Codes / ICD10CM / S90.414A

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

ICD10CM code

ICD10CM

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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

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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