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ICD-10 Guide
ICD-10 CodesS61.210

S61.210

Billable

Laceration without foreign body of right index finger without damage to nail

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

Code Description

ICD-10 S61.210 is a billable code used to indicate a diagnosis of laceration without foreign body of right index finger without damage to nail.

Key Diagnostic Point:

S61.210 refers to a laceration of the right index finger that does not involve a foreign body and does not damage the nail. This type of injury is common in various settings, including workplaces, homes, and during recreational activities. The laceration may vary in depth and length, potentially affecting the skin, subcutaneous tissue, and possibly underlying structures such as tendons or nerves. However, in this specific code, there is no indication of damage to the nail or the presence of foreign materials. Proper assessment is crucial to determine the extent of the injury, as untreated lacerations can lead to complications such as infection, scarring, or functional impairment. Treatment typically involves cleaning the wound, possible suturing, and follow-up care to ensure proper healing. Documentation should clearly describe the injury's characteristics, treatment provided, and any follow-up care required to ensure accurate coding and billing.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Need for precise documentation of the injury's location and extent
  • Differentiation from similar codes for lacerations with foreign bodies or nail damage
  • Potential for associated injuries (e.g., tendon or nerve damage) that may complicate coding
  • Variability in treatment approaches that may affect coding

Audit Risk Factors

  • Inadequate documentation of the injury's specifics
  • Failure to note associated injuries (e.g., tendon or nerve damage)
  • Incorrect coding due to misunderstanding of the injury type
  • Lack of follow-up documentation to support the treatment provided

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Detailed description of the injury, treatment provided, and any follow-up care.

Common Clinical Scenarios

Patients presenting with hand injuries from accidents, sports, or household tasks.

Billing Considerations

Ensure that all aspects of the injury are documented, including depth and potential involvement of underlying structures.

Orthopedic Surgery

Documentation Requirements

Comprehensive assessment of the injury, including imaging if necessary, and surgical notes if repair is performed.

Common Clinical Scenarios

Surgical repair of lacerations involving tendons or nerves, or complex lacerations requiring specialized care.

Billing Considerations

Documentation must clearly indicate the extent of the injury and any surgical interventions performed.

Coding Guidelines

Inclusion Criteria

Use S61.210 When
  • Follow the official ICD
  • CM coding guidelines, ensuring that the code accurately reflects the injury's specifics
  • Include any relevant details about the treatment and follow
  • up care

Exclusion Criteria

Do NOT use S61.210 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

12001CPT Code

Simple repair of superficial wounds

Clinical Scenario

Used when the laceration is simple and requires suturing.

Documentation Requirements

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

Specialty Considerations

Orthopedic surgeons may need to document any additional procedures if tendon repair is involved.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of lacerations, improving the accuracy of medical records and billing. S61.210 provides a clear distinction for lacerations without foreign bodies or nail damage, enhancing the granularity of data collection.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of lacerations, improving the accuracy of medical records and billing. S61.210 provides a clear distinction for lacerations without foreign bodies or nail damage, enhancing the granularity of data collection.

Reimbursement & Billing Impact

billing. S61.210 provides a clear distinction for lacerations without foreign bodies or nail damage, enhancing the granularity of data collection.

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 to use S61.210?

Document the location, depth, treatment provided, and any follow-up care. Ensure that there is no mention of foreign bodies or nail damage.