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ICD-10 Guide
ICD-10 CodesS61.348

S61.348

Billable

Puncture wound with foreign body of other finger with damage to nail

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

Code Description

ICD-10 S61.348 is a billable code used to indicate a diagnosis of puncture wound with foreign body of other finger with damage to nail.

Key Diagnostic Point:

A puncture wound with a foreign body in the finger can occur due to various incidents, such as accidents involving sharp objects, animal bites, or impalement injuries. This specific code, S61.348, refers to a puncture wound located on a finger other than the thumb, which has been complicated by the presence of a foreign body and damage to the nail. Clinically, this condition may present with localized pain, swelling, and potential signs of infection. The foreign body may be visible or require imaging to identify, and the nail damage can range from minor to significant, potentially affecting nail growth and health. Treatment often involves careful removal of the foreign body, cleaning the wound, and assessing for any underlying injuries such as fractures, tendon lacerations, or nerve damage. Surgical intervention may be necessary if the injury is severe or if there is a risk of complications. Proper documentation of the injury mechanism, foreign body type, and any associated injuries is crucial for accurate coding and reimbursement.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Presence of foreign body complicates the injury.
  • Potential for associated injuries (fractures, tendon, nerve damage).
  • Variability in documentation of nail damage.
  • Need for precise anatomical location coding.

Audit Risk Factors

  • Inadequate documentation of the foreign body type.
  • Failure to document associated injuries (e.g., fractures, tendon injuries).
  • Misclassification of the finger involved.
  • Lack of clarity on the mechanism of injury.

Specialty Focus

Medical Specialties

Orthopedic Surgery

Documentation Requirements

Detailed descriptions of the injury mechanism, foreign body type, and any surgical procedures performed.

Common Clinical Scenarios

Injuries from industrial accidents, sports injuries, or animal bites leading to puncture wounds.

Billing Considerations

Documentation must clearly outline any associated fractures or tendon injuries for accurate coding.

Emergency Medicine

Documentation Requirements

Comprehensive assessment of the wound, including imaging results and treatment provided.

Common Clinical Scenarios

Patients presenting with puncture wounds from various sources, requiring immediate care.

Billing Considerations

Timely documentation is critical to capture the urgency and nature of the injury.

Coding Guidelines

Inclusion Criteria

Use S61.348 When
  • According to ICD
  • 10 guidelines, this code should be used when the documentation specifies a puncture wound with a foreign body in a finger other than the thumb, along with any associated nail damage
  • Coders should ensure that the documentation supports the presence of a foreign body and any additional injuries

Exclusion Criteria

Do NOT use S61.348 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

12001CPT Code

Simple repair of superficial wounds

Clinical Scenario

Used when the wound requires suturing after foreign body removal.

Documentation Requirements

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

Specialty Considerations

Orthopedic surgeons may need to document any associated injuries.

10120CPT Code

Incision and removal of foreign body

Clinical Scenario

Used when a foreign body is deeply embedded and requires surgical intervention.

Documentation Requirements

Detailed description of the foreign body and the surgical approach taken.

Specialty Considerations

Emergency medicine specialists should document the urgency of the procedure.

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 with foreign bodies. This specificity aids in better tracking of injury types and outcomes, improving 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 with foreign bodies. This specificity aids in better tracking of injury types and outcomes, improving patient care and resource allocation.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of injuries, including puncture wounds with foreign bodies. This specificity aids in better tracking of injury types and outcomes, improving 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 significance of coding S61.348 accurately?

Accurate coding of S61.348 is crucial for proper reimbursement, tracking of injury types, and ensuring appropriate treatment protocols are followed. It also helps in identifying trends in hand injuries for preventive measures.