ICD-10-CM Billable Code

S90.422

Blister (nonthermal), left great toe

Clinical Classification Guidelines

Medical Intelligence & Overview

A blister on the left great toe, classified under ICD-10 code S90.422, is a pocket of fluid that forms beneath the skin due to injury or irritation. Nonthermal blisters are caused by factors other than burns or extreme heat, often resulting from minor trauma, friction, or health conditions. While usually not serious, blisters can cause discomfort and sometimes lead to infections if not properly cared for.

Causes & Symptoms

Clinical Causes: Repeated friction or rubbing, such as from ill-fitting shoes Minor injuries, including cuts or knocks Skin irritation from chemicals or allergens Skin conditions like dermatitis or eczema Medical conditions such as herpes zoster or other viral infections Exposure to moisture or excessive sweating Certain medications that thin the skin

Key Symptoms: Raised, fluid-filled bubble on the skin of the left great toe Tenderness or discomfort in the affected area Redness around the blister Possible swelling of the toe Sensitivity to touch In some cases, signs of infection like pus, increased pain, or warmth

Diagnostic & Treatment

Diagnosis Path: Diagnosis of a blister on the left great toe typically involves a physical examination. The healthcare provider will look at the size, location, and appearance of the blister. They may inquire about recent activities or exposures that could have caused the blister. In rare cases, if an infection or underlying condition is suspected, further tests such as a skin scrape or laboratory analysis might be conducted to identify the cause.

Treatment Protocols: Most nonthermal blisters resolve on their own. Treatment focuses on protecting the blister and preventing infection:

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.

Clinical Advice & FAQs

Billing Guidance

Is S90.422 a billable ICD-10 code?
Yes, S90.422 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.

Documentation

How do I report S90.422?
Clinical documentation must specify the nature of Blister (nonthermal), left great toe and any associated comorbidities for accurate reporting.

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