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ICD-10 Guide
ICD-10 CodesS61.10

S61.10

Billable

Unspecified open wound of thumb with damage to nail

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

Code Description

ICD-10 S61.10 is a billable code used to indicate a diagnosis of unspecified open wound of thumb with damage to nail.

Key Diagnostic Point:

An unspecified open wound of the thumb with damage to the nail typically occurs due to trauma, such as cuts, lacerations, or punctures. This injury can result from various incidents, including accidents with sharp objects, falls, or sports-related injuries. The open wound may involve the skin and underlying tissues, potentially affecting the nail bed, leading to complications such as nail deformity or loss. Clinically, the wound may present with bleeding, swelling, and pain, and it is crucial to assess for any associated injuries, including fractures of the thumb bones, tendon injuries, or nerve damage. Proper evaluation and management are essential to prevent infection and ensure optimal healing. Treatment may involve wound cleaning, suturing, and possibly surgical intervention if deeper structures are involved. The complexity of this condition lies in the potential for associated injuries and the need for thorough documentation to capture the full extent of the trauma and its implications for treatment.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Potential for associated fractures or tendon injuries
  • Variability in documentation of injury severity
  • Need for detailed descriptions of the wound type and location
  • Differentiation from similar codes for more specific injuries

Audit Risk Factors

  • Inadequate documentation of the mechanism of injury
  • Failure to specify associated injuries or complications
  • Misclassification of the wound type
  • Lack of follow-up documentation on treatment outcomes

Specialty Focus

Medical Specialties

Orthopedic Surgery

Documentation Requirements

Detailed descriptions of the injury mechanism, associated fractures, and surgical interventions performed.

Common Clinical Scenarios

Fractures associated with open wounds, tendon repairs, and reconstructive surgeries.

Billing Considerations

Ensure accurate coding of any surgical procedures performed in conjunction with the wound treatment.

Emergency Medicine

Documentation Requirements

Thorough documentation of the initial assessment, treatment provided, and any referrals made.

Common Clinical Scenarios

Acute trauma cases presenting with open wounds and potential complications.

Billing Considerations

Document the mechanism of injury and any immediate interventions to support coding.

Coding Guidelines

Inclusion Criteria

Use S61.10 When
  • Follow the official ICD
  • CM coding guidelines, ensuring specificity in documentation
  • Include details about the wound's location, type, and any associated injuries
  • Use additional codes for fractures or other injuries as necessary

Exclusion Criteria

Do NOT use S61.10 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

12001CPT Code

Simple repair of superficial wounds

Clinical Scenario

Used for suturing an open wound on the thumb.

Documentation Requirements

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

Specialty Considerations

Orthopedic surgeons may perform more complex repairs if associated injuries are present.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for greater specificity in coding, which is crucial for accurately capturing the complexity of hand injuries. This code reflects the need for detailed documentation to support treatment decisions and reimbursement.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for greater specificity in coding, which is crucial for accurately capturing the complexity of hand injuries. This code reflects the need for detailed documentation to support treatment decisions and reimbursement.

Reimbursement & Billing Impact

reimbursement.

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 I document for an open wound of the thumb?

Document the mechanism of injury, the extent of the wound, any associated injuries, and the treatment provided. Include details about the nail damage and any surgical interventions if applicable.