Unspecified open wound of left middle finger with damage to nail
ICD-10 S61.303 is a billable code used to indicate a diagnosis of unspecified open wound of left middle finger with damage to nail.
An unspecified open wound of the left middle finger with damage to the nail indicates a traumatic injury that has penetrated the skin, potentially exposing underlying structures. This type of injury can result from various incidents, including cuts, lacerations, or punctures. The damage to the nail may involve partial or complete loss of the nail plate, which can lead to complications such as infection, nail deformity, or delayed healing. The clinical management of such injuries often requires thorough assessment to rule out associated injuries, including fractures of the phalanges, tendon injuries, or nerve damage. Treatment may involve wound cleaning, suturing, and possibly surgical intervention to repair any underlying structures. Proper documentation is crucial to capture the extent of the injury and any associated treatments, as this will impact coding and reimbursement.
Detailed notes on the mechanism of injury, extent of damage, and any surgical interventions performed.
Fractures associated with open wounds, tendon repairs, and nail bed injuries.
Ensure that all associated injuries are documented to support the complexity of the case.
Comprehensive documentation of the injury, including imaging studies and surgical findings.
Reconstruction of nail bed, repair of tendons, and management of complex hand injuries.
Focus on the functional implications of the injury and the necessity for surgical intervention.
Used when the wound requires suturing without extensive tissue manipulation.
Document the size of the wound and the method of repair.
Orthopedic and hand surgeons should ensure detailed operative notes.
Document the mechanism of injury, extent of the wound, any associated injuries, treatment provided, and follow-up care.
