Puncture wound with foreign body of left index finger without damage to nail
ICD-10 S61.241 is a billable code used to indicate a diagnosis of puncture wound with foreign body of left index finger without damage to nail.
A puncture wound with a foreign body in the left 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 lead to various complications, including infection, inflammation, and damage to underlying structures such as tendons, nerves, and blood vessels. In this case, the absence of damage to the nail indicates that the injury is limited to the soft tissues of the finger. Proper assessment and management are crucial to prevent complications. Treatment may involve cleaning the wound, removing the foreign body, and possibly suturing if the wound is deep. The clinician must also evaluate for any associated injuries, such as tendon or nerve damage, which may require further intervention. The coding for this condition is essential for accurate medical billing and tracking of hand injuries, particularly in occupational settings where such injuries are common.
Detailed description of the injury mechanism, foreign body type, and any immediate interventions performed.
Patients presenting with puncture wounds from nails, glass, or other sharp objects.
Ensure that all relevant details are captured to support the diagnosis and any procedures performed.
Comprehensive evaluation of potential tendon or nerve involvement, imaging studies if performed.
Surgical intervention for foreign body removal or repair of associated injuries.
Document any surgical findings and post-operative care instructions.
Used if the puncture wound becomes infected and requires drainage.
Document the size, location, and nature of the abscess.
Ensure that the procedure is justified based on clinical findings.
Documenting the foreign body is crucial for accurate coding, as it affects the treatment plan and potential complications. It also supports the medical necessity for procedures such as foreign body removal.
