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ICD-10 Guide
ICD-10 CodesS61.02

S61.02

Billable

Laceration with foreign body of thumb without damage to nail

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/24/2025

Code Description

ICD-10 S61.02 is a billable code used to indicate a diagnosis of laceration with foreign body of thumb without damage to nail.

Key Diagnostic Point:

S61.02 refers to a laceration of the thumb that is accompanied by a foreign body but does not involve damage to the nail. This condition typically arises from traumatic incidents such as cuts from sharp objects, punctures from nails or glass, or injuries sustained during manual labor or sports. The presence of a foreign body complicates the injury, as it may lead to infection, delayed healing, or further tissue damage if not properly addressed. Clinicians must assess the extent of the laceration, the type of foreign body, and any associated injuries, such as tendon or nerve damage. Treatment often involves thorough cleaning of the wound, removal of the foreign body, and potential surgical intervention if deeper structures are involved. Accurate coding is essential for proper reimbursement and to reflect the complexity of the injury, especially in cases where surgical repair or additional procedures are required.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Presence of foreign body complicates the injury management.
  • Potential for associated injuries such as tendon or nerve damage.
  • Need for detailed documentation of the injury mechanism.
  • Variability in treatment approaches based on foreign body type.

Audit Risk Factors

  • Inadequate documentation of the foreign body type.
  • Failure to document associated injuries (e.g., tendon or nerve damage).
  • Lack of clarity on the mechanism of injury.
  • Improper coding of the laceration depth or complexity.

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Detailed description of the injury mechanism, foreign body type, and any immediate interventions performed.

Common Clinical Scenarios

Patients presenting with lacerations from accidents, sports injuries, or occupational hazards.

Billing Considerations

Ensure all relevant details are captured to support the complexity of the injury and any procedures performed.

Orthopedic Surgery

Documentation Requirements

Comprehensive assessment of any tendon or nerve involvement, surgical notes if repair is performed.

Common Clinical Scenarios

Surgical intervention for repair of lacerations involving deeper structures or foreign body removal.

Billing Considerations

Document any pre-existing conditions that may affect healing or surgical outcomes.

Coding Guidelines

Inclusion Criteria

Use S61.02 When
  • According to ICD
  • 10 coding guidelines, S61
  • 02 should be used when a laceration with a foreign body is documented without nail damage
  • Coders must ensure that the documentation supports the diagnosis and includes details about the foreign body and any associated injuries

Exclusion Criteria

Do NOT use S61.02 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

12001CPT Code

Simple repair of superficial wounds

Clinical Scenario

Used for simple repair of the laceration without deeper involvement.

Documentation Requirements

Document the size of the laceration and the method of repair.

Specialty Considerations

Ensure the procedure aligns with the complexity of the injury.

10120CPT Code

Incision and removal of foreign body

Clinical Scenario

Used when a foreign body is removed from the laceration.

Documentation Requirements

Document the type of foreign body and the technique used for removal.

Specialty Considerations

Detail any complications or additional procedures performed.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of lacerations, including those with foreign bodies. This specificity aids in better tracking of injury types and treatment outcomes, ultimately improving patient care and reimbursement processes.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of lacerations, including those with foreign bodies. This specificity aids in better tracking of injury types and treatment outcomes, ultimately improving patient care and reimbursement processes.

Reimbursement & Billing Impact

reimbursement processes.

Resources

Clinical References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Coding & Billing References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Frequently Asked Questions

What should be documented for S61.02?

Documentation should include the mechanism of injury, the type of foreign body, the extent of the laceration, and any associated injuries such as tendon or nerve damage.