Abrasion, left lesser toe(s), sequela

This code indicates a superficial injury to the left lesser toe(s) where the outer layer of skin has been scraped or rubbed off, and the current encounter is for a late effect or complication of that initial abrasion. This implies the original injury has healed, but a residual condition, such as scarring, chronic pain, or altered sensation, is now being addressed.

Utilize this code when documenting follow-up care for a patient presenting with a persistent issue directly resulting from a previously sustained abrasion to their left lesser toe(s). Examples include managing a hypertrophic scar, addressing ongoing nerve pain, or treating chronic skin sensitivity at the site of the old injury. Do not use for the initial treatment of the abrasion itself.

• Always ensure documentation clearly links the current condition to the prior abrasion as a sequela.
• A secondary code for the specific sequela (e.g., scar, chronic pain) should also be reported.
• This code is for the left lesser toe(s); verify laterality and specific toe(s) involved.