and foot 19 Feed
Displaced fracture of the proximal phalanx of the left great toe, initial encounter for closed fracture.
Medical necessity for treatment is established by the presence of a displaced fracture requiring intervention to restore proper alignment and function. The initial encounter focuses on assessing the injury, providing pain relief, and developing a treatment plan.
In simple words: Broken big toe on the left foot, first doctor's visit, bone is out of place, skin not broken.
Displaced fracture of the proximal phalanx of the left great toe, initial encounter for closed fracture. This code is used for the first encounter with a healthcare professional for a closed fracture where the broken bone fragments are not aligned.
Example 1: A patient presents to the emergency room after stubbing their left big toe, resulting in a displaced, closed fracture of the proximal phalanx. This is their first visit for this injury., A patient experiences a crushing injury to their left foot, leading to a displaced closed fracture of the great toe's proximal phalanx, among other injuries. This is their initial encounter for the fractured toe., A patient sustains a displaced, closed fracture of their left great toe's proximal phalanx during a sporting event. They visit an urgent care center, marking their first encounter for treatment of this injury.
Clinical documentation should support the diagnosis of a displaced, closed fracture of the proximal phalanx of the left great toe. Imaging studies (e.g., X-ray) are crucial for confirming the diagnosis and demonstrating the displacement. Details of the incident causing the injury should be recorded.
** This code describes the initial encounter for a closed fracture. Subsequent encounters for the same injury should be coded using the appropriate 7th character to indicate the healing status.
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