Puncture wound without foreign body of right index finger without damage to nail
ICD-10 S61.230 is a billable code used to indicate a diagnosis of puncture wound without foreign body of right index finger without damage to nail.
A puncture wound of the right index finger is characterized by a small, deep injury caused by a sharp object penetrating the skin. This type of wound typically does not involve any foreign body, meaning that no external material is lodged within the wound. The absence of damage to the nail indicates that the injury is confined to the soft tissue of the finger, which may include the skin, subcutaneous tissue, and possibly deeper structures such as tendons or nerves. Clinically, puncture wounds can lead to complications such as infection, especially if not properly cleaned and treated. The right index finger is particularly important for hand function, and injuries here can affect grip strength and dexterity. Treatment may involve cleaning the wound, monitoring for signs of infection, and possibly administering a tetanus shot if the patient's immunization status is not up to date. In some cases, surgical intervention may be required if there is significant damage to underlying structures or if the wound becomes infected.
Detailed description of the mechanism of injury, treatment provided, and follow-up care.
Patients presenting with puncture wounds from various sources, such as nails, needles, or animal bites.
Ensure tetanus status is documented and any prophylactic measures taken are noted.
Assessment of any potential tendon or nerve involvement, imaging studies if performed.
Injuries requiring surgical intervention due to complications or deeper tissue involvement.
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 and the method of closure.
Orthopedic surgeons may need to document any underlying tendon or nerve involvement.
A puncture wound is a small, deep injury caused by a sharp object, while a laceration is a tear or cut in the skin that may be wider and more superficial.
