Laceration without foreign body of left middle finger without damage to nail
ICD-10 S61.213 is a billable code used to indicate a diagnosis of laceration without foreign body of left middle finger without damage to nail.
S61.213 refers to a specific type of injury characterized by a laceration on the left middle finger that does not involve any foreign body and does not damage the nail. This type of injury is common in various settings, including occupational accidents, sports injuries, and household mishaps. 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 case, the absence of foreign bodies simplifies the clinical picture, as there is no need for additional interventions to remove debris. Proper assessment is crucial to determine if there are any associated injuries, such as tendon or nerve damage, which may require surgical intervention. The management of such lacerations typically involves cleaning the wound, suturing if necessary, and providing appropriate follow-up care to prevent infection and promote healing. Accurate coding is essential for proper reimbursement and to reflect the complexity of care provided.
Detailed notes on the mechanism of injury, assessment of associated injuries, and treatment plan.
Lacerations from sports injuries, industrial accidents, or household injuries.
Documentation must clearly state the absence of foreign bodies and any potential need for surgical intervention.
Comprehensive assessment notes, including vital signs, mechanism of injury, and initial treatment provided.
Patients presenting with acute hand injuries from various causes.
Timely documentation is critical to support the urgency of care provided.
Used when the laceration requires suturing but is not deep enough to involve underlying structures.
Document the size of the laceration and the method of repair.
Orthopedic surgeons may need to document any potential tendon involvement.
Accurate coding of S61.213 is crucial for proper reimbursement, reflecting the complexity of care provided, and ensuring appropriate follow-up and management of the injury.
