S90.414A Abrasion, right lesser toe(s), initial encounter

ICD10CM code

#### Name of the Condition
- **Abrasion, right lesser toe(s), initial encounter** (ICD-10 code: S90.414A)
- Common name: **Right Lesser Toe Abrasion**

#### Summary
An abrasion of the right lesser toes refers to a superficial injury where the skin's top layer is scraped, often due to friction or trauma. This description specifically applies to the initial medical encounter for such an injury.

#### Causes
- Typically caused by physical activities such as running or walking without proper footwear.
- Trauma or impact against hard surfaces.
- Friction from tight or ill-fitting shoes.

#### Risk Factors
- Participation in sports or activities that involve running or sudden stops.
- Wearing poorly fitting footwear.
- Having conditions that cause reduced sensation in the feet (e.g., diabetes).

#### Symptoms
- Redness and raw skin on the right lesser toes.
- Mild bleeding or clear fluid discharge.
- Pain, burning, or stinging sensation.

#### Diagnosis
- Primarily through a physical examination.
- Medical history review to assess recent activities or footwear changes.

#### Treatment Options
- Cleaning the affected area with mild soap and water to prevent infection.
- Application of antiseptic and protective bandages.
- Over-the-counter pain relief medications if necessary.

#### Prognosis and Follow-Up
- Abrasions generally heal within a week if properly cared for.
- It is advisable to have follow-up checks if there is no improvement to rule out infection.

#### Complications
- Potential for infection if not kept clean.
- Long-term discomfort if underlying causes like improper footwear are not addressed.

#### Lifestyle & Prevention
- Wearing well-fitted, comfortable shoes.
- Using protective gear like toe caps for specific activities.
- Keeping feet clean and moisturized.

#### When to Seek Professional Help
- Persistent pain or swelling beyond a few days.
- Signs of infection such as increased redness, pus, or fever.
- Difficulty walking or performing daily activities.

#### Additional Resources
- [American Podiatric Medical Association](https://www.apma.org)
- [Foot Health Facts](https://www.foothealthfacts.org)

#### Tips for Medical Coders
- Ensure careful examination of the encounter type; this code is specific to the initial encounter.
- Double-check anatomical specifics—this code is for the "right lesser toe(s)." Misclassifying anatomical location is a common error.

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