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ICD-10 Guide
ICD-10 CodesS61.222

S61.222

Billable

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

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

Code Description

ICD-10 S61.222 is a billable code used to indicate a diagnosis of laceration with foreign body of right middle finger without damage to nail.

Key Diagnostic Point:

S61.222 describes a laceration of the right middle finger that includes a foreign body but does not involve damage to the nail. This type of injury is common in various settings, particularly in industrial or home environments where sharp objects or tools are prevalent. The presence of a foreign body complicates the injury, as it may require additional procedures for removal and can increase the risk of infection. Clinically, the laceration may present with pain, swelling, and bleeding, and the foreign body may be visible or palpable. Proper assessment is crucial to determine the extent of the injury, including any potential damage to underlying structures such as tendons, nerves, or blood vessels. Treatment typically involves cleaning the wound, removing the foreign body, and suturing the laceration if necessary. Follow-up care is essential to monitor for signs of infection or complications. Accurate coding is vital for appropriate reimbursement and to reflect the complexity of the injury in medical records.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Presence of a foreign body complicates the injury.
  • Potential for associated tendon or nerve damage.
  • Need for precise documentation of the injury site.
  • Variability in treatment based on the foreign body's nature.

Audit Risk Factors

  • Inadequate documentation of the foreign body type.
  • Failure to document the extent of the laceration.
  • Omission of follow-up care details.
  • Incorrect coding of associated injuries (e.g., tendon or nerve damage).

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Detailed description of the injury, foreign body type, and treatment provided.

Common Clinical Scenarios

Patients presenting with hand injuries from accidents or falls.

Billing Considerations

Ensure all relevant details are captured to support the complexity of the injury.

Orthopedic Surgery

Documentation Requirements

Comprehensive assessment of potential tendon or nerve involvement, surgical notes if applicable.

Common Clinical Scenarios

Surgical intervention for complex lacerations or foreign body removal.

Billing Considerations

Document any surgical procedures performed and their necessity based on the injury.

Coding Guidelines

Inclusion Criteria

Use S61.222 When
  • According to ICD
  • 10 coding guidelines, S61
  • 222 should be used when a laceration with a foreign body is documented without nail damage
  • Coders must ensure that the documentation supports the diagnosis and includes details about the foreign body and any associated injuries

Exclusion Criteria

Do NOT use S61.222 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

12001CPT Code

Simple repair of superficial wounds

Clinical Scenario

Used for suturing the laceration after foreign body removal.

Documentation Requirements

Document the size of the laceration and the foreign body removal.

Specialty Considerations

Ensure the procedure aligns with the complexity of the injury.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 allows for more specific coding of injuries, such as lacerations with foreign bodies, which enhances the accuracy of medical records and reimbursement processes.

ICD-9 vs ICD-10

The transition to ICD-10 allows for more specific coding of injuries, such as lacerations with foreign bodies, which enhances the accuracy of medical records and reimbursement processes.

Reimbursement & Billing Impact

reimbursement processes.

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 S61.222?

Documentation should include the nature of the laceration, the type of foreign body, any associated injuries, and the treatment provided.