S92.423A Displaced fracture of distal phalanx of unspecified great toe, initial encounter for closed fracture

ICD10CM code

#### Name of the Condition
- Displaced fracture of distal phalanx of unspecified great toe, initial encounter for closed fracture
- Also known as: Broken big toe tip (displaced)

#### Summary
- This condition involves a displacement fracture at the tip of the big toe's distal phalanx bone. A closed fracture means the skin has not been penetrated, but the bone pieces are not aligned properly.

#### Causes
- Direct trauma or injury to the toe, such as stubbing the toe, dropping heavy objects on the foot, or accidents during sports or physical activities.

#### Risk Factors
- Participating in high-impact sports, lack of protective footwear, engaging in activities with a high risk of toe injuries, and having osteoporosis or weakened bones.

#### Symptoms
- Pain, swelling, bruising, and difficulty in moving the toe. The toe may appear deformed if the fracture is severely displaced.

#### Diagnosis
- Physical examination by a healthcare professional, followed by imaging tests like X-rays to assess the extent and nature of the fracture.

#### Treatment Options
- Immobilization using a splint or cast to allow the bone to heal correctly. 
- Pain management with medications.
- In severe cases, surgical intervention might be required to realign and stabilize the bones using pins, screws or plates.

#### Prognosis and Follow-Up
- With appropriate treatment, most patients recover fully, although recovery time can vary based on severity and treatment adherence. Follow-up with a healthcare provider is crucial to monitor healing.

#### Complications
- Possible complications include improper bone healing (malunion), persistent pain, stiffness, or arthritis in the toe joint.

#### Lifestyle & Prevention
- Using proper footwear that offers protection and support, especially during physical activities.
- Strengthening exercises and proper technique training to reduce the risk of foot injuries.

#### When to Seek Professional Help
- Immediate medical attention is required if the toe appears deformed, if you are unable to move it, or if there is severe pain and swelling.

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

#### Tips for Medical Coders
- Ensure the fracture is coded as displaced and of the distal phalanx of the great toe.
- Remember to specify if this is the initial encounter and whether it's a closed fracture. A common mistake is omitting these critical details.

Medical Policies and Guidelines for Displaced fracture of distal phalanx of unspecified great toe, initial encounter for closed fracture

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