Puncture wound with foreign body of right index finger with damage to nail
ICD-10 S61.340 is a billable code used to indicate a diagnosis of puncture wound with foreign body of right index finger with damage to nail.
A puncture wound with a foreign body in the right index finger is a specific type of injury that occurs when a sharp object penetrates the skin, potentially introducing foreign materials into the wound. This injury can lead to complications such as infection, damage to underlying structures, and nail bed injury. The presence of a foreign body complicates the healing process and may require surgical intervention for removal. Damage to the nail can result in deformity or loss of the nail, necessitating careful management to ensure proper healing and restoration of function. Clinicians must assess for associated injuries, including fractures of the phalanges, tendon injuries, or nerve damage, which can occur due to the mechanism of injury. Treatment may involve wound cleaning, foreign body removal, and possibly surgical repair of any damaged structures. Follow-up care is essential to monitor for signs of infection and to assess the healing of the nail bed and surrounding tissues.
Detailed operative notes, including descriptions of any fractures, tendon repairs, and foreign body removal.
Management of complex hand injuries with associated fractures or tendon injuries.
Ensure clear documentation of all structures involved and the surgical approach taken.
Thorough documentation of the mechanism of injury, initial assessment, and treatment provided.
Acute presentation of puncture wounds with foreign bodies requiring immediate care.
Document any imaging studies performed to assess for fractures or foreign bodies.
Used when a puncture wound requires simple closure without extensive repair.
Document the size of the wound and the method of closure.
Orthopedic surgeons may need to document any underlying injuries.
Document the mechanism of injury, the type of foreign body, any associated injuries, treatment provided, and follow-up care instructions.
