Unspecified open wound of left index finger without damage to nail
ICD-10 S61.201 is a billable code used to indicate a diagnosis of unspecified open wound of left index finger without damage to nail.
An unspecified open wound of the left index finger without damage to the nail indicates a traumatic injury that has penetrated the skin but does not involve the nail structure. Such wounds can result from various incidents, including cuts, lacerations, or punctures. The clinical presentation may include bleeding, pain, and swelling at the injury site. The absence of nail damage suggests that the injury is limited to the soft tissue, which may involve the dermis and subcutaneous layers. Proper assessment is crucial to rule out deeper injuries, such as tendon or nerve damage, which can occur in more severe cases. Treatment typically involves cleaning the wound, possibly suturing, and monitoring for infection. The management of such injuries is essential to prevent complications and ensure proper healing. Documentation should include the mechanism of injury, the extent of the wound, and any associated symptoms to support accurate coding and treatment planning.
Detailed description of the injury, mechanism, and treatment provided.
Patients presenting with hand injuries from accidents, sports, or household incidents.
Ensure that all aspects of the injury are documented, including any potential for deeper tissue involvement.
Comprehensive assessment of the injury, including imaging if necessary.
Surgical intervention for complex hand injuries or repair of associated tendon injuries.
Document any surgical procedures performed and the rationale for intervention.
Used when the wound is sutured in the emergency department.
Document the size of the wound and the method of repair.
Emergency medicine providers should ensure accurate coding based on the complexity of the repair.
Document the mechanism of injury, the extent of the wound, any treatment provided, and follow-up care instructions to ensure accurate coding.
