Contusion of left great toe with damage to nail, init encntr

This code signifies a bruise to the left great toe, specifically indicating that the nail structure has also sustained damage. It represents an acute injury where the soft tissues and the nail unit of the hallux have been affected by blunt force.

Apply this code for patients presenting with a recent injury to their left great toe, exhibiting both ecchymosis or swelling of the toe and visible trauma to the toenail, such as a subungual hematoma, nail avulsion, or fracture. This is appropriate for the initial assessment and treatment phase of the injury.

• Ensure documentation clearly specifies the left great toe and explicitly mentions nail involvement.
• Confirm this is the initial encounter for the injury; subsequent care will require a different seventh character.
• Look for associated codes for open wounds if the nail damage resulted in a break in the skin.