Nondisp fx of prox phalanx of unsp great toe, 7thB

This code signifies a break in the bone closest to the foot in the great toe, where the bone fragments remain in their normal alignment. The fracture is open, meaning there is a wound that communicates with the fracture site, and this is the first time the patient is receiving treatment for this injury. The specific great toe (left or right) is not documented.

Apply this code when documentation confirms an open, nondisplaced fracture of the proximal phalanx of the great toe, and the medical record does not specify laterality. This is appropriate for the initial treatment phase, such as emergency department visits or initial surgical intervention.

• Ensure documentation explicitly states "nondisplaced" and "open fracture."
• Verify that this is the initial encounter for treatment of the fracture.
• Only use this code when laterality (left or right great toe) is not specified in the medical record.