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Nondisplaced fracture of distal phalanx of left great toe, initial encounter for closed fracture

ICD10CM code
#### Name of the Condition
- Nondisplaced fracture of distal phalanx of left great toe, initial encounter for closed fracture
- Often referred to as a nondisplaced toe fracture

#### Summary
A nondisplaced fracture of the distal phalanx in the left great toe is a type of bone break where the bone cracks but stays in its natural position. It's a closed fracture, meaning the skin around the fracture site is intact.

#### Causes
- Direct trauma or impact to the toe, often from accidents or sports injuries
- Twisting or bending the toe beyond its normal range

#### Risk Factors
- Engaging in high-impact sports or activities
- Wearing improper footwear
- Osteoporosis or reduced bone density
- Older age can increase susceptibility to fractures

#### Symptoms
- Pain and tenderness at the tip of the left great toe
- Swelling and bruising around the toe
- Difficulty walking or bearing weight on the affected foot

#### Diagnosis
- Physical examination to assess pain, swelling, and movement
- X-rays to confirm the presence and extent of the fracture

#### Treatment Options
- Rest and immobilization, often with a splint or buddy taping to an adjacent toe
- Over-the-counter pain relief such as acetaminophen or ibuprofen
- Keeping the foot elevated to reduce swelling

#### Prognosis and Follow-Up
- Generally, minor fractures heal well with conservative treatment within 4-6 weeks
- Regular follow-ups may include repeat X-rays to ensure proper healing
- Physical therapy might be needed to restore strength and flexibility

#### Complications
- If untreated, the fracture could lead to chronic pain or arthritis
- Misalignment could occur if not healed properly, affecting toe function

#### Lifestyle & Prevention
- Wear protective footwear during activities with a high fracture risk
- Strengthen bones via a diet rich in calcium and vitamin D
- Balance exercises to prevent falls

#### When to Seek Professional Help
- Persistent pain or swelling despite home treatment
- Signs of infection, such as redness, warmth, or discharge at the injury site
- Numbness or tingling in the toe

#### Additional Resources
- American Orthopaedic Foot & Ankle Society: [aofas.org](https://www.aofas.org)
- National Institute of Arthritis and Musculoskeletal and Skin Diseases: [niams.nih.gov](https://www.niams.nih.gov)

#### Tips for Medical Coders
- Ensure accurate side specification: left great toe related to ICD-10 code S92.425A
- Verify the fracture type (nondisplaced) and encounter type (initial, closed fracture) for correct coding.
- Avoid confusion with similar codes for displaced fractures or those involving different toes or encounters.

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