The patient is a 44-year-old female who works as a road construction flag holder. The patient was directing traffic on an Expressway where road resurfacing was being performed. A truck came too close to the worker and its tire rolled over her left foot. The patient is brought to the nearest hospitals emergency department, where the physician on duty immediately examines the patient and X-rays are performed. The physician describes the patient's trauma as a crush injury of the foot with open fracture. The radiologist impression documented on the radiology report describes the injury as open fracture of the first metatarsal of the foot. The orthopedic surgeon on call comes to the hospital, and the patient is admitted and taken to surgery for an open reduction and internal fixation of the first metatarsal bone with a fasciotomy. The patient remains in the hospital three days before being discharged to home health services follow-up care, with an appointment to see the orthopedic surgeon in seven days. ICD-10-CM = 2 ICD-10-PCS = 2