Disp fx of prox phalanx of unsp less toe(s), init for opn fx

This code signifies a break in the bone closest to the foot in any of the smaller toes (not the big toe), where the bone fragments are no longer in their normal alignment. The fracture has broken through the skin, creating an open wound, and this is the first time the patient is receiving treatment for this specific injury.

Apply this code for patients presenting with an open fracture of the proximal phalanx of a second, third, fourth, or fifth toe, where the fracture fragments are displaced. This is appropriate for the initial visit for treatment, such as reduction, fixation, or wound care, following the injury.

• Ensure documentation specifies "displaced" and "open fracture" for the proximal phalanx of a lesser toe.
• The "B" in the seventh character indicates an initial encounter for an open fracture.
• Later encounters for this specific injury will require a different seventh character (e.g., D for subsequent, G for subsequent with delayed healing).