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ICD-10 Guide
ICD-10 CodesS61.226

S61.226

Billable

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

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

Code Description

ICD-10 S61.226 is a billable code used to indicate a diagnosis of laceration with foreign body of right little finger without damage to nail.

Key Diagnostic Point:

S61.226 refers to a specific type of injury characterized by a laceration of the right little finger that includes a foreign body embedded in the wound, but does not involve any damage to the nail. Such injuries are common in various settings, including occupational accidents, household injuries, or recreational activities. The presence of a foreign body complicates the injury, as it may lead to infection, delayed healing, or further tissue damage if not properly addressed. Clinically, the management of this condition typically involves thorough cleaning of the wound, removal of the foreign body, and assessment for any associated injuries such as tendon or nerve damage. The absence of nail damage simplifies the treatment plan, focusing primarily on the laceration and foreign body removal. Proper documentation is crucial to ensure accurate coding and reimbursement, as well as to facilitate appropriate follow-up care.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Presence of a foreign body complicates the injury management.
  • Need for detailed documentation of the laceration and foreign body.
  • Potential for associated injuries (tendon, nerve) that must be assessed.
  • Differentiation from similar codes that may involve nail damage or other fingers.

Audit Risk Factors

  • Inadequate documentation of the foreign body and its removal.
  • Failure to document associated injuries (e.g., tendon or nerve damage).
  • Misclassification of the injury site or type.
  • Lack of clarity in the treatment plan and follow-up care.

Specialty Focus

Medical Specialties

Orthopedic Surgery

Documentation Requirements

Detailed operative notes describing the laceration, foreign body removal, and any repair performed.

Common Clinical Scenarios

Injuries from machinery, sports injuries, or accidents involving sharp objects.

Billing Considerations

Ensure documentation reflects the complexity of the injury and any associated repairs.

Emergency Medicine

Documentation Requirements

Comprehensive assessment notes including mechanism of injury, foreign body identification, and initial treatment provided.

Common Clinical Scenarios

Acute presentations of lacerations with foreign bodies from various incidents.

Billing Considerations

Accurate coding requires clear documentation of the injury's nature and any immediate interventions.

Coding Guidelines

Inclusion Criteria

Use S61.226 When
  • According to ICD
  • 10 coding guidelines, S61
  • 226 should be used when a laceration with a foreign body is present 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 S61.226 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

12001CPT Code

Simple repair of superficial wounds

Clinical Scenario

Used for the repair of the laceration after foreign body removal.

Documentation Requirements

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

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 has allowed for more specific coding of injuries, including those with foreign bodies. This specificity aids in better tracking of injury types and treatment outcomes.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of injuries, including those with foreign bodies. This specificity aids in better tracking of injury types and treatment outcomes.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of injuries, including those with foreign bodies. This specificity aids in better tracking of injury types and treatment outcomes.

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 S61.226?

Documentation should include a detailed description of the laceration, the foreign body present, any associated injuries, and the treatment provided, including foreign body removal and wound care.