Puncture wound with foreign body of right middle finger without damage to nail
ICD-10 S61.242 is a billable code used to indicate a diagnosis of puncture wound with foreign body of right middle finger without damage to nail.
A puncture wound with a foreign body in the right middle finger is a specific type of injury characterized by a sharp object penetrating the skin and underlying tissues without causing damage to the nail. This injury can occur in various settings, such as during work-related activities, household chores, or recreational activities. The presence of a foreign body, such as wood, metal, or glass, can complicate the healing process and may lead to infection or other complications if not properly addressed. Clinically, the patient may present with localized pain, swelling, and redness around the wound site. The absence of nail damage is significant as it indicates that the injury is less likely to affect the nail bed or lead to nail deformities. Treatment typically involves thorough cleaning of the wound, removal of the foreign body, and possibly the administration of antibiotics to prevent infection. Follow-up care may include monitoring for signs of infection and ensuring proper healing of the puncture site.
Detailed description of the injury mechanism, foreign body identification, and treatment provided.
Patients presenting with puncture wounds from various sources, such as nails, splinters, or metal shards.
Ensure that all relevant details about the injury and treatment are documented to support the coding.
Comprehensive notes on any surgical intervention, including foreign body removal and repair of any associated injuries.
Cases requiring surgical intervention for foreign body removal or repair of tendon or nerve injuries.
Document any additional procedures performed during surgery to ensure accurate coding.
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 additional procedures performed.
Documentation should include the mechanism of injury, type of foreign body, treatment provided, and the condition of the nail.
