Unspecified sprain of left lesser toe(s), initial encounter

This code signifies a sprain of one or more of the left lesser toes (any toe other than the big toe) where the specific ligament or joint involved is not documented. It indicates an acute injury, representing the first time the patient is receiving active treatment for this particular sprain.

Apply this code when a patient presents with a sprain to their left second, third, fourth, or fifth toe, and the medical record does not specify the exact toe or ligament involved. This is appropriate for the initial visit for evaluation and treatment of the injury.

• Ensure documentation clearly indicates the left foot and a lesser toe, without further specificity.
• Confirm this is the patient's first encounter for this specific injury; subsequent care would use a different seventh character.
• If the specific lesser toe (e.g., left second toe) or ligament is documented, a more specific code should be used.