Laceration without foreign body of thumb with damage to nail
ICD-10 S61.11 is a billable code used to indicate a diagnosis of laceration without foreign body of thumb with damage to nail.
S61.11 refers to a specific type of injury characterized by a laceration of the thumb that does not involve a foreign body and includes damage to the nail. This condition typically arises from trauma such as cuts, bites, or accidents involving sharp objects. Clinically, it is essential to assess the extent of the laceration, including the depth and whether it has affected underlying structures such as tendons, nerves, or blood vessels. Damage to the nail can lead to complications such as nail deformity or infection. Proper evaluation often requires a thorough physical examination and may necessitate imaging studies if deeper structures are suspected to be involved. Treatment may involve wound cleaning, suturing, and possibly surgical intervention if there is significant damage to the nail bed or surrounding tissues. The prognosis is generally good with appropriate care, but complications can arise if the injury is not managed correctly.
Detailed notes on the mechanism of injury, extent of damage, and treatment plan.
Patients presenting with lacerations requiring surgical repair or those with associated fractures.
Documentation should clearly outline any surgical interventions performed and the rationale for them.
Comprehensive assessment of the injury, including vital signs and initial treatment provided.
Patients with acute hand injuries presenting to the emergency department.
Ensure that all relevant details of the injury and treatment are documented to support coding.
Used when the laceration requires simple closure without extensive repair.
Document the size of the laceration and the method of closure.
Orthopedic surgeons may need to provide additional details on the repair technique.
S61.11 is used for lacerations without foreign bodies, while S61.12 is for lacerations that involve a foreign body. Accurate documentation is crucial to determine the correct code.