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

This code signifies a puncture injury to the right great toe that does not involve a foreign object and has not caused any damage to the toenail. It specifically indicates that the injury's acute phase has passed, and the patient is now experiencing a residual effect or complication from the original wound.

Apply this code when documenting a patient presenting with a long-term consequence or late effect of a previously sustained puncture wound to the right great toe, where no foreign body was involved and the nail was unaffected. This would be appropriate for conditions like chronic pain, scar tissue formation, or persistent nerve damage resulting from the initial injury.

• Ensure the medical record clearly indicates the "sequela" aspect, meaning a late effect or complication, rather than an acute injury.
• Verify that no foreign body was present in the wound and the toenail was explicitly documented as undamaged.
• Always code the underlying condition or specific sequela (e.g., chronic pain, scar) first, followed by this code as a secondary diagnosis.