Find information on Left Great Toe Amputation including diagnosis codes, clinical documentation requirements, ICD-10 codes, medical coding guidelines, postoperative care, amputation levels, and healthcare resources. Learn about proper coding for partial and complete left great toe amputations, complications, and relevant medical terminology for accurate clinical documentation and billing. This resource supports healthcare professionals in ensuring accurate and comprehensive documentation for left great toe amputation cases.
Also known as
Acquired absence of limb
Covers acquired absence of left great toe due to amputation.
Acquired absence of part of limb
Relates to loss of part of the left great toe if not fully amputated.
Complications of amputation
For complications following left great toe amputation surgery.
Follow this step-by-step guide to choose the correct ICD-10 code.
Is the amputation traumatic?
Yes
Initial encounter?
No
Due to peripheral vascular disease?
When to use each related code
Description |
---|
Left great toe amputation |
Left foot amputation |
Left great toe injury |
Coding lacks specificity regarding the amputation level (e.g., toe, metatarsal, transmetatarsal), impacting reimbursement and data accuracy. Medical coding, CDI, healthcare compliance.
Documentation may omit left side specificity. Accurate laterality is crucial for proper coding, claims processing, and compliance. Medical coding, CDI, left great toe amputation.
Failure to document the underlying condition (e.g., diabetes, peripheral vascular disease) necessitating the amputation. Impacts quality reporting and case mix index. Medical coding, CDI, healthcare compliance.
Patient presents with left great toe amputation, status post amputation performed on [Date of amputation]. The amputation level is [Specify level of amputation: e.g., distal phalanx, through metatarsophalangeal joint, transmetatarsal]. Indication for amputation was [Specify reason for amputation: e.g., peripheral artery disease, gangrene, infection, trauma, diabetic foot ulcer]. The surgical site demonstrates [Describe appearance: e.g., well-healing, signs of infection, dehiscence, granulation tissue]. Patient reports [Patient-reported symptoms: e.g., pain level and character, phantom limb pain, numbness, tingling]. Peripheral pulses in the left foot are [Describe pulses: e.g., palpable, diminished, absent]. Capillary refill in the remaining toes is [Describe capillary refill: e.g., brisk, delayed]. Assessment includes left great toe amputation, [Associated diagnoses, e.g., diabetes mellitus, peripheral neuropathy, osteomyelitis]. Plan includes [Plan of care: e.g., wound care with [Specify dressing type], pain management with [Specify medication and dosage], offloading of the left foot, physical therapy for gait training and prosthetic fitting evaluation, monitoring for signs of infection]. Patient education provided on wound care, pain management, and signs and symptoms of infection. Follow-up appointment scheduled in [Duration] for continued wound assessment and management.