ICD 10 CM S91.106 | Description & Clinical Information

ICD 10 S91.106 describes an instance of an unspecified open wound occurring on an unspecified lesser toe without any damage to the nail, which can result from a variety of injuries such as lacerations, puncture wounds, or open bites that break the skin and expose the underlying tissues to the air, but the provider has not documented any information regarding the nature or type of the open wound or whether it affects the left or right lesser toe.

Official Description Of S91.106

The ICD 10 CM book defines ICD 10 code S91.106 as:

When To Use S91.106

The diagnosis describes by ICD-10-CM code S91.106 pertains to an unspecified open wound of an unspecified lesser toe without damage.
Open wounds can be caused by various factors such as accidents, falls, sports injuries, etc. They can be superficial or deep, and the severity can vary depending on the location and size of the wound.
When an open wound affects a lesser toe without any damage to the nail, it can cause several symptoms such as pain, tenderness, stiffness or tightness, and swelling. Sometimes, there may be bleeding or bruising, and due to the open nature of the wound, there is a potential for infection and inflammation. Furthermore, this condition can also lead to mobility restrictions.
Clinicians usually assess the patient’s medical history and perform a physical examination to diagnose this condition accurately. The assessment might focus on the bones, nerves, and blood vessels that are associated with the wound site. Based on the depth and severity of the wound, imaging techniques like X-rays may be used to investigate further and determine any foreign bodies that could be present.
Treatment options for open wounds of the lesser toe without nail damage vary depending on the severity of the injury. Providers attempt to control any bleeding and implement a thorough cleaning regimen for the wound area immediately. If damaged or infected tissue is present, surgical removal becomes necessary. Appropriate medication and dressing are then applied. Pain relief requirements might include analgesics and nonsteroidal anti-inflammatory drugs, while the administration of antibiotics to prevent or treat infection is required in some instances. Tetanus prophylaxis is also a possible course of action.
It is essential to seek medical attention promptly, as the symptoms of an open wound can progressively worsen over time or lead to more severe conditions. Delaying treatment can result in a prolonged recovery period, increased risk of infection and complications, and the possibility of further injury to the affected area.
As a medical coder, it is essential to have a good understanding of the ICD-10-CM code S91.106 and the conditions it represents. Proper documentation and coding can make a significant difference in payment for the services rendered, and ultimately in the patient’s care.