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ICD-10 Guide
ICD-10 CodesS61.329

S61.329

Billable

Laceration with foreign body of unspecified finger with damage to nail

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

Code Description

ICD-10 S61.329 is a billable code used to indicate a diagnosis of laceration with foreign body of unspecified finger with damage to nail.

Key Diagnostic Point:

S61.329 refers to a laceration of an unspecified finger that is complicated by the presence of a foreign body and includes damage to the nail. This condition typically arises from traumatic incidents such as cuts or punctures caused by sharp objects, tools, or accidents. The presence of a foreign body can complicate the healing process, leading to potential infections or delayed recovery. The damage to the nail may manifest as a fracture, avulsion, or complete loss, which can affect the nail bed and surrounding tissues. Clinically, this condition requires careful assessment to determine the extent of the injury, including any associated fractures, tendon injuries, or nerve damage. Treatment often involves surgical intervention to remove the foreign body, repair any damaged structures, and ensure proper healing of the nail and surrounding tissues. 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

  • Presence of foreign body complicates the injury.
  • Potential for associated injuries (fractures, tendon, nerve damage).
  • Variability in documentation of finger injuries.
  • Need for precise anatomical location coding.

Audit Risk Factors

  • Inadequate documentation of the foreign body.
  • Failure to document associated injuries.
  • Incorrect anatomical location coding.
  • Lack of clarity in treatment procedures performed.

Specialty Focus

Medical Specialties

Orthopedic Surgery

Documentation Requirements

Detailed descriptions of the injury, imaging results, and surgical procedures performed.

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 notes on the extent of laceration, foreign body details, and nail damage.

Common Clinical Scenarios

Complex lacerations requiring reconstructive surgery or nail bed repair.

Billing Considerations

Document any nerve or vascular involvement for accurate coding.

Coding Guidelines

Inclusion Criteria

Use S61.329 When
  • Follow official ICD
  • CM guidelines for coding injuries, ensuring accurate documentation of the injury's nature, location, and any associated complications
  • Include details about the foreign body and nail damage

Exclusion Criteria

Do NOT use S61.329 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

12001CPT Code

Simple repair of superficial wounds

Clinical Scenario

Used for simple laceration repairs without extensive damage.

Documentation Requirements

Document the size and location of the laceration.

Specialty Considerations

Orthopedic or hand surgery documentation may require additional details.

10120CPT Code

Incision and removal of foreign body

Clinical Scenario

Used when a foreign body is embedded in the laceration.

Documentation Requirements

Document the type and location of the foreign body.

Specialty Considerations

Ensure clear documentation of the surgical approach.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of injuries, including the presence of foreign bodies and nail damage, which enhances the accuracy of medical records and reimbursement processes.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of injuries, including the presence of foreign bodies and nail damage, which enhances the accuracy of medical records 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 should be documented for S61.329?

Documentation should include the nature of the laceration, the presence and type of foreign body, extent of nail damage, and any associated injuries or treatments performed.