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ICD-10 Guide
ICD-10 CodesS61.308

S61.308

Billable

Unspecified open wound of other finger with damage to nail

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

Code Description

ICD-10 S61.308 is a billable code used to indicate a diagnosis of unspecified open wound of other finger with damage to nail.

Key Diagnostic Point:

An unspecified open wound of the finger with damage to the nail indicates a traumatic injury that has penetrated the skin and may involve the nail bed or nail matrix. Such injuries can result from various incidents, including lacerations, punctures, or avulsions. The open wound may expose underlying structures, including tendons, nerves, and blood vessels, leading to complications such as infection or impaired function. The severity of the injury can vary, with potential for associated conditions such as fractures of the phalanges, tendon injuries, or nerve damage. Proper assessment and management are crucial to prevent long-term dysfunction. Treatment may involve wound care, surgical intervention for repair of damaged structures, and rehabilitation to restore function. Accurate coding is essential for appropriate reimbursement and to reflect the complexity of care provided.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in injury severity and associated structures involved
  • Need for detailed documentation of the injury mechanism
  • Potential for co-existing conditions requiring additional codes
  • Variability in treatment approaches based on injury specifics

Audit Risk Factors

  • Inadequate documentation of the injury mechanism
  • Failure to specify the extent of nail damage
  • Lack of clarity on associated injuries (e.g., fractures, tendon damage)
  • Improper linkage between diagnosis and treatment codes

Specialty Focus

Medical Specialties

Orthopedic Surgery

Documentation Requirements

Detailed operative notes, imaging studies, and follow-up assessments.

Common Clinical Scenarios

Fractures associated with open wounds, tendon repairs, and reconstructive procedures.

Billing Considerations

Ensure documentation reflects the complexity of the injury and any surgical interventions performed.

Hand Surgery

Documentation Requirements

Comprehensive documentation of the injury, including photographs, surgical notes, and rehabilitation plans.

Common Clinical Scenarios

Repair of lacerated tendons, nail bed injuries, and reconstruction of the finger.

Billing Considerations

Accurate coding requires detailed descriptions of the injury and treatment to support the complexity of care.

Coding Guidelines

Inclusion Criteria

Use S61.308 When
  • Follow official ICD
  • 10 coding guidelines, ensuring specificity in documentation
  • Include details about the mechanism of injury, extent of damage, and any associated conditions
  • Use additional codes as necessary to capture co
  • existing injuries

Exclusion Criteria

Do NOT use S61.308 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

12001CPT Code

Simple repair of superficial wounds

Clinical Scenario

Used for repairing an open wound on the finger.

Documentation Requirements

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

Specialty Considerations

Orthopedic and hand surgeons should ensure detailed operative notes are provided.

26300CPT Code

Nail bed repair

Clinical Scenario

Used when the nail bed is damaged due to an open wound.

Documentation Requirements

Document the extent of nail damage and repair technique.

Specialty Considerations

Hand surgeons should provide detailed descriptions of the repair process.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for greater specificity in coding open wounds, enabling better tracking of injury types and treatment outcomes. This code reflects the complexity of finger injuries and the need for precise documentation.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for greater specificity in coding open wounds, enabling better tracking of injury types and treatment outcomes. This code reflects the complexity of finger injuries and the need for precise documentation.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for greater specificity in coding open wounds, enabling better tracking of injury types and treatment outcomes. This code reflects the complexity of finger injuries and the need for precise documentation.

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 S61.308 and S61.309?

S61.308 is used for open wounds of the finger with damage to the nail, while S61.309 is for open wounds without nail damage. The presence of nail damage indicates a more complex injury that may require additional treatment and documentation.