Laceration without foreign body of unspecified thumb without damage to nail
ICD-10 S61.019 is a billable code used to indicate a diagnosis of laceration without foreign body of unspecified thumb without damage to nail.
S61.019 refers to a laceration of the thumb that does not involve a foreign body and does not damage the nail. This type of injury is common in various settings, particularly in accidents involving sharp objects or falls. The thumb, being a crucial digit for hand function, is often at risk during manual tasks. The laceration may vary in depth and severity, potentially affecting the skin, subcutaneous tissue, and underlying structures such as tendons and nerves. Accurate assessment is essential to determine the extent of the injury and the appropriate treatment plan. Treatment may involve cleaning the wound, suturing, and possibly referral to a hand specialist if deeper structures are involved. Proper documentation is critical to ensure that the injury is coded accurately, reflecting the specifics of the laceration and any associated treatments.
Detailed notes on the mechanism of injury, extent of laceration, and any surgical interventions performed.
Lacerations requiring surgical repair, tendon repair, or nerve exploration.
Ensure to document any associated fractures or tendon injuries to support coding.
Comprehensive assessment of the injury, including vital signs, wound care provided, and any imaging performed.
Patients presenting with acute lacerations from accidents or sports injuries.
Document the mechanism of injury and any immediate interventions to justify the level of care.
Used for suturing a laceration on the thumb.
Document the size of the laceration and the method of repair.
Orthopedic surgeons may need to document any tendon repair performed.
S61.019 is used for lacerations without foreign bodies, while S61.01X includes lacerations with foreign bodies. Accurate documentation is essential to determine which code to use.
