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ICD-10 Guide
ICD-10 CodesS61.258

S61.258

Billable

Open bite of other finger without damage to nail

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

Code Description

ICD-10 S61.258 is a billable code used to indicate a diagnosis of open bite of other finger without damage to nail.

Key Diagnostic Point:

An open bite of the finger is a type of injury characterized by a break in the skin and underlying tissues, typically resulting from a puncture or laceration. This specific code, S61.258, refers to an open bite injury affecting a finger other than the thumb, without any damage to the nail. Such injuries can occur due to various incidents, including animal bites, human bites, or accidents involving sharp objects. Clinically, these injuries may present with swelling, pain, and potential infection risk. The absence of nail damage is significant, as it can influence treatment options and healing time. Management often involves cleaning the wound, assessing for deeper tissue damage, and possibly suturing if the wound is extensive. In some cases, further evaluation may be necessary to rule out tendon or nerve injuries, particularly if the patient exhibits signs of impaired function or sensation in the affected finger. Proper documentation of the injury's mechanism, location, and any associated symptoms is crucial for accurate coding and treatment planning.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of potential injury mechanisms (e.g., bites, lacerations)
  • Need for detailed documentation of injury specifics
  • Assessment for associated injuries (tendon, nerve)
  • Differentiation from similar codes (e.g., other finger injuries)

Audit Risk Factors

  • Inadequate documentation of the injury mechanism
  • Failure to assess for associated tendon or nerve injuries
  • Misclassification of the injury type or location
  • Inconsistent coding of follow-up visits or complications

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Detailed account of the injury mechanism, initial assessment findings, and treatment provided.

Common Clinical Scenarios

Patients presenting with bite wounds from animals or humans, often requiring immediate care.

Billing Considerations

Consideration of tetanus prophylaxis and potential need for antibiotics.

Orthopedic Surgery

Documentation Requirements

Comprehensive evaluation of the injury, including imaging studies if necessary, and surgical notes if repair is performed.

Common Clinical Scenarios

Patients requiring surgical intervention for deep lacerations or associated fractures.

Billing Considerations

Assessment for long-term functional outcomes and rehabilitation needs.

Coding Guidelines

Inclusion Criteria

Use S61.258 When
  • According to ICD
  • 10 coding guidelines, S61
  • 258 should be used when documenting an open bite of a finger that does not involve nail damage
  • Coders must ensure that the documentation clearly indicates the type of injury and any associated complications

Exclusion Criteria

Do NOT use S61.258 When
  • Exclusions include injuries with nail damage or those classified under different injury types

Related ICD-10 Codes

Related CPT Codes

12001CPT Code

Simple repair of superficial wounds

Clinical Scenario

Used for suturing an open bite injury in the emergency department.

Documentation Requirements

Document the size of the wound and the method of repair.

Specialty Considerations

Emergency medicine providers should ensure accurate coding based on the complexity of the repair.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of injuries, including open bites. This specificity aids in better tracking of injury types and treatment outcomes, ultimately improving patient care and resource allocation.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of injuries, including open bites. This specificity aids in better tracking of injury types and treatment outcomes, ultimately improving patient care and resource allocation.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of injuries, including open bites. This specificity aids in better tracking of injury types and treatment outcomes, ultimately improving patient care and resource allocation.

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 is the difference between an open bite and a laceration?

An open bite specifically refers to a wound caused by a bite, while a laceration can result from various sharp objects or trauma. Open bites may have unique considerations regarding infection risk and treatment.