S90.414D Abrasion, right lesser toe(s), subsequent encounter

ICD10CM code

#### Name of the Condition
- **Abrasion, right lesser toe(s), subsequent encounter**
- **ICD Code: S90.414D**

#### Summary
An abrasion of the right lesser toe(s) involves a superficial injury to the skin of the small toes on the right foot. This type of wound typically results from friction or trauma and in this scenario, the "subsequent encounter" refers to follow-up management after the initial treatment.

#### Causes
- Direct trauma, such as bumping the toe.
- Friction from footwear or surfaces.
- Falls or accidents involving the feet.

#### Risk Factors
- Inappropriate or ill-fitting shoes.
- Physical activities or sports that involve frequent foot contact.
- Walking barefoot in risky environments.

#### Symptoms
- Redness and irritation on the right lesser toes.
- Superficial bleeding or oozing.
- Mild pain or tenderness around the area.

#### Diagnosis
- Physical examination of the affected toe(s).
- Review of patient's history for trauma or known friction incidents.

#### Treatment Options
- **Cleaning and Dressing:** To prevent infection and promote healing.
- **Antibiotic Ointments:** If necessary, to reduce the risk of infection.
- **Protective Padding:** To shield the area from further irritation.

#### Prognosis and Follow-Up
- Excellent prognosis with proper care; most abrasions heal within a week or two.
- Follow-up ensures healing and checks for signs of infection.

#### Complications
- Possible infection if the abrasion is not cleaned properly.
- Delayed healing due to continued friction or trauma.

#### Lifestyle & Prevention
- Wear well-fitting shoes with protective padding.
- Avoid walking barefoot, especially in unfamiliar environments.
- Use protective gear during sports or physical activities.

#### When to Seek Professional Help
- If signs of infection occur, such as increased redness, swelling, warmth, or pus.
- If the abrasion does not show signs of healing after a few days.

#### Additional Resources
- [American Podiatric Medical Association](https://www.apma.org)
- [Wound Healing Society](https://woundheal.org)

#### Tips for Medical Coders
- Ensure correct character placement in the ICD code to specify 'subsequent encounter'.
- Common errors include using codes for initial encounters instead, so verify the patient's treatment history.

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