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ICD-10 Guide
ICD-10 CodesS61.244

S61.244

Billable

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

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

Code Description

ICD-10 S61.244 is a billable code used to indicate a diagnosis of puncture wound with foreign body of right ring finger without damage to nail.

Key Diagnostic Point:

A puncture wound with a foreign body in the right ring finger is a specific type of injury that occurs when a sharp object penetrates the skin, potentially introducing foreign materials 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. Clinically, patients may present with localized pain, swelling, and tenderness at the site of the injury. Proper assessment is crucial to determine the extent of the injury and the presence of any foreign bodies, which may require imaging or surgical intervention for removal. Treatment typically involves cleaning the wound, possible debridement, and monitoring for signs of infection. In some cases, tetanus prophylaxis may be necessary depending on the patient's immunization history. Accurate coding of this condition is essential for appropriate management and reimbursement.

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 finger injuries
  • Potential for associated injuries (e.g., tendon or nerve damage)
  • Variability in treatment approaches based on injury severity

Audit Risk Factors

  • Inadequate documentation of the foreign body type
  • Failure to document associated injuries (e.g., tendon or nerve damage)
  • Lack of follow-up notes indicating healing progress
  • Inconsistent coding of similar injuries

Specialty Focus

Medical Specialties

Orthopedic Surgery

Documentation Requirements

Detailed operative notes if surgery is performed, including descriptions of any foreign body removal.

Common Clinical Scenarios

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

Billing Considerations

Documentation must clearly outline the extent of injury and any surgical interventions performed.

Emergency Medicine

Documentation Requirements

Comprehensive notes on initial assessment, treatment provided, and any imaging studies performed.

Common Clinical Scenarios

Patients with acute puncture wounds requiring immediate care and potential referral for further treatment.

Billing Considerations

Accurate coding is essential for reimbursement and tracking of injury types.

Coding Guidelines

Inclusion Criteria

Use S61.244 When
  • Follow official ICD
  • CM coding guidelines, ensuring that the code accurately reflects the patient's condition
  • Include any relevant details about the foreign body and associated injuries

Exclusion Criteria

Do NOT use S61.244 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

12001CPT Code

Simple repair of superficial wounds

Clinical Scenario

Used when the puncture wound requires suturing.

Documentation Requirements

Document the size and location of the wound, as well as the repair technique used.

Specialty Considerations

Orthopedic surgeons may need to provide additional details on the extent of the injury.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 allows for more specific coding of injuries, improving the accuracy of patient records and facilitating better tracking of injury types and treatment outcomes.

ICD-9 vs ICD-10

The transition to ICD-10 allows for more specific coding of injuries, improving the accuracy of patient records and facilitating better tracking of injury types and treatment outcomes.

Reimbursement & Billing Impact

The transition to ICD-10 allows for more specific coding of injuries, improving the accuracy of patient records and facilitating 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 should I document for a puncture wound with a foreign body?

Document the type of foreign body, the location of the wound, any associated injuries, and the treatment provided, including any imaging or surgical interventions.