Puncture wound without foreign body of right little finger without damage to nail
ICD-10 S61.236 is a billable code used to indicate a diagnosis of puncture wound without foreign body of right little finger without damage to nail.
A puncture wound of the right little 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. Clinically, it may present with localized pain, swelling, and tenderness at the site of injury. While the wound may appear minor, it is essential to assess for potential complications such as infection, tendon injury, or nerve damage, particularly given the intricate anatomy of the hand. The absence of a foreign body simplifies the management of the wound, as it reduces the need for surgical intervention. However, careful monitoring and appropriate wound care are crucial to prevent secondary infections. Treatment typically involves cleaning the wound, applying a sterile dressing, and possibly administering a tetanus booster if indicated. Follow-up care may be necessary to ensure proper healing and to address any complications that may arise.
Detailed description of the injury, mechanism of injury, and treatment provided.
Patients presenting with puncture wounds from various sources, such as tools or animal bites.
Ensure to document any signs of infection or complications that may arise.
Comprehensive assessment of hand function and any potential tendon or nerve involvement.
Patients with puncture wounds requiring surgical intervention or repair.
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 potential tendon involvement.
Document the mechanism of injury, the location of the wound, any signs of infection, and the treatment provided.
