Puncture wound without foreign body of left little finger without damage to nail
ICD-10 S61.237 is a billable code used to indicate a diagnosis of puncture wound without foreign body of left little finger without damage to nail.
A puncture wound of the left little 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 confined to the soft tissues of the finger, which may include the dermis, subcutaneous tissue, and possibly the underlying structures such as tendons or nerves. Clinically, puncture wounds can lead to complications such as infection, which may require careful monitoring and management. Treatment typically involves cleaning the wound, assessing for any signs of infection, and providing appropriate wound care. In some cases, tetanus prophylaxis may be necessary depending on the patient's immunization history and the nature of the injury. Accurate coding of this condition is essential for proper reimbursement and to ensure that the patient's medical record reflects the severity and nature of the injury.
Detailed description of the injury mechanism, treatment provided, and follow-up care.
Patients presenting with puncture wounds from various sources, including animal bites or sharp objects.
Ensure that tetanus status is documented and that any potential complications are noted.
Assessment of any underlying tendon or nerve injuries, surgical intervention details if applicable.
Patients requiring surgical repair due to complications from puncture wounds.
Document any imaging studies performed to assess for deeper injuries.
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 injuries.
S61.237 is used for puncture wounds without foreign bodies, while S61.236 is for those with foreign bodies present. Accurate documentation is essential to determine the correct code.
