Laceration without foreign body of finger with damage to nail
ICD-10 S61.31 is a billable code used to indicate a diagnosis of laceration without foreign body of finger with damage to nail.
S61.31 refers to a laceration of the finger that does not involve a foreign body and includes damage to the nail. This type of injury is common in various settings, including workplaces, homes, and recreational activities. The laceration may vary in depth and severity, potentially affecting not only the skin but also underlying structures such as tendons, nerves, and blood vessels. Damage to the nail can manifest as a split, avulsion, or complete loss, which may require surgical intervention or specialized care. Proper assessment is crucial to determine the extent of the injury, as associated complications like infection or impaired function can arise. Treatment may involve cleaning the wound, suturing, and possibly referral to a hand specialist for further evaluation, especially if tendon or nerve damage is suspected. Accurate coding is essential for appropriate reimbursement and to reflect the complexity of care provided.
Detailed notes on the nature of the laceration, any surgical interventions performed, and follow-up care.
Lacerations requiring surgical repair, tendon repair, or nail bed reconstruction.
Ensure to document any associated fractures or tendon injuries that may complicate the laceration.
Comprehensive assessment of the injury, including mechanism of injury, initial treatment, and any referrals made.
Acute lacerations presenting in the emergency department, often requiring immediate care.
Document the patient's functional status post-injury and any immediate interventions performed.
Used for lacerations requiring simple closure without extensive tissue manipulation.
Document the size of the laceration and the method of closure.
Orthopedic surgeons may need to document any additional procedures performed.
S61.30 refers to a laceration of the finger without damage to the nail, while S61.31 includes damage to the nail, which may require different treatment considerations.