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ICD-10 Guide
ICD-10 CodesS61.321

S61.321

Billable

Laceration with foreign body of left index finger with damage to nail

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

Code Description

ICD-10 S61.321 is a billable code used to indicate a diagnosis of laceration with foreign body of left index finger with damage to nail.

Key Diagnostic Point:

S61.321 describes a specific type of injury involving a laceration of the left index finger that includes the presence of a foreign body and damage to the nail. This condition typically arises from traumatic incidents such as cuts from sharp objects, punctures from tools, or accidents involving machinery. The presence of a foreign body complicates the injury, as it may lead to infection or delayed healing if not properly addressed. Damage to the nail can result in pain, swelling, and potential long-term cosmetic issues. Clinically, the management of this injury may involve thorough cleaning of the wound, removal of the foreign body, and possible surgical intervention to repair the nail bed or surrounding tissues. The complexity of treatment can vary based on the extent of the laceration, the type of foreign body, and the overall health of the patient. Accurate coding is essential for appropriate reimbursement and to reflect the severity of the injury in medical records.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Presence of a foreign body complicates the injury.
  • Damage to the nail requires specific documentation.
  • Potential for associated infections or complications.
  • Variability in treatment approaches based on injury severity.

Audit Risk Factors

  • Inadequate documentation of the foreign body removal.
  • Failure to document the extent of nail damage.
  • Lack of clarity on the mechanism of injury.
  • Inconsistent coding of associated procedures.

Specialty Focus

Medical Specialties

Orthopedic Surgery

Documentation Requirements

Detailed operative notes describing the laceration, foreign body removal, and any repairs performed.

Common Clinical Scenarios

Management of traumatic finger injuries, including fractures and tendon repairs.

Billing Considerations

Ensure all surgical interventions are documented to support coding.

Emergency Medicine

Documentation Requirements

Comprehensive notes on the mechanism of injury, initial assessment, and treatment provided.

Common Clinical Scenarios

Acute care for lacerations, foreign body removal, and wound management.

Billing Considerations

Document all assessments and interventions to justify the complexity of the case.

Coding Guidelines

Inclusion Criteria

Use S61.321 When
  • According to ICD
  • 10 coding guidelines, S61
  • 321 should be used when there is a documented laceration with a foreign body and nail damage
  • Coders should ensure that the documentation supports the presence of these elements and that any associated procedures are accurately captured

Exclusion Criteria

Do NOT use S61.321 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

12001CPT Code

Simple repair of superficial wounds

Clinical Scenario

Used for repair of the laceration after foreign body removal.

Documentation Requirements

Operative notes detailing the repair process and materials used.

Specialty Considerations

Orthopedic surgeons should document the extent 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 like S61.321, improving the accuracy of medical records and reimbursement processes. It provides a clearer picture of the patient's condition and the complexity of care required.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of injuries like S61.321, improving the accuracy of medical records and reimbursement processes. It provides a clearer picture of the patient's condition and the complexity of care required.

Reimbursement & Billing Impact

reimbursement processes. It provides a clearer picture of the patient's condition and the complexity of care required.

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 coding S61.321 accurately?

Accurate coding of S61.321 is crucial for proper reimbursement, reflecting the complexity of the injury, and ensuring appropriate treatment is documented. It helps in tracking injury patterns and improving patient care.