Puncture wound without foreign body of right ring finger with damage to nail
ICD-10 S61.334 is a billable code used to indicate a diagnosis of puncture wound without foreign body of right ring finger with damage to nail.
A puncture wound of the right ring 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 injury may also affect the underlying structures, including tendons, nerves, and blood vessels, depending on the depth and location of the puncture. Clinical evaluation is essential to assess for any associated injuries, such as fractures or tendon lacerations, which may require surgical intervention. Treatment typically involves cleaning the wound, possible suturing, and monitoring for infection. In cases where the nail is damaged, further management may be necessary to ensure proper healing and cosmetic appearance. Understanding the implications of this injury is crucial for effective treatment and accurate coding.
Detailed descriptions of the injury, treatment provided, and any surgical interventions performed.
Management of puncture wounds with potential tendon or nerve involvement, surgical repair of nail bed injuries.
Ensure clear documentation of any surgical procedures performed, including the extent of repair and follow-up care.
Thorough assessment of the wound, including depth, location, and any signs of infection.
Initial evaluation and treatment of puncture wounds, including wound cleaning and tetanus prophylaxis.
Document the mechanism of injury and any immediate interventions performed to support coding.
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 tendon repair performed.
If the puncture wound leads to joint involvement.
Document the joint involved and the procedure performed.
Ensure clear documentation of indications for the procedure.
S61.334 is used for puncture wounds without foreign bodies, while S61.331 is for puncture wounds that involve a foreign body. Accurate documentation of the presence or absence of foreign bodies is crucial for correct coding.