S91.216
Laceration without foreign body of unspecified lesser toe(s) with damage to nail
Clinical Classification Guidelines
Medical Intelligence & Overview
A laceration of the lesser toe is a cut or tear involving the toe, often caused by sharp objects or trauma. When this injury occurs without foreign bodies but damages the nail, it can be painful and may require proper care to prevent complications. The ICD-10 code S91.216 specifically refers to lacerations of unspecified lesser toes with nail damage but without foreign material embedded in the wound.
Causes & Symptoms
Clinical Causes: Accidental cuts from sharp objects such as glass, knives, or metal pieces Crushing injuries or impacts during falls or accidents Getting caught or snagged on objects leading to a tear Work-related injuries involving hand tools or machinery Sports injuries involving toes, especially in activities with fast movements or stepping on sharp surfaces
Key Symptoms: Pain and tenderness around the toe Swelling or bruising in the affected area Visible tear or cut in the skin of the toe Damage or injury to the nail, which may be torn, cracked, or displaced Bleeding from the wound, which may vary in severity Possible signs of infection such as redness, warmth, or pus if not treated properly
Diagnostic & Treatment
Diagnosis Path: Diagnosis generally involves a healthcare provider examining the toe to assess the extent of the laceration and nail damage. They may check for additional injuries, foreign objects, or signs of infection. If necessary, imaging tests like X-rays might be ordered to rule out underlying fractures or foreign bodies that aren’t visible externally.
Treatment Protocols: Treatment options for a laceration of the lesser toe with nail damage include:
Clinical Advice & FAQs
Billing Guidance
Is S91.216 a billable ICD-10 code?
Yes, S91.216 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.
Documentation
How do I report S91.216?
Clinical documentation must specify the nature of Laceration without foreign body of unspecified lesser toe(s) with damage to nail and any associated comorbidities for accurate reporting.
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