Disp fx of distal phalanx of unsp great toe, init for opn fx

This code describes a break in the outermost bone of the great toe, where the bone fragments are no longer in their normal alignment. The fracture is open, meaning there is a wound communicating with the fracture site, and this is the first time the patient is receiving treatment for this specific injury.

Use this code for a patient presenting with a visibly deformed great toe, an associated open wound, and radiographic confirmation of a displaced fracture of the distal phalanx. This applies to initial treatment encounters, such as in an emergency department or initial orthopedic consultation, for an injury where the laterality of the great toe is not documented.

• Ensure documentation clearly specifies "displaced" and "open fracture" for the distal phalanx of the great toe.
• Confirm this is the initial encounter for treatment of this specific injury.
• Only use this code when the medical record does not specify whether the injury is to the left or right great toe.