Laceration without foreign body of left middle finger with damage to nail
ICD-10 S61.313 is a billable code used to indicate a diagnosis of laceration without foreign body of left middle finger with damage to nail.
S61.313 describes a laceration of the left middle finger that does not involve a foreign body and includes damage to the nail. This type of injury is common in various settings, including home accidents, workplace injuries, and sports-related incidents. 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. Proper assessment is crucial to determine the extent of the injury, which may require imaging studies to rule out fractures or tendon injuries. Treatment often involves wound care, possible suturing, and monitoring for signs of infection. In some cases, surgical intervention may be necessary to repair damaged structures or to address complications arising from the injury. 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 mechanism of injury, extent of damage, and any surgical interventions performed.
Fractures associated with lacerations, tendon repairs, and nail bed injuries.
Ensure clear documentation of any surgical procedures performed, including the type of repair and materials used.
Comprehensive assessment of the injury, including vital signs, pain levels, and initial treatment provided.
Acute lacerations requiring immediate care, assessment for foreign bodies, and potential referrals for surgical intervention.
Document the mechanism of injury and any immediate complications observed during the initial evaluation.
Used for suturing the laceration on the left middle finger.
Document the size of the laceration and the method of repair.
Orthopedic surgeons should note any additional procedures performed.
Documenting nail damage is crucial as it can affect treatment decisions and potential complications. It also impacts the coding accuracy and the reimbursement process.
