Puncture wound without foreign body of finger without damage to nail
ICD-10 S61.23 is a billable code used to indicate a diagnosis of puncture wound without foreign body of finger without damage to nail.
A puncture wound of the finger is a type of injury characterized by a small, deep wound caused by a sharp object penetrating the skin. This specific code, S61.23, is used when the wound does not involve a foreign body and does not damage the nail. Such injuries can occur in various settings, including workplaces, homes, or during recreational activities. Clinically, puncture wounds can lead to complications such as infection, which may require careful monitoring and treatment. The absence of foreign bodies simplifies the management of the wound, as there is no need for surgical intervention to remove debris. However, it is essential to assess for potential damage to underlying structures, including tendons, nerves, and blood vessels, which may not be immediately apparent. Proper wound care, including cleaning and possibly suturing, is crucial to prevent infection and promote healing. In some cases, tetanus prophylaxis may be indicated depending on the patient's immunization history and the nature of the injury. Overall, accurate coding of this condition is vital for appropriate treatment and reimbursement.
Detailed description of the injury mechanism, assessment of underlying structures, and treatment provided.
Patients presenting with puncture wounds from nails, glass, or other sharp objects.
Ensure tetanus status is documented and any necessary prophylaxis is noted.
Assessment of potential tendon or nerve involvement, imaging studies if performed, and surgical notes if applicable.
Patients requiring surgical intervention for deeper puncture wounds or those with complications.
Document any surgical procedures performed and the rationale for intervention.
Used when the puncture wound requires suturing or closure.
Document the size of the wound, location, and method of closure.
Orthopedic surgeons may need to document any additional procedures performed.
S61.23 is used for puncture wounds without foreign bodies, while S61.21 is for those with foreign bodies present. Accurate documentation is essential to determine the correct code.
