Puncture wound without foreign body of left middle finger without damage to nail
ICD-10 S61.233 is a billable code used to indicate a diagnosis of puncture wound without foreign body of left middle finger without damage to nail.
A puncture wound of the left middle finger is characterized by a small, deep injury caused by a sharp object that penetrates the skin but does not introduce any foreign material into the wound. This type of injury can occur in various settings, including occupational accidents, household injuries, or recreational activities. The absence of damage to the nail indicates that the injury is limited to the soft tissues 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, particularly if the wound is not properly cleaned and treated. The management of such wounds typically involves thorough irrigation, possible debridement, and monitoring for signs of infection. In cases where deeper structures are involved, further evaluation may be necessary to assess for tendon or nerve injuries, which could require surgical intervention. Accurate coding of this condition is essential for appropriate treatment planning and reimbursement.
Detailed description of the injury mechanism, assessment of depth, and any treatment provided.
Patients presenting with puncture wounds from nails, tools, or animal bites.
Ensure that all relevant details about the injury and treatment are documented to support coding.
Assessment of any potential tendon or nerve involvement, and surgical notes if applicable.
Surgical intervention for deeper puncture wounds that may involve repair of tendons or nerves.
Document any surgical findings and post-operative care to support coding for procedures.
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 tendon repair if applicable.
A puncture wound is a deep, narrow injury caused by a sharp object, while a laceration is a tear or cut in the skin that may be wider and more superficial.
