Puncture wound without foreign body of left ring finger with damage to nail
ICD-10 S61.335 is a billable code used to indicate a diagnosis of puncture wound without foreign body of left ring finger with damage to nail.
A puncture wound of the left 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 significant damage to the surrounding structures, including the nail bed, which may result in nail deformity or loss. The injury may also affect the underlying tissues, such as tendons and nerves, depending on the depth and location of the puncture. Clinical evaluation is essential to assess for potential complications, including infection, tendon injury, or nerve damage. Treatment typically involves cleaning the wound, possible suturing, and monitoring for signs of infection. In cases where the nail is damaged, further intervention may be required to repair or remove the nail. Accurate coding is crucial for proper reimbursement and to reflect the severity of the injury in the patient's medical record.
Detailed notes on the mechanism of injury, physical examination findings, and treatment plan.
Puncture wounds from sharp objects, sports injuries, or industrial accidents.
Ensure to document any surgical interventions or repairs performed.
Comprehensive assessment of the wound, including depth, location, and any signs of infection.
Patients presenting with acute hand injuries from accidents or falls.
Document any immediate care provided, including wound cleaning and tetanus prophylaxis.
Used for repair of the puncture wound if suturing is required.
Document the size of the wound and the method of repair.
Orthopedic surgeons may need to document any additional procedures performed.
Documenting the absence of foreign bodies is crucial for accurate coding and to differentiate between types of injuries, which can affect treatment and reimbursement.
