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ICD-10 Guide
ICD-10 CodesS61.306

S61.306

Billable

Unspecified open wound of right little finger with damage to nail

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

Code Description

ICD-10 S61.306 is a billable code used to indicate a diagnosis of unspecified open wound of right little finger with damage to nail.

Key Diagnostic Point:

An unspecified open wound of the right little finger with damage to the nail indicates a traumatic injury that has penetrated the skin, potentially exposing underlying structures. This type of injury can occur due to various incidents such as 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 wounds typically involves thorough cleaning, possible suturing, and monitoring for signs of infection. In cases where the nail matrix is affected, surgical intervention may be necessary to repair the nail bed or matrix to ensure proper nail regrowth. The complexity of treatment can vary based on the extent of the injury, the presence of foreign bodies, and the patient's overall health status. Proper documentation is essential to capture the specifics of the injury, treatment provided, and any follow-up care required.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in the extent of the wound and associated injuries
  • Potential for complications such as infection or nail deformity
  • Need for detailed documentation of the injury mechanism
  • Variability in treatment approaches based on clinical judgment

Audit Risk Factors

  • Inadequate documentation of the injury mechanism
  • Failure to specify the extent of nail damage
  • Lack of follow-up documentation for healing progress
  • Misclassification of the wound type (open vs. closed)

Specialty Focus

Medical Specialties

Orthopedic Surgery

Documentation Requirements

Detailed descriptions of the injury, treatment provided, and any surgical interventions performed.

Common Clinical Scenarios

Fractures or tendon injuries associated with open wounds of the fingers.

Billing Considerations

Ensure accurate coding of any surgical procedures performed in conjunction with the wound care.

Hand Surgery

Documentation Requirements

Comprehensive documentation of the wound assessment, treatment plan, and follow-up care.

Common Clinical Scenarios

Repair of nail bed injuries or reconstruction of the finger following trauma.

Billing Considerations

Consideration of potential complications such as infection or nail growth abnormalities.

Coding Guidelines

Inclusion Criteria

Use S61.306 When
  • Follow official ICD
  • 10 coding guidelines, ensuring specificity in documentation regarding the nature of the wound and any associated injuries
  • Include details about the mechanism of injury and treatment provided

Exclusion Criteria

Do NOT use S61.306 When
  • Exclude codes for closed wounds or injuries not involving the nail

Related ICD-10 Codes

Related CPT Codes

12001CPT Code

Simple repair of superficial wounds

Clinical Scenario

Used for repair of the open wound on the right little finger.

Documentation Requirements

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

Specialty Considerations

Orthopedic or hand surgery specialties may require additional details on the repair technique.

11760CPT Code

Removal of nail plate

Clinical Scenario

Indicated if the nail is severely damaged and requires removal.

Documentation Requirements

Document the reason for nail removal and any subsequent procedures.

Specialty Considerations

Hand surgeons should document the condition of the nail bed post-removal.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for greater specificity in coding finger injuries, including open wounds with nail damage. This specificity aids in better tracking of injury types and treatment outcomes.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for greater specificity in coding finger injuries, including open wounds with nail damage. This specificity aids in better tracking of injury types and treatment outcomes.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for greater specificity in coding finger injuries, including open wounds with nail damage. This specificity aids in better tracking of injury types and treatment outcomes.

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 significance of specifying the right little finger?

Specifying the right little finger is crucial for accurate coding and treatment planning, as injuries can vary significantly between fingers and sides of the body.