S98.132A Complete traumatic amputation of one left lesser toe, initial encounter

ICD10CM code

#### Name of the Condition
- Complete traumatic amputation of one left lesser toe

#### Summary
- This condition refers to the complete severing of one of the smaller toes on the left foot due to an injury. It typically involves the entire toe being detached from the foot and is a serious medical emergency that requires prompt attention.

#### Causes
- This condition is typically caused by severe trauma or accidents, such as a heavy object falling on the foot, machinery accidents, or vehicular accidents. High-impact sports injuries can also lead to such amputations.

#### Risk Factors
- Occupations that involve working with heavy machinery, engagement in high-contact sports, or any environments where the feet are at risk of crushing injuries can increase the likelihood of traumatic toe amputation.

#### Symptoms
- Symptoms include severe pain at the injury site, bleeding, visible loss of the toe, swelling, and potential shock due to blood loss.

#### Diagnosis
- Diagnosis is usually straightforward and involves a physical examination. Imaging, such as X-rays, may be used to assess any additional injuries to the foot.

#### Treatment Options
- Immediate treatment may involve controlling bleeding, cleaning the wound, and administering pain relief. Surgical intervention is often necessary to close the wound and repair or reconstruct surrounding tissues. In some cases, toe reattachment may be attempted.

#### Prognosis and Follow-Up
- The prognosis depends on the extent of the injury and the success of surgical repair. Follow-up care involves wound management, physical therapy for mobility, and possibly the use of prosthetics.

#### Complications
- Potential complications include infection, poor wound healing, and loss of balance or altered gait due to the missing toe.

#### Lifestyle & Prevention
- Wearing protective footwear in high-risk environments, proper safety training for machinery, and using caution during high-contact sports can help prevent such injuries.

#### When to Seek Professional Help
- Immediate medical attention is necessary following the traumatic loss of a toe, particularly if bleeding is uncontrollable or if there are signs of shock.

#### Additional Resources
- American Academy of Orthopaedic Surgeons (AAOS)
- National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMS)

#### Tips for Medical Coders
- Ensure the accurate use of ICD code S98.132A for initial encounters of complete traumatic amputation of a left lesser toe.
- Avoid confusion with injuries to other toes or partial amputations; "complete" refers to the total loss of the toe.

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