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

This code signifies a healed or chronic puncture wound on the right great toe that involved a foreign body at the time of injury. It indicates that the nail itself was not damaged, and the current encounter is for a complication or late effect of the original injury, rather than the acute injury itself.

Apply this code when documenting a patient presenting with a sequela (e.g., chronic pain, scar tissue, non-union of a fracture caused by the initial puncture) of a past puncture wound to the right great toe that included a foreign body. This is appropriate for follow-up care after the initial acute injury has resolved.

• Ensure the documentation clearly states the encounter is for a sequela, not an acute injury.
• Verify the laterality (right) and specific digit (great toe) are accurately documented.
• Confirm the absence of nail damage and the presence of a foreign body at the time of the original injury.