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ICD-10 Guide
ICD-10 CodesS61.211

S61.211

Billable

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

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

Code Description

ICD-10 S61.211 is a billable code used to indicate a diagnosis of laceration without foreign body of left index finger without damage to nail.

Key Diagnostic Point:

S61.211 refers to a laceration of the left 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 home accidents, workplace injuries, and sports-related incidents. The laceration may vary in depth and severity, potentially affecting the skin, subcutaneous tissue, and underlying structures such as tendons and nerves. While the nail remains intact, the injury can still lead to complications such as infection, scarring, or functional impairment of the finger. Proper assessment and treatment are crucial to ensure optimal healing and restore function. Treatment may involve cleaning the wound, suturing if necessary, and monitoring for signs of infection. Rehabilitation may be required to regain full range of motion and strength in the finger. Accurate coding is essential for appropriate reimbursement and to reflect the complexity of the injury in the patient's medical record.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between lacerations with and without foreign bodies
  • Assessing the depth and extent of the laceration
  • Identifying associated injuries to tendons or nerves
  • Documenting the absence of nail damage accurately

Audit Risk Factors

  • Inadequate documentation of the injury's severity
  • Failure to specify the absence of foreign bodies
  • Misclassification of the laceration depth
  • Lack of follow-up documentation regarding treatment outcomes

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

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

Common Clinical Scenarios

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

Billing Considerations

Ensure to document any potential nerve or tendon involvement, even if not initially apparent.

Orthopedic Surgery

Documentation Requirements

Comprehensive assessment of the injury, including imaging if necessary.

Common Clinical Scenarios

Surgical intervention for complex lacerations or associated fractures.

Billing Considerations

Document any surgical procedures performed and the rationale for intervention.

Coding Guidelines

Inclusion Criteria

Use S61.211 When
  • Follow official ICD
  • CM coding guidelines, ensuring accurate documentation of the injury's specifics
  • Include details about the location, depth, and treatment provided

Exclusion Criteria

Do NOT use S61.211 When
  • Exclude codes for lacerations with foreign bodies or those involving nail damage

Related ICD-10 Codes

Related CPT Codes

12001CPT Code

Simple repair of superficial wounds

Clinical Scenario

Used for suturing a laceration on the left index finger.

Documentation Requirements

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

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 lacerations, improving the accuracy of medical records and reimbursement processes. S61.211 provides a clear distinction for lacerations without foreign bodies, enhancing clinical data quality.

ICD-9 vs ICD-10

The transition to ICD-10 allows for more specific coding of lacerations, improving the accuracy of medical records and reimbursement processes. S61.211 provides a clear distinction for lacerations without foreign bodies, enhancing clinical data quality.

Reimbursement & Billing Impact

reimbursement processes. S61.211 provides a clear distinction for lacerations without foreign bodies, enhancing clinical data quality.

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 to support the use of S61.211?

Document the specifics of the laceration, including location, depth, absence of foreign bodies, and any treatment provided.