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ICD-10 Guide
ICD-10 CodesS61.119

S61.119

Billable

Laceration without foreign body of unspecified thumb with damage to nail

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

Code Description

ICD-10 S61.119 is a billable code used to indicate a diagnosis of laceration without foreign body of unspecified thumb with damage to nail.

Key Diagnostic Point:

S61.119 refers to a laceration of the thumb that does not involve a foreign body and includes damage to the nail. This type of injury is common in various settings, including workplaces and home environments, where the thumb may be caught or struck by an object. The laceration can vary in depth and severity, potentially affecting not only the skin but also underlying structures such as tendons and nerves. Damage to the nail can lead to complications such as nail deformity or infection. Proper assessment is crucial to determine the extent of the injury, which may require imaging studies to rule out fractures or tendon injuries. Treatment often involves wound care, possible suturing, and monitoring for signs of infection. In some cases, surgical intervention may be necessary to repair damaged structures or to address complications arising from the injury.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in injury severity and depth
  • Potential for associated injuries (e.g., fractures, tendon damage)
  • Need for detailed documentation of injury specifics
  • Differentiation from similar codes (e.g., lacerations with foreign bodies)

Audit Risk Factors

  • Inadequate documentation of injury specifics
  • Failure to document associated injuries
  • Incorrect coding of nail damage severity
  • Misinterpretation of laceration depth

Specialty Focus

Medical Specialties

Orthopedic Surgery

Documentation Requirements

Detailed descriptions of the injury, treatment provided, and any surgical interventions.

Common Clinical Scenarios

Fractures associated with lacerations, tendon repairs, and nail bed injuries.

Billing Considerations

Ensure clarity on whether surgical intervention was required and document any complications.

Emergency Medicine

Documentation Requirements

Complete assessment of the injury, including mechanism of injury and initial treatment provided.

Common Clinical Scenarios

Acute lacerations presenting in the emergency department, often requiring immediate care.

Billing Considerations

Document any imaging performed to rule out fractures or deeper injuries.

Coding Guidelines

Inclusion Criteria

Use S61.119 When
  • Follow official ICD
  • 10 coding guidelines, ensuring accurate documentation of the injury's specifics, including depth, associated injuries, and treatment provided

Exclusion Criteria

Do NOT use S61.119 When
  • Exclude codes for lacerations with foreign bodies or those involving other fingers

Related ICD-10 Codes

Related CPT Codes

12001CPT Code

Simple repair of superficial wounds

Clinical Scenario

Used for laceration repair in outpatient settings.

Documentation Requirements

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

Specialty Considerations

Orthopedic surgeons may perform more complex repairs if deeper structures are involved.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of injuries, including lacerations. S61.119 provides a clear distinction for lacerations without foreign bodies, improving data accuracy and treatment tracking.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of injuries, including lacerations. S61.119 provides a clear distinction for lacerations without foreign bodies, improving data accuracy and treatment tracking.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of injuries, including lacerations. S61.119 provides a clear distinction for lacerations without foreign bodies, improving data accuracy and treatment tracking.

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 a laceration without foreign body?

Document the mechanism of injury, depth of the laceration, any associated injuries, treatment provided, and follow-up care.