Puncture wound without foreign body of left ring finger without damage to nail
ICD-10 S61.235 is a billable code used to indicate a diagnosis of puncture wound without foreign body of left ring finger without damage to nail.
A puncture wound of the left ring 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. While the wound does not damage the nail, it can still lead to complications such as infection, inflammation, or damage to underlying structures like tendons and nerves. Clinically, it is essential to assess the depth of the wound, the presence of any signs of infection, and the functionality of the finger post-injury. Treatment typically involves cleaning the wound, possibly suturing if the wound is deep, and monitoring for signs of infection. In some cases, tetanus prophylaxis may be indicated depending on the patient's vaccination history and the nature of the injury. Proper documentation of the injury's specifics, including the mechanism of injury and any treatment provided, is crucial for accurate coding and billing.
Detailed description of the injury, treatment provided, and any follow-up care.
Patients presenting with puncture wounds from various sources, such as nails, needles, or sharp tools.
Ensure tetanus status is documented and any potential for infection is assessed.
Assessment of any underlying tendon or nerve damage, and surgical intervention details if applicable.
Injuries requiring surgical repair or intervention due to complications from the puncture wound.
Document any surgical procedures performed and the rationale for intervention.
Used when the puncture wound requires suturing.
Document the size of the wound and the method of repair.
Orthopedic surgeons may need to document any tendon involvement.
A puncture wound is a small, deep injury caused by a sharp object that penetrates the skin, while a laceration is a tear or cut in the skin that may be wider and shallower.
