Partial traumatic amputation of one left lesser toe, sequela

This code signifies a past traumatic event resulting in the partial loss of one lesser toe on the left foot. It specifically indicates that the patient is currently experiencing a long-term effect or complication directly attributable to that original injury, rather than the acute injury itself. The amputation is not complete, meaning a portion of the toe remains.

Apply this code when documenting a patient's current condition stemming from a previous partial traumatic amputation of a left lesser toe. This is appropriate for follow-up visits, rehabilitation, or when the sequela of the amputation (e.g., chronic pain, gait disturbance, need for orthotics) is the primary reason for the encounter. Do not use for the initial acute injury.

• Ensure documentation clearly states "partial" amputation and specifies "one" left lesser toe.
• Verify that the encounter is for a sequela, not the acute injury or a complete amputation.
• Always code an additional diagnosis to specify the nature of the sequela (e.g., pain, nonunion, malunion).