Nondisplaced unsp fracture of unspecified great toe, sequela

This code indicates a fracture of the great toe where the bone fragments remain in their normal anatomical alignment, and the specific location within the great toe is not documented. The "sequela" seventh character signifies that this encounter is for the late effects or complications of the initial injury, after the acute phase of healing has passed.

Use this code when a patient presents for treatment of a long-term complication, such as chronic pain, stiffness, or deformity, directly resulting from a previously sustained, unspecified, nondisplaced great toe fracture. This code is appropriate when the initial injury has healed, but its lasting impact is being addressed.

• Ensure documentation clearly states the encounter is for a sequela, not the initial treatment or routine follow-up during the healing phase.
• Verify that the fracture was indeed nondisplaced and the specific great toe bone involved (e.g., phalanx) was not specified in the original injury documentation.
• Always assign an additional code(s) to specify the nature of the sequela (e.g., M25.571 for pain in right ankle and joints of foot).