Unspecified open wound of unspecified finger without damage to nail
ICD-10 S61.209 is a billable code used to indicate a diagnosis of unspecified open wound of unspecified finger without damage to nail.
An unspecified open wound of the finger refers to a laceration or puncture that penetrates the skin but does not involve damage to the nail. This type of injury can occur due to various mechanisms, including cuts from sharp objects, bites, or accidents involving machinery. The clinical presentation may include bleeding, swelling, and pain at the site of injury. While the wound may not damage the nail, it can still lead to complications such as infection, tendon injuries, or nerve damage if not properly assessed and treated. The management of such wounds often involves cleaning the wound, possibly suturing, and monitoring for signs of infection. In cases where deeper structures are involved, further evaluation may be necessary to assess for fractures or tendon injuries. Accurate coding is essential for proper treatment documentation and reimbursement, as well as for tracking injury patterns in epidemiological studies.
Detailed description of the injury mechanism, wound assessment, and treatment provided.
Patients presenting with lacerations from accidents, sports injuries, or domestic incidents.
Ensure documentation includes any associated injuries or complications, such as fractures or tendon injuries.
Comprehensive evaluation of the hand and finger, including imaging studies if fractures are suspected.
Patients with open wounds requiring surgical intervention or repair of tendons.
Document any surgical procedures performed, including repair of tendons or nerves if applicable.
Used for suturing an open wound on the finger.
Document the size of the wound and the technique used.
Emergency medicine providers should ensure they document the mechanism of injury.
Document the mechanism of injury, the specific finger involved, the depth of the wound, any associated injuries, and the treatment provided.
