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ICD-10 Guide
ICD-10 CodesS61.337

S61.337

Billable

Puncture wound without foreign body of left little finger with damage to nail

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

Code Description

ICD-10 S61.337 is a billable code used to indicate a diagnosis of puncture wound without foreign body of left little finger with damage to nail.

Key Diagnostic Point:

A puncture wound of the left little finger is characterized by a small, deep injury caused by a sharp object that penetrates the skin and underlying tissues without the presence of 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 if the wound is not properly managed. The absence of a foreign body simplifies the treatment approach, focusing on wound care and monitoring for complications. It is crucial to assess for any associated injuries, such as tendon or nerve damage, which can occur in deeper puncture wounds. Proper documentation of the injury's extent, including any damage to the nail, is essential for accurate coding and treatment planning.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Need for precise documentation of the injury's location and extent.
  • Differentiation from similar codes for puncture wounds with foreign bodies.
  • Potential for associated injuries (e.g., tendon or nerve damage) that may complicate treatment.
  • Variability in clinical presentation and management based on the depth of the wound.

Audit Risk Factors

  • Inadequate documentation of the injury's specifics.
  • Failure to note associated injuries (e.g., tendon or nerve damage).
  • Misclassification of the wound type (puncture vs. laceration).
  • Inconsistent coding practices across different providers.

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Detailed description of the injury, treatment provided, and follow-up care.

Common Clinical Scenarios

Patients presenting with puncture wounds from various sources (e.g., nails, glass).

Billing Considerations

Assessment for tetanus prophylaxis and potential for infection.

Orthopedic Surgery

Documentation Requirements

Comprehensive evaluation of any associated fractures or tendon injuries.

Common Clinical Scenarios

Surgical intervention for deeper puncture wounds with potential complications.

Billing Considerations

Documentation of surgical findings and post-operative care.

Coding Guidelines

Inclusion Criteria

Use S61.337 When
  • Follow official ICD
  • 10 coding guidelines, ensuring accurate documentation of the injury's specifics
  • Include details about the nail damage and any associated injuries
  • Use additional codes as necessary to capture the full clinical picture

Exclusion Criteria

Do NOT use S61.337 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

12001CPT Code

Simple repair of superficial wounds

Clinical Scenario

Used for repair of the puncture wound if it requires suturing.

Documentation Requirements

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

Specialty Considerations

Orthopedic surgeons may need to document additional findings if tendon repair is performed.

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 puncture wounds. This specificity helps in better tracking of injury types and outcomes, leading to improved patient care and resource allocation.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of injuries, including puncture wounds. This specificity helps in better tracking of injury types and outcomes, leading to improved patient care and resource allocation.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of injuries, including puncture wounds. This specificity helps in better tracking of injury types and outcomes, leading to improved patient care and resource allocation.

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 difference between a puncture wound and a laceration?

A puncture wound is a deep, narrow injury caused by a sharp object that penetrates the skin, while a laceration is a tear or cut in the skin that may be wider and more superficial.