S90.122 Contusion of left lesser toe(s) without damage to nail

Name of the Condition

• Contusion of left lesser toe(s) without damage to nail

Summary

A contusion of the left lesser toe(s) is a bruise resulting from blunt force trauma that damages underlying soft tissues without breaking the skin or affecting the nail. It typically causes localized pain, swelling, and discoloration in the affected toe(s).

Causes

Direct impact or trauma to the left lesser toe(s), such as stubbing it against a hard object or dropping a heavy item on it. Sports injuries or accidents involving the foot may also lead to this condition.

Risk Factors

• Participation in activities with a high risk of toe trauma, such as running or contact sports.
• Wearing open-toed or poorly fitting footwear that exposes the toes to injury.
• Occupations involving physical labor or environments where foot injuries are more likely.

Symptoms

• Pain and tenderness around the affected left lesser toe(s).
• Localized swelling and discoloration (bruising) of the skin.
• Possible difficulty walking or applying pressure on the toe(s).

Diagnosis

Physical examination by a healthcare provider to assess tenderness, swelling, and discoloration. A review of the patient’s history to determine the mechanism of injury. Imaging (e.g., X-rays) may be used to rule out fractures or other injuries.

Treatment Options

• Resting the affected toe to avoid further injury.
• Applying ice to reduce pain and swelling.
• Elevating the foot to minimize swelling.
• Over-the-counter pain relievers for discomfort.
• Wearing protective footwear to prevent additional trauma.

Prognosis and Follow-Up

Most contusions resolve within 1–2 weeks with proper care. Follow-up may be recommended if symptoms worsen or persist, or if there is concern for underlying injury. Full recovery is typical with no long-term complications.

Complications

Rarely, untreated or severe contusions may lead to prolonged pain, infection (if skin breaks), or chronic swelling. Early evaluation helps prevent these issues.

Lifestyle & Prevention

• Wear closed-toe, well-fitting shoes during activities with toe injury risks.
• Use protective gear (e.g., toe guards) in sports.
• Keep walkways clear to avoid tripping or stubbing toes.
• Maintain awareness of foot placement in environments with heavy objects or obstacles.

When to Seek Professional Help

Seek care if pain is severe, swelling worsens, or there is difficulty bearing weight. Also, consult a provider if discoloration spreads, or if there are signs of infection (e.g., redness, pus).

Tips for Medical Coders

Document the specific toe(s) affected (left lesser toe(s)) and confirm no nail damage. Ensure the mechanism of injury and absence of skin or nail injury are clearly recorded to support accurate coding.