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ICD-10 Guide
ICD-10 CodesS61.322

S61.322

Billable

Laceration with foreign body of right middle finger with damage to nail

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

Code Description

ICD-10 S61.322 is a billable code used to indicate a diagnosis of laceration with foreign body of right middle finger with damage to nail.

Key Diagnostic Point:

S61.322 refers to a specific type of injury characterized by a laceration of the right middle 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, or crush injuries. The presence of a foreign body complicates the injury, as it may lead to infection, delayed healing, or further tissue damage. The nail damage indicates that the injury may involve the nail bed or matrix, which can affect nail growth and appearance. Proper assessment and management are crucial, as untreated lacerations can lead to complications such as tendon injuries, nerve damage, or even fractures of the underlying bone. Treatment often involves cleaning the wound, removing any foreign material, and possibly suturing the laceration. In some cases, surgical intervention may be necessary to repair damaged tendons or nerves, especially if the injury is severe. Accurate coding of this condition is essential for appropriate treatment planning and reimbursement.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Presence of foreign body complicates the injury management.
  • Potential for associated injuries such as tendon or nerve damage.
  • Need for detailed documentation of the extent of nail damage.
  • Variability in treatment approaches based on injury severity.

Audit Risk Factors

  • Inadequate documentation of the foreign body removal process.
  • Failure to document the extent of nail damage.
  • Misclassification of the injury type (e.g., coding as a simple laceration).
  • Lack of clarity on associated injuries (tendons, nerves).

Specialty Focus

Medical Specialties

Orthopedic Surgery

Documentation Requirements

Detailed notes on the mechanism of injury, extent of damage, and treatment provided.

Common Clinical Scenarios

Fractures associated with lacerations, tendon repairs, and foreign body removals.

Billing Considerations

Ensure all associated injuries are documented to support coding.

Hand Surgery

Documentation Requirements

Comprehensive assessment of the hand function, nerve involvement, and surgical interventions performed.

Common Clinical Scenarios

Complex lacerations requiring surgical repair, including tendon and nerve reconstruction.

Billing Considerations

Documenting the surgical approach and any complications encountered during the procedure.

Coding Guidelines

Inclusion Criteria

Use S61.322 When
  • Follow the official ICD
  • CM coding guidelines, ensuring accurate documentation of the injury's specifics, including the presence of foreign bodies and nail damage
  • Codes should reflect the most specific diagnosis possible

Exclusion Criteria

Do NOT use S61.322 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

12001CPT Code

Simple repair of superficial wounds

Clinical Scenario

Used for repairing the laceration after foreign body removal.

Documentation Requirements

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

Specialty Considerations

Orthopedic or hand surgery documentation should detail the extent of the injury.

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 S61.322, which provides better data for tracking and managing hand injuries. This specificity aids in treatment planning and reimbursement processes.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of injuries, such as S61.322, which provides better data for tracking and managing hand injuries. This specificity aids in treatment planning 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 coding S61.322 accurately?

Accurate coding of S61.322 is crucial for proper treatment planning, reimbursement, and tracking of hand injuries. It ensures that healthcare providers are compensated for the complexity of care provided and helps in the analysis of injury patterns.