Laceration with foreign body of right thumb without damage to nail
ICD-10 S61.021 is a billable code used to indicate a diagnosis of laceration with foreign body of right thumb without damage to nail.
S61.021 refers to a specific type of injury characterized by a laceration of the right thumb that includes a foreign body embedded within the wound, but does not involve any damage to the nail. This type of injury is common in various settings, particularly in industrial or home environments where sharp objects are prevalent. 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 nature of the foreign body, and any associated injuries such as tendon or nerve damage. Treatment typically involves thorough cleaning of the wound, removal of the foreign body, and possibly suturing the laceration. In some cases, surgical intervention may be necessary to repair damaged structures or to ensure complete removal of the foreign body. Accurate coding is essential for proper billing and to reflect the complexity of the injury, especially when additional procedures or complications arise.
Detailed description of the injury, foreign body type, and treatment provided.
Patients presenting with hand injuries from accidents, industrial settings, or sports.
Ensure documentation includes mechanism of injury and any immediate interventions performed.
Comprehensive assessment of any associated fractures or tendon injuries.
Surgical repair of lacerations involving deeper structures or foreign body removal.
Document any surgical findings and post-operative care instructions.
Used for repair of the laceration after foreign body removal.
Document the size of the laceration and the method of repair.
Orthopedic surgeons may need to document any additional procedures performed.
Documentation should include the mechanism of injury, details about the foreign body, the extent of the laceration, and any associated injuries or treatments provided.
