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ICD-10 Guide
ICD-10 CodesS61.317

S61.317

Billable

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

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

Code Description

ICD-10 S61.317 is a billable code used to indicate a diagnosis of laceration without foreign body of left little finger with damage to nail.

Key Diagnostic Point:

S61.317 refers to a specific type of injury characterized by a laceration of the left little finger that does not involve any foreign body. This injury is significant due to the potential for damage to the nail and surrounding soft tissues. Lacerations of the fingers can vary in depth and severity, potentially affecting not only the skin but also underlying structures such as tendons, nerves, and blood vessels. In this case, the damage to the nail may indicate a more complex injury that could require surgical intervention. Proper assessment of the laceration is crucial, as it may involve the need for repair of the nail bed, which is essential for nail regrowth and function. The management of such injuries often includes cleaning the wound, suturing if necessary, and monitoring for signs of infection or complications. Accurate coding is vital for appropriate treatment reimbursement and to ensure that the patient's medical record reflects the severity of the injury.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Need for precise documentation of injury depth and extent
  • Potential for associated injuries (e.g., tendon or nerve damage)
  • Variability in treatment approaches (e.g., conservative vs. surgical)
  • Differentiation from similar codes (e.g., lacerations with foreign bodies)

Audit Risk Factors

  • Inadequate documentation of the injury's specifics
  • Failure to note associated injuries (e.g., tendon or nerve involvement)
  • Misclassification of the injury type (e.g., coding as a foreign body injury)
  • Lack of follow-up documentation regarding treatment outcomes

Specialty Focus

Medical Specialties

Orthopedic Surgery

Documentation Requirements

Detailed descriptions of the laceration, any associated fractures, and surgical interventions performed.

Common Clinical Scenarios

Management of lacerations with potential tendon or nerve involvement, surgical repair of nail bed injuries.

Billing Considerations

Ensure that all surgical procedures are documented, including any repairs to underlying structures.

Emergency Medicine

Documentation Requirements

Thorough assessment notes, including mechanism of injury, initial treatment provided, and follow-up care instructions.

Common Clinical Scenarios

Acute presentation of lacerations, assessment for foreign bodies, and immediate wound care.

Billing Considerations

Document the patient's pain level and any immediate interventions performed to support coding for additional services.

Coding Guidelines

Inclusion Criteria

Use S61.317 When
  • According to ICD
  • 10 coding guidelines, S61
  • 317 should be used when the laceration is documented as without foreign body and includes nail damage
  • Coders must ensure that the documentation supports the code selection, particularly regarding the specifics of the injury and any associated treatments

Exclusion Criteria

Do NOT use S61.317 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

12001CPT Code

Simple repair of superficial wounds of the face, ears, eyelids, scalp, neck, hands, feet, and genitalia

Clinical Scenario

Used when the laceration requires simple closure without deeper tissue involvement.

Documentation Requirements

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

Specialty Considerations

Orthopedic surgeons may need to document any additional procedures performed.

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 S61.317, which provides a clearer picture of the patient's condition and treatment needs. This specificity aids in better resource allocation and reimbursement processes.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of injuries, such as S61.317, which provides a clearer picture of the patient's condition and treatment needs. This specificity aids in better resource allocation and reimbursement processes.

Reimbursement & Billing Impact

reimbursement processes.

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 lacerations?

Documenting nail damage is crucial as it can indicate the severity of the injury and may require specific treatment, such as nail bed repair, which impacts coding and reimbursement.