Facebook tracking pixel
Z89.422
ICD-10-CM
Left Toe Amputation

Find comprehensive information on Left Toe Amputation including ICD-10 codes, CPT codes, clinical documentation improvement tips, healthcare guidelines, and post-operative care. Learn about partial toe amputation, complete toe amputation, and related diagnoses for accurate medical coding and billing. Explore resources for healthcare professionals, patients, and medical coders seeking information on Left Toe Amputation diagnosis, treatment, and recovery.

Also known as

Amputation of Left Toe
Left Toe Surgical Removal

Diagnosis Snapshot

Key Facts
  • Definition : Surgical removal of part or all of the left toe.
  • Clinical Signs : Missing toe, pain, infection, ulceration, gangrene, limited mobility.
  • Common Settings : Diabetes, peripheral artery disease, trauma, infection, surgery.

Related ICD-10 Code Ranges

Complete code families applicable to AAPC Z89.422 Coding
Z89.4-

Acquired absence of left toe

Codes for acquired absence of left toe due to amputation or other causes.

S98.-

Other injuries of left toe

Includes open wounds, crushing injuries, and other specified injuries of left toe.

T87.6-

Postprocedural complications of left toe

Covers complications like infection or delayed healing after left toe surgery/amputation.

Code-Specific Guidance

Decision Tree for

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?

Code Comparison

Related Codes Comparison

When to use each related code

Description
Left toe amputation
Left foot amputation
Acquired left toe deformity

Documentation Best Practices

Documentation Checklist
  • Left toe amputation: ICD-10 code, level, laterality
  • Amputation cause: trauma, diabetes, PVD
  • Partial/complete amputation: specify toe(s)
  • Surgical technique: disarticulation, guillotine
  • Prosthetic fitting plan: documented if applicable

Coding and Audit Risks

Common Risks
  • Laterality Coding Error

    Incorrectly coding the right toe instead of the left or not specifying laterality, leading to claim rejection or inaccurate data.

  • Specificity of Amputation

    Lack of documentation specifying the level of amputation (e.g., toe, ray, transmetatarsal) impacting reimbursement and quality metrics.

  • Underlying Cause Missing

    Failure to document the underlying condition causing the amputation (e.g., diabetes, trauma) affects data analysis and case mix index.

Mitigation Tips

Best Practices
  • Accurate ICD-10 coding (Z89.41-) for history of amputation.
  • Specific laterality documentation (left) is crucial for coding.
  • Detailed amputation level notes improve CDI and reimbursement.
  • Regular chart reviews ensure compliance and accurate coding.
  • Query physicians for clarification on ambiguous amputation details.

Clinical Decision Support

Checklist
  • Confirm laterality: Left toe documented
  • Amputation level specified (e.g., partial, complete)
  • ICD-10 code Z89.41- documented appropriately
  • Operative report confirms left toe amputation

Reimbursement and Quality Metrics

Impact Summary
  • Left Toe Amputation reimbursement hinges on accurate ICD-10 coding (e.g., Z89.41-, Z89.61-) and CPT procedure codes (e.g., 28820-28825) for optimal payment.
  • Coding errors impact reimbursement and PSI 4 (Surgical Site Infection) reporting, affecting hospital quality scores.
  • Precise documentation of amputation level (toe, ray, transmetatarsal) is crucial for correct code assignment and full reimbursement.
  • Timely claim submission with complete documentation minimizes denials and accelerates revenue cycle management.

Streamline Your Medical Coding

Let S10.AI help you select the most accurate ICD-10 codes. Our AI-powered assistant ensures compliance and reduces coding errors.

Quick Tips

Practical Coding Tips
  • Code specific amputation level
  • ICD-10 Z89.41 left toe
  • Document clear etiology
  • Consider laterality codes
  • Check 7th character

Documentation Templates

Patient presents with left toe amputation.  History includes [indication for amputation - e.g., peripheral artery disease, diabetes, trauma, infection, gangrene] affecting the left [specify toe - e.g., great toe, second toe, etc.].  On examination, the left [specify toe] is absent, with a surgical site demonstrating [describe wound healing status - e.g., well-healing, granulating, signs of infection, dehiscence].  Peripheral pulses are [describe pulses - e.g., palpable, diminished, absent] in the left foot.  Neuropathy [present or absent].  Assessment: Left toe amputation status post [surgical procedure type - e.g., transmetatarsal amputation, toe disarticulation] due to [underlying cause].  Plan: Continue [current treatments - e.g., wound care, antibiotics, pain management, offloading].  Patient education provided regarding [relevant topics - e.g., wound care instructions, signs of infection, diabetic foot care, footwear recommendations, mobility aids].  Follow-up scheduled in [timeframe - e.g., one week, two weeks] to monitor healing and assess for complications.  ICD-10 code [appropriate code - e.g., Z89.411, Z89.412, Z89.419] for acquired absence of left toe.  Referral to [specialist if applicable - e.g., prosthetist, physical therapist, vascular surgeon] considered.
Left Toe Amputation - AI-Powered ICD-10 Documentation