Unspecified open wound of right index finger without damage to nail
ICD-10 S61.200 is a billable code used to indicate a diagnosis of unspecified open wound of right index finger without damage to nail.
An unspecified open wound of the right index finger without damage to the nail indicates a traumatic injury that has penetrated the skin, resulting in an open wound. This type of injury can occur due to various mechanisms, including cuts, lacerations, or punctures. The absence of nail damage suggests that the injury is confined to the soft tissue of the finger, which may include skin, subcutaneous tissue, and possibly deeper structures such as tendons or nerves. Clinical evaluation is essential to assess the extent of the injury, as open wounds can lead to complications such as infection, delayed healing, or damage to underlying structures. Treatment typically involves wound cleaning, possible suturing, and monitoring for signs of infection. In cases where deeper structures are involved, further surgical intervention may be necessary. Accurate coding is crucial for appropriate management and reimbursement, as well as for tracking injury patterns and outcomes in hand trauma.
Detailed descriptions of the injury, treatment plan, and any surgical interventions performed.
Fractures associated with open wounds, tendon repairs, and nerve decompression.
Ensure that all relevant anatomical details are documented to support the coding of associated injuries.
Comprehensive notes on the mechanism of injury, initial assessment, and treatment provided in the emergency setting.
Acute presentations of hand injuries, including lacerations and puncture wounds.
Timely documentation is critical to capture the nature of the injury and any immediate interventions.
Used when the open wound requires suturing or closure.
Document the size of the wound and the method of closure.
Orthopedic surgeons may perform more complex repairs if deeper structures are involved.
Specifying the finger is crucial for accurate coding, as it affects treatment protocols and potential complications. Each finger may have different anatomical considerations that influence management.
