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ICD-10 Guide
ICD-10 CodesS61.316

S61.316

Billable

Laceration without foreign body of right little finger with damage to nail

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

Code Description

ICD-10 S61.316 is a billable code used to indicate a diagnosis of laceration without foreign body of right little finger with damage to nail.

Key Diagnostic Point:

S61.316 refers to a specific type of injury characterized by a laceration of the right little finger that does not involve any foreign body and includes damage to the nail. This injury can occur due to various mechanisms such as cuts from sharp objects, crush injuries, or accidents involving machinery. 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 surgical intervention. Proper assessment is crucial to determine the extent of the injury, as associated conditions like tendon injuries or nerve damage may necessitate more complex treatment. The management of such injuries often involves wound cleaning, possible suturing, and monitoring for infection. In cases where the nail matrix is affected, referral to a hand specialist may be warranted for further evaluation and treatment.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Potential for associated injuries (tendons, nerves)
  • Variability in severity of laceration
  • Need for detailed documentation of injury extent
  • Differentiation from similar codes (e.g., fractures, other lacerations)

Audit Risk Factors

  • Inadequate documentation of injury specifics
  • Failure to note associated injuries
  • Incorrect coding of laceration depth
  • Misidentification of the affected finger

Specialty Focus

Medical Specialties

Orthopedic Surgery

Documentation Requirements

Detailed descriptions of the injury, treatment plan, and any surgical procedures performed.

Common Clinical Scenarios

Fractures associated with lacerations, tendon repairs, and nail bed injuries.

Billing Considerations

Ensure accurate coding of any surgical interventions and associated injuries.

Hand Surgery

Documentation Requirements

Comprehensive assessment of the laceration, including imaging if necessary, and detailed surgical notes.

Common Clinical Scenarios

Complex lacerations requiring reconstruction, nail bed repair, and management of nerve injuries.

Billing Considerations

Documentation must reflect the complexity of the injury and any reconstructive procedures performed.

Coding Guidelines

Inclusion Criteria

Use S61.316 When
  • According to ICD
  • CM guidelines, S61
  • 316 should be used when a laceration occurs without a foreign body and includes nail damage
  • It is important to document the mechanism of injury, the extent of the laceration, and any associated injuries

Exclusion Criteria

Do NOT use S61.316 When
  • Exclusions include lacerations with foreign bodies or those that do not involve the nail

Related ICD-10 Codes

Related CPT Codes

12001CPT Code

Simple repair of superficial wounds

Clinical Scenario

Used for suturing a laceration on the right little finger.

Documentation Requirements

Document the size of the laceration and the method of repair.

Specialty Considerations

Orthopedic or hand surgery documentation should reflect the complexity of the repair.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of injuries, such as distinguishing between lacerations with and without foreign bodies. This specificity aids in better tracking of injury types and treatment outcomes.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of injuries, such as distinguishing between lacerations with and without foreign bodies. This specificity aids in better tracking of injury types and treatment outcomes.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of injuries, such as distinguishing between lacerations with and without foreign bodies. This specificity aids in better tracking of injury types and treatment outcomes.

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 significance of documenting nail damage in laceration cases?

Documenting nail damage is crucial as it can affect treatment decisions and outcomes. It may require specialized care and can influence the coding process, ensuring accurate representation of the injury's severity.