Laceration without foreign body of left index finger with damage to nail
ICD-10 S61.311 is a billable code used to indicate a diagnosis of laceration without foreign body of left index finger with damage to nail.
S61.311 refers to a laceration of the left index 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 during recreational activities. The laceration may vary in depth and severity, potentially affecting the skin, underlying tissues, and the nail bed. Clinically, such injuries can lead to complications such as infection, delayed healing, or nail deformities if not properly treated. The management of this condition typically involves thorough cleaning of the wound, possible suturing, and monitoring for signs of infection. In some cases, surgical intervention may be necessary to repair deeper structures or to address nail bed injuries. Accurate coding is essential for appropriate treatment reimbursement and to ensure that the patient's medical history reflects the nature of the injury.
Detailed notes on the mechanism of injury, extent of damage, and treatment plan.
Fractures associated with lacerations, tendon repairs, and nail bed surgeries.
Ensure that all associated injuries are documented to support the complexity of the case.
Comprehensive assessment of the injury, including vital signs and initial treatment provided.
Acute lacerations requiring immediate care, including wound cleaning and suturing.
Document the mechanism of injury and any immediate complications observed.
Used for lacerations requiring suturing without extensive tissue damage.
Document the size of the wound and the method of repair.
Orthopedic surgeons may need to document any associated tendon repairs.
Used when the nail bed is damaged and requires surgical intervention.
Detailed notes on the extent of nail damage and repair technique.
Ensure that the surgical approach is documented for accurate coding.
Accurate coding of S61.311 is crucial for proper reimbursement, tracking of injury types, and ensuring that the patient's medical record accurately reflects the nature of their injury and treatment.