Open bite of right middle finger without damage to nail
ICD-10 S61.252 is a billable code used to indicate a diagnosis of open bite of right middle finger without damage to nail.
An open bite of the right middle finger is a type of traumatic injury characterized by a laceration or puncture wound that penetrates the skin and underlying tissues, resulting from a bite. This injury does not involve damage to the nail, which is a critical distinction in coding. Open bites can lead to various complications, including infection, tendon injuries, and nerve damage, particularly in the hand where intricate structures are closely packed. The middle finger, being centrally located, is often involved in grasping and pinching activities, making it susceptible to trauma. Clinical evaluation typically includes assessing the depth of the wound, the presence of foreign bodies, and the integrity of surrounding structures. Treatment may involve wound care, possible surgical intervention to repair damaged tendons or nerves, and prophylactic antibiotics to prevent infection. Accurate coding is essential for proper reimbursement and to reflect the severity of the injury in medical records.
Detailed descriptions of the injury, treatment plans, and any surgical interventions performed.
Fractures or tendon repairs following open bites, surgical debridement of infected wounds.
Ensure that all surgical procedures are documented with corresponding CPT codes.
Thorough assessment of the wound, including depth, contamination, and any immediate interventions.
Initial evaluation and management of open bite injuries, including wound care and potential referrals.
Documenting the mechanism of injury and any follow-up care instructions is crucial.
Used for initial wound closure after an open bite injury.
Document the size and depth of the wound, as well as the method of closure.
Orthopedic surgeons may need to document any additional procedures performed.
An open bite involves a laceration or puncture that penetrates the skin, while a closed bite does not break the skin. Open bites may require more extensive treatment and carry a higher risk of infection.
