Laceration without foreign body of left ring finger without damage to nail
ICD-10 S61.215 is a billable code used to indicate a diagnosis of laceration without foreign body of left ring finger without damage to nail.
S61.215 refers to a laceration of the left ring 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 possibly underlying structures such as tendons or nerves. Proper assessment is crucial to determine the extent of the injury and to rule out complications such as tendon injuries or nerve damage. Treatment typically involves cleaning the wound, suturing if necessary, and providing appropriate follow-up care. The absence of foreign bodies simplifies the management of the injury, as it reduces the risk of infection and the need for additional surgical intervention. Accurate coding is essential for proper reimbursement and to ensure that the patient's medical record reflects the nature of the injury and the care provided.
Detailed notes on the mechanism of injury, assessment of underlying structures, and treatment plan.
Fractures associated with lacerations, tendon repairs, and nerve assessments.
Ensure to document any surgical interventions or referrals to specialists.
Comprehensive assessment notes, including vital signs, wound care provided, and follow-up instructions.
Acute lacerations from accidents, sports injuries, and animal bites.
Document the mechanism of injury and any immediate interventions performed.
Used for lacerations requiring suturing without significant underlying tissue involvement.
Document the size of the wound, location, and type of repair performed.
Orthopedic surgeons may need to document any additional procedures performed.
Accurate coding of S61.215 is crucial for proper reimbursement, ensuring that the patient's medical record reflects the nature of the injury, and facilitating appropriate treatment planning.
