Puncture wound without foreign body of right middle finger without damage to nail
ICD-10 S61.232 is a billable code used to indicate a diagnosis of puncture wound without foreign body of right middle finger without damage to nail.
A puncture wound of the right middle finger occurs when a sharp object penetrates the skin, creating a small hole without causing damage to the nail or introducing a foreign body. This type of injury is common in various settings, including workplaces, homes, and recreational activities. The wound may vary in depth and can potentially affect underlying structures such as tendons, nerves, and blood vessels. Although the nail remains intact, the injury can lead to complications such as infection, inflammation, or impaired function of the finger. Proper assessment is crucial to determine the extent of the injury and to rule out associated conditions like tendon injuries or nerve damage. Treatment typically involves cleaning the wound, monitoring for signs of infection, and possibly administering a tetanus shot if indicated. In some cases, surgical intervention may be necessary to repair any damaged structures or to ensure proper healing.
Detailed description of the injury mechanism, assessment of associated injuries, and treatment provided.
Patients presenting with puncture wounds from sharp objects, such as nails or knives, often requiring immediate care.
Ensure that all relevant structures are assessed and documented to avoid complications.
Comprehensive evaluation of potential tendon or nerve damage, surgical notes if intervention is performed.
Patients with puncture wounds requiring surgical repair of underlying structures.
Document any surgical findings and post-operative care instructions.
Used for simple repair of the puncture wound if suturing is required.
Document the size of the wound and the method of repair.
Orthopedic surgeons should document any findings related to underlying structures.
Document the mechanism of injury, the depth of the wound, any associated injuries, treatment provided, and follow-up care instructions.
