Open bite of right ring finger without damage to nail
ICD-10 S61.254 is a billable code used to indicate a diagnosis of open bite of right ring finger without damage to nail.
An open bite of the right ring finger refers to a traumatic injury where the skin is punctured or lacerated, resulting in an open wound, but without any damage to the nail. This type of injury can occur due to various mechanisms, including animal bites, human bites, or sharp object injuries. Clinically, it is essential to assess the extent of the injury, as open bites can lead to complications such as infection, tendon damage, or nerve injury. The ring finger, being a vital digit for grip and dexterity, may require careful evaluation of the surrounding structures, including tendons and nerves. Treatment often involves wound care, possible surgical intervention to repair any damaged structures, and rehabilitation to restore function. Proper coding is crucial for accurate billing and to ensure that the patient's medical history reflects the nature of the injury and the treatment provided.
Detailed notes on the injury mechanism, physical examination findings, and treatment plan.
Fractures or tendon injuries following an open bite, requiring surgical intervention.
Ensure to document any surgical procedures performed, including repair of tendons or nerves.
Comprehensive assessment of the wound, including size, depth, and any signs of infection.
Patients presenting with open bites requiring immediate care and potential surgical referral.
Document any tetanus prophylaxis administered and the patient's tetanus vaccination history.
Used for repair of the open bite wound on the right ring finger.
Document the size of the wound and the method of repair.
Orthopedic surgeons should note any tendon repair performed during the procedure.
An open bite involves a break in the skin, exposing underlying tissues, while a closed bite does not penetrate the skin. Open bites require different management and coding.