S91.133
Puncture wound without foreign body of unspecified great toe without damage to nail
Clinical Classification Guidelines
Medical Intelligence & Overview
A puncture wound to the great toe refers to a small, deep injury caused by a pointed object puncturing the skin. When it occurs without a foreign body being left inside and without damage to the nail, it is classified under the ICD-10 code S91.133. Such injuries often happen during outdoor activities, work, or accidents involving sharp objects. While seemingly minor, these wounds require proper care to prevent infection and complications.
Causes & Symptoms
Clinical Causes: Walking or running over sharp objects such as nails, glass, or thorns Accidental stepping on pointed tools like nails, pins, or knives Industrial or construction work involving metal or sharp debris Playing outdoor sports or recreational activities that involve natural or artificial sharp objects Accidental piercing during household tasks or DIY projects
Key Symptoms: Pain at the site of injury, often intense initially Redness and swelling around the puncture site Bleeding at the wound site Tenderness to touch and possible warmth around the area Possible development of pus or discharge if infection sets in Limited or restricted movement of the toe due to pain or swelling In some cases, no visible damage to the nail, but underlying injury may be present
Diagnostic & Treatment
Diagnosis Path: Diagnosis typically involves a physical examination where a healthcare provider assesses the wound for depth, signs of infection, and any visible foreign objects. Imaging studies such as X-rays may be ordered if a retained foreign body or bone injury is suspected. Evaluation also includes checking for signs of infection or damage to surrounding tissues. Medical history related to the injury event provides additional context for appropriate care.
Treatment Protocols: Treatment for a puncture wound of the great toe without foreign body or nail damage generally includes the following steps:
Clinical Advice & FAQs
Billing Guidance
Is S91.133 a billable ICD-10 code?
Yes, S91.133 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.
Documentation
How do I report S91.133?
Clinical documentation must specify the nature of Puncture wound without foreign body of unspecified great toe without damage to nail and any associated comorbidities for accurate reporting.
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