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ICD-10 Guide
ICD-10 CodesS61.212

S61.212

Billable

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

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

Code Description

ICD-10 S61.212 is a billable code used to indicate a diagnosis of laceration without foreign body of right middle finger without damage to nail.

Key Diagnostic Point:

S61.212 refers to a laceration of the right middle 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 recreational activities. The laceration may vary in depth and severity, potentially affecting the skin, subcutaneous tissue, and possibly underlying structures such as tendons or nerves. It is crucial to assess the extent of the injury to determine appropriate treatment, which may include cleaning, suturing, and possibly surgical intervention if deeper structures are involved. The absence of foreign bodies simplifies the management of the wound, as there is no need for additional procedures to remove debris. However, careful evaluation is necessary to rule out complications such as infection or damage to the flexor tendons, which could lead to functional impairment of the finger. Proper documentation of the injury's characteristics, treatment provided, and follow-up care is essential for accurate coding and billing.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Need for detailed documentation of the injury's depth and extent
  • Assessment of potential tendon or nerve involvement
  • Differentiation from similar codes for lacerations with foreign bodies
  • Consideration of associated injuries or complications

Audit Risk Factors

  • Inadequate documentation of the injury's specifics
  • Failure to note associated injuries (e.g., tendon damage)
  • Incorrect coding of related procedures
  • Lack of follow-up documentation

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

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

Common Clinical Scenarios

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

Billing Considerations

Ensure that all relevant details about the injury and treatment are documented to support coding.

Orthopedic Surgery

Documentation Requirements

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

Common Clinical Scenarios

Surgical repair of lacerations involving deeper structures or reconstruction of tendon injuries.

Billing Considerations

Document any surgical interventions and the rationale for the chosen approach.

Coding Guidelines

Inclusion Criteria

Use S61.212 When
  • Follow official ICD
  • 10 coding guidelines, ensuring that the code accurately reflects the injury's specifics
  • Include details about the treatment provided and any complications that arise

Exclusion Criteria

Do NOT use S61.212 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 right middle finger.

Documentation Requirements

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

Specialty Considerations

Ensure that the procedure aligns with the diagnosis for accurate billing.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of injuries, including lacerations. S61.212 provides a clear distinction for lacerations without foreign bodies, improving the accuracy of medical records and billing.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of injuries, including lacerations. S61.212 provides a clear distinction for lacerations without foreign bodies, improving the accuracy of medical records and billing.

Reimbursement & Billing Impact

billing.

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 coding S61.212 accurately?

Accurate coding of S61.212 ensures proper reimbursement for the treatment provided and helps in tracking injury trends and outcomes in healthcare.