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ICD-10 Guide
ICD-10 CodesS61.205

S61.205

Billable

Unspecified open wound of left ring finger without damage to nail

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

Code Description

ICD-10 S61.205 is a billable code used to indicate a diagnosis of unspecified open wound of left ring finger without damage to nail.

Key Diagnostic Point:

An unspecified open wound of the left ring 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 arise from various incidents, including cuts, lacerations, or punctures. Clinically, these injuries may present with bleeding, pain, and swelling, and they require careful assessment to rule out associated injuries such as fractures, tendon damage, or nerve involvement. The absence of nail damage simplifies the clinical picture, but it is crucial to evaluate the depth and extent of the wound to determine appropriate treatment. Management may involve cleaning the wound, suturing if necessary, and monitoring for signs of infection. In cases where deeper structures are involved, further intervention may be required. Accurate coding is essential for proper reimbursement and to reflect the severity of the injury in the patient's medical record.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in documentation of wound depth and extent
  • Potential for associated injuries (e.g., fractures, tendon injuries)
  • Need for precise anatomical localization
  • Differentiation from similar codes for other finger injuries

Audit Risk Factors

  • Inadequate documentation of the mechanism of injury
  • Failure to specify the depth of the wound
  • Lack of follow-up documentation regarding treatment outcomes
  • Inconsistent coding of associated injuries

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Detailed description of the injury mechanism, wound assessment, and treatment provided.

Common Clinical Scenarios

Patients presenting with lacerations from accidents, sports injuries, or household incidents.

Billing Considerations

Ensure that all associated injuries are documented to avoid undercoding.

Orthopedic Surgery

Documentation Requirements

Comprehensive evaluation of potential fractures or tendon injuries, including imaging results.

Common Clinical Scenarios

Patients requiring surgical intervention for complex hand injuries or fractures.

Billing Considerations

Document any surgical procedures performed and the rationale for intervention.

Coding Guidelines

Inclusion Criteria

Use S61.205 When
  • Follow ICD
  • CM guidelines for coding open wounds, ensuring specificity regarding the location and nature of the injury
  • Include any relevant external cause codes if applicable

Exclusion Criteria

Do NOT use S61.205 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

12001CPT Code

Simple repair of superficial wounds

Clinical Scenario

Used for suturing the open wound on the left ring finger.

Documentation Requirements

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

Specialty Considerations

Orthopedic surgeons may need to document any additional procedures performed.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 allows for more specific coding of injuries, improving the accuracy of medical records and reimbursement processes. S61.205 reflects the need for precise documentation of hand injuries.

ICD-9 vs ICD-10

The transition to ICD-10 allows for more specific coding of injuries, improving the accuracy of medical records and reimbursement processes. S61.205 reflects the need for precise documentation of hand injuries.

Reimbursement & Billing Impact

reimbursement processes. S61.205 reflects the need for precise documentation of hand injuries.

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 is the significance of specifying 'without damage to nail'?

Specifying 'without damage to nail' is crucial for accurate coding as it affects the treatment approach and potential complications. It helps differentiate this injury from those that involve nail damage, which may require different management.