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ICD-10 Guide
ICD-10 CodesS61.240

S61.240

Billable

Puncture wound with foreign body of right index finger without damage to nail

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/24/2025

Code Description

ICD-10 S61.240 is a billable code used to indicate a diagnosis of puncture wound with foreign body of right index finger without damage to nail.

Key Diagnostic Point:

A puncture wound with a foreign body in the right index finger is a specific type of injury that occurs when a sharp object penetrates the skin, potentially introducing foreign material into the wound. This injury can result from various incidents, including accidents with tools, animal bites, or other sharp objects. The absence of damage to the nail indicates that the injury is confined to the soft tissues of the finger, which may include the skin, subcutaneous tissue, and possibly deeper structures such as tendons or nerves. Clinically, such injuries can lead to complications such as infection, inflammation, or damage to underlying structures if not properly assessed and treated. Treatment typically involves thorough cleaning of the wound, removal of the foreign body, and may require suturing or other surgical interventions depending on the depth and extent of the injury. Follow-up care is essential to monitor for signs of infection or other complications.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Need for precise documentation of the foreign body type and location
  • Differentiation from other types of wounds (e.g., lacerations, abrasions)
  • Potential for associated injuries (e.g., tendon or nerve damage)
  • Variability in treatment approaches based on the severity of the injury

Audit Risk Factors

  • Inadequate documentation of the foreign body removal process
  • Failure to document the extent of the injury and treatment provided
  • Misclassification of the wound type (puncture vs. laceration)
  • Lack of follow-up documentation indicating resolution or complications

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Detailed account of the mechanism of injury, foreign body type, and treatment provided.

Common Clinical Scenarios

Patients presenting with puncture wounds from various sources, including industrial accidents or animal bites.

Billing Considerations

Ensure that all relevant details about the injury and treatment are documented to support the coding.

Orthopedic Surgery

Documentation Requirements

Comprehensive assessment of any potential tendon or nerve involvement, including imaging if necessary.

Common Clinical Scenarios

Surgical intervention for foreign body removal or repair of associated injuries.

Billing Considerations

Documentation should clearly outline the surgical procedure performed and any complications encountered.

Coding Guidelines

Inclusion Criteria

Use S61.240 When
  • According to ICD
  • 10 guidelines, S61
  • 240 should be used when a puncture wound with a foreign body is documented without nail damage
  • Coders must ensure that the documentation supports the diagnosis and that any associated injuries are coded appropriately

Exclusion Criteria

Do NOT use S61.240 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

12001CPT Code

Simple repair of superficial wounds

Clinical Scenario

Used when the wound requires suturing after foreign body removal.

Documentation Requirements

Document the size of the wound and the method of closure.

Specialty Considerations

Orthopedic surgeons should note any tendon repair performed.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of injuries, including puncture wounds with foreign bodies. This specificity helps in better tracking of injury types and treatment outcomes.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of injuries, including puncture wounds with foreign bodies. This specificity helps in better tracking of injury types and treatment outcomes.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of injuries, including puncture wounds with foreign bodies. This specificity helps in better tracking of injury types and treatment outcomes.

Resources

Clinical References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Coding & Billing References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Frequently Asked Questions

What is the difference between a puncture wound and a laceration?

A puncture wound is caused by a sharp object penetrating the skin, while a laceration is a tear or cut in the skin that may be caused by blunt force or sharp objects. Puncture wounds are typically deeper and can introduce foreign bodies into the tissue.