S90.414 Abrasion, right lesser toe(s)

Name of the Condition

• Abrasion, right lesser toe(s) (ICD-10 code: S90.414)

Summary

An abrasion of the right lesser toe(s) is a superficial skin injury resulting from friction or trauma, involving the small toes on the right foot. This type of wound typically affects the outer layer of skin and may present with mild irritation or bleeding.

Causes

Direct contact with rough surfaces or objects. Friction from ill-fitting footwear or repetitive motion. Minor trauma, such as stubbing the toe or scraping against a hard surface.

Risk Factors

• Wearing tight or poorly constructed shoes.
• Engaging in activities that increase foot exposure to friction (e.g., hiking, sports).
• Reduced sensation in the feet due to conditions like diabetes.

Symptoms

• Redness and raw skin on the affected toe(s).
• Mild bleeding or clear fluid discharge.
• Pain, burning, or stinging sensation.

Diagnosis

Physical examination of the right lesser toe(s) to assess the wound. Review of patient history for recent trauma or footwear changes.

Treatment Options

• Cleaning the area with mild soap and water to prevent infection.
• Applying antiseptic and protective bandages.
• Over-the-counter pain relief if needed.

Prognosis and Follow-Up

Most abrasions heal within a week with proper care. Follow-up may be recommended if symptoms worsen or persist.

Complications

• Infection if the wound is not properly cleaned.
• Delayed healing due to underlying conditions (e.g., poor circulation).

Lifestyle & Prevention

• Wear well-fitting, supportive footwear.
• Use protective padding for high-friction activities.
• Inspect feet regularly for early signs of injury.

When to Seek Professional Help

• If the wound shows signs of infection (e.g., pus, increased redness).
• If pain or bleeding is severe or uncontrolled.
• If healing does not progress after a few days.

Tips for Medical Coders

• Use S90.414 for abrasions of the right lesser toe(s) without additional encounter or sequela modifiers.
• Document the location (right lesser toe(s)) and nature of the injury (abrasion) clearly.
• Ensure clinical documentation supports the diagnosis to align with coding guidelines.