Laceration without foreign body of right index finger with damage to nail
ICD-10 S61.310 is a billable code used to indicate a diagnosis of laceration without foreign body of right index finger with damage to nail.
S61.310 refers to a laceration of the right index finger that does not involve a foreign body and includes damage to the nail. This type of injury is common in various settings, particularly in occupational 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 lead to complications such as nail deformity or loss, which may require further intervention. Proper assessment is crucial to determine the extent of the injury, including any associated fractures or tendon injuries. Treatment may involve wound cleaning, suturing, and possibly surgical intervention if deeper structures are involved. Accurate coding is essential for appropriate reimbursement and to reflect the complexity of the injury in the patient's medical record.
Detailed notes on the extent of injury, any surgical interventions performed, and follow-up care.
Fractures associated with lacerations, tendon repairs, and nail bed injuries.
Ensure documentation reflects the complexity of the injury and any surgical procedures performed.
Comprehensive assessment of the injury, including mechanism of injury and initial treatment provided.
Acute lacerations from accidents, sports injuries, and workplace incidents.
Accurate documentation of the injury's mechanism and any immediate interventions is crucial for coding.
Used when the laceration requires suturing without extensive tissue manipulation.
Document the size of the laceration and the technique used for repair.
Orthopedic surgeons may need to document any additional procedures if tendon repair is also performed.
Nail damage indicates a more complex injury that may require additional treatment, making it essential for accurate coding and documentation.