Lac w/o fb of right great toe w/o damage to nail, sequela

This code signifies a healed or chronic laceration on the right great toe that did not involve a foreign body and did not damage the toenail. It indicates that the patient is presenting for a condition or complication that is a direct result of this past injury, rather than the acute injury itself.

Apply this code when documenting a sequela, such as scar tissue pain, chronic numbness, or altered sensation, stemming from a previously sustained laceration to the right great toe. This is appropriate when the initial acute injury has resolved, and the current encounter addresses a long-term consequence.

• Ensure the medical record clearly links the current condition to the past laceration of the right great toe.
• Do not use this code for the initial acute laceration; it is specifically for sequelae.
• Verify that the laceration was explicitly documented as without a foreign body and without nail damage.