Puncture wound without foreign body of right index finger with damage to nail
ICD-10 S61.330 is a billable code used to indicate a diagnosis of puncture wound without foreign body of right index finger with damage to nail.
A puncture wound of the right index finger occurs when a sharp object penetrates the skin, causing a wound that does not involve a foreign body. This type of injury can lead to damage to the nail bed, which may result in nail deformity or loss. The clinical presentation often includes localized pain, swelling, and tenderness at the site of injury. In some cases, there may be bleeding or signs of infection, such as redness and warmth. The absence of a foreign body is significant, as it influences the treatment approach and potential complications. Proper assessment is crucial to determine if there is any underlying damage to tendons, nerves, or bones, which can complicate healing and function. Treatment may involve cleaning the wound, suturing if necessary, and monitoring for infection. Rehabilitation may be required to restore full function of the finger, especially if there is associated tendon or nerve injury.
Detailed descriptions of the injury, treatment provided, and any surgical interventions.
Management of puncture wounds with potential tendon or nerve involvement.
Ensure documentation reflects the extent of injury and any surgical procedures performed.
Thorough assessment notes, including mechanism of injury and initial treatment.
Immediate care of puncture wounds, including infection management.
Documenting the patient's vital signs and any signs of systemic infection.
Used when the puncture wound requires suturing.
Document the size of the wound and the method of repair.
Orthopedic surgeons may need to document any additional procedures performed.
A puncture wound is caused by a sharp object penetrating the skin, while a laceration is a tear or cut in the skin. Puncture wounds are typically deeper and may not bleed as much as lacerations.
