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ICD-10 Guide
ICD-10 CodesS61.347

S61.347

Billable

Puncture wound with foreign body of left little finger with damage to nail

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

Code Description

ICD-10 S61.347 is a billable code used to indicate a diagnosis of puncture wound with foreign body of left little finger with damage to nail.

Key Diagnostic Point:

A puncture wound with a foreign body in the left little finger typically occurs when a sharp object penetrates the skin, potentially introducing foreign materials such as wood, metal, or glass. 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 to remove the object and repair any associated damage. Damage to the nail can result in deformity or loss of the nail, necessitating careful monitoring and possibly reconstructive procedures. The clinical management of such injuries involves thorough assessment, imaging if necessary, and appropriate wound care, including tetanus prophylaxis and antibiotics if indicated. The complexity of treatment increases with the depth of the wound, the nature of the foreign body, and the extent of damage to surrounding tissues, including tendons and nerves.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Presence of foreign body complicates the diagnosis and treatment.
  • Potential for associated injuries to tendons and nerves.
  • Need for surgical intervention may vary based on the extent of damage.
  • Documentation must clearly specify the nature of the foreign body and associated injuries.

Audit Risk Factors

  • Inadequate documentation of the foreign body type and location.
  • Failure to document associated injuries to tendons or nerves.
  • Lack of clarity on the treatment provided, especially if surgical intervention was performed.
  • Misclassification of the injury severity or complexity.

Specialty Focus

Medical Specialties

Orthopedic Surgery

Documentation Requirements

Detailed operative notes, imaging results, and follow-up assessments.

Common Clinical Scenarios

Management of complex hand injuries, including fractures and tendon repairs.

Billing Considerations

Ensure clear documentation of any surgical procedures performed and the rationale for interventions.

Emergency Medicine

Documentation Requirements

Comprehensive initial assessment, including mechanism of injury and immediate treatment provided.

Common Clinical Scenarios

Acute management of puncture wounds with foreign bodies and potential infections.

Billing Considerations

Document all interventions, including wound care and any referrals to specialists.

Coding Guidelines

Inclusion Criteria

Use S61.347 When
  • Follow official ICD
  • 10 coding guidelines, ensuring accurate documentation of the injury's specifics, including the presence of a foreign body and any associated damage

Exclusion Criteria

Do NOT use S61.347 When
  • Exclude codes for unrelated injuries or conditions

Related ICD-10 Codes

Related CPT Codes

12001CPT Code

Simple repair of superficial wounds

Clinical Scenario

Used when the wound requires closure without extensive tissue manipulation.

Documentation Requirements

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

Specialty Considerations

Orthopedic surgeons may need to document any additional procedures performed.

10120CPT Code

Incision and removal of foreign body

Clinical Scenario

Used when a foreign body is surgically removed from the wound.

Documentation Requirements

Detailed operative report including the type of foreign body and any complications.

Specialty Considerations

Emergency medicine specialists should document the initial assessment and any referrals.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 allows for more specific coding of injuries, improving the accuracy of data collection and reimbursement processes. S61.347 provides a detailed description of the injury, which aids in clinical management and research.

ICD-9 vs ICD-10

The transition to ICD-10 allows for more specific coding of injuries, improving the accuracy of data collection and reimbursement processes. S61.347 provides a detailed description of the injury, which aids in clinical management and research.

Reimbursement & Billing Impact

reimbursement processes. S61.347 provides a detailed description of the injury, which aids in clinical management and research.

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 significance of coding S61.347 accurately?

Accurate coding of S61.347 is crucial for proper reimbursement, tracking of injury trends, and ensuring appropriate clinical management of patients with puncture wounds and foreign bodies.