Unspecified open wound of right thumb without damage to nail
ICD-10 S61.001 is a billable code used to indicate a diagnosis of unspecified open wound of right thumb without damage to nail.
An unspecified open wound of the right thumb without damage to the nail indicates a traumatic injury that has penetrated the skin but does not involve the nail structure. Such wounds can arise from various incidents, including cuts, lacerations, or punctures. The clinical presentation may include bleeding, pain, swelling, and potential exposure of underlying tissues. The absence of nail damage suggests that the injury is limited to the soft tissue of the thumb, which may include skin, subcutaneous tissue, and possibly deeper structures such as tendons or nerves. Proper assessment is crucial to determine the extent of the injury, as open wounds can lead to complications such as infection or delayed healing. Treatment typically involves cleaning the wound, possibly suturing, and monitoring for signs of infection. In cases where deeper structures are involved, further surgical intervention may be necessary. Accurate coding is essential for appropriate reimbursement and to reflect the severity of the injury in medical records.
Detailed description of the injury mechanism, wound assessment, and treatment provided.
Patients presenting with lacerations from accidents, cuts from sharp objects, or injuries from falls.
Ensure that all relevant details about the injury and treatment are documented to support the coding.
Comprehensive evaluation of any potential tendon or nerve involvement, surgical notes if applicable.
Surgical repair of complex thumb injuries, including tendon repair or reconstruction.
Document any surgical interventions and post-operative care to ensure accurate coding.
Used for suturing a laceration on the right thumb.
Document the size of the wound and the method of repair.
Orthopedic surgeons should note any additional procedures performed.
Document the mechanism of injury, the depth of the wound, any associated injuries, treatment provided, and follow-up care instructions.
