Unspecified open wound of right ring finger with damage to nail
ICD-10 S61.304 is a billable code used to indicate a diagnosis of unspecified open wound of right ring finger with damage to nail.
An unspecified open wound of the right ring finger with damage to the nail indicates a traumatic injury that has penetrated the skin and may involve the underlying structures of the finger. This type of injury can occur due to various mechanisms such as lacerations, punctures, or avulsions. The damage to the nail may include partial or complete loss of the nail plate, which can complicate healing and may require surgical intervention. Open wounds can lead to infections, necessitating careful monitoring and possibly antibiotic treatment. The severity of the wound can vary, and associated injuries such as fractures of the phalanges, tendon injuries, or nerve damage may also be present. Proper assessment and documentation of the wound's characteristics, including size, depth, and any foreign bodies, are crucial for determining the appropriate treatment and coding. Surgical procedures may be required for repair, including suturing of the wound, nail bed repair, or even reconstructive surgery if the injury is extensive. Accurate coding is essential for appropriate reimbursement and to reflect the complexity of care provided.
Detailed operative notes, including descriptions of the wound, any fractures, and 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 wound's size, depth, and any reconstructive procedures performed.
Reconstruction of nail beds, repair of soft tissue defects, and management of complex hand injuries.
Document the rationale for surgical intervention and any complications that arise.
Used for suturing the open wound of the right ring finger.
Document the size of the wound and the method of repair.
Orthopedic or plastic surgery notes should detail the extent of the injury.
Documentation should include the mechanism of injury, size and depth of the wound, any associated injuries, treatment provided, and follow-up care instructions.
