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ICD-10 Guide
ICD-10 CodesS61.319

S61.319

Billable

Laceration without foreign body of unspecified finger with damage to nail

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

Code Description

ICD-10 S61.319 is a billable code used to indicate a diagnosis of laceration without foreign body of unspecified finger with damage to nail.

Key Diagnostic Point:

S61.319 refers to a laceration of an unspecified 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 and nerves. 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, as associated conditions like fractures or tendon injuries may also be present. Treatment often involves cleaning the wound, suturing if necessary, and monitoring for signs of infection. In some cases, surgical intervention may be required to repair damaged tendons or nerves, especially if the laceration is deep. Accurate coding is essential for appropriate reimbursement and to reflect the complexity of the injury.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in injury severity and depth
  • Potential for associated injuries (e.g., fractures, tendon damage)
  • Need for detailed documentation of nail involvement
  • Differentiation from similar codes (e.g., lacerations with foreign bodies)

Audit Risk Factors

  • Inadequate documentation of injury severity
  • Failure to note associated injuries
  • Incorrect coding of nail damage
  • Lack of clarity on treatment provided

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 documentation reflects the complexity of the injury and any surgical interventions.

Emergency Medicine

Documentation Requirements

Accurate assessment of the injury, including depth, location, and any immediate treatment provided.

Common Clinical Scenarios

Acute lacerations from accidents, sports injuries, and workplace incidents.

Billing Considerations

Document all findings and treatments to support coding and billing.

Coding Guidelines

Inclusion Criteria

Use S61.319 When
  • Follow official ICD
  • 10 coding guidelines, ensuring accurate documentation of the injury's specifics, including the finger involved and any associated injuries

Exclusion Criteria

Do NOT use S61.319 When
  • Exclude conditions that do not meet the criteria for this code

Related ICD-10 Codes

Related CPT Codes

12001CPT Code

Simple repair of superficial wounds

Clinical Scenario

Used for lacerations requiring simple closure without deeper tissue involvement.

Documentation Requirements

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

Specialty Considerations

Orthopedic surgeons may need to provide additional details if tendon repair is involved.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of lacerations, improving the accuracy of claims and reflecting the complexity of injuries more effectively.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of lacerations, improving the accuracy of claims and reflecting the complexity of injuries more effectively.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of lacerations, improving the accuracy of claims and reflecting the complexity of injuries more effectively.

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 should I document for a laceration without foreign body?

Document the location, depth, and severity of the laceration, any associated injuries, and the treatment provided, including whether sutures were used.