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ICD-10 Guide
ICD-10 CodesS61.354

S61.354

Billable

Open bite of right ring finger with damage to nail

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

Code Description

ICD-10 S61.354 is a billable code used to indicate a diagnosis of open bite of right ring finger with damage to nail.

Key Diagnostic Point:

An open bite of the right ring finger with damage to the nail is a specific type of hand trauma that occurs when a sharp object or another person's teeth penetrate the skin of the finger, resulting in an open wound. This injury can lead to significant complications, including infection, damage to the underlying structures such as tendons, nerves, and blood vessels, and potential long-term functional impairment. The nail may also be affected, leading to nail bed injuries that can complicate healing and aesthetic outcomes. Patients may present with pain, swelling, and bleeding at the site of injury, and they may require immediate medical attention to assess the extent of the damage. Treatment often involves wound care, possible surgical intervention to repair any damaged structures, and follow-up care to monitor healing and prevent complications. Accurate coding of this injury is crucial for appropriate treatment planning and reimbursement.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Requires detailed documentation of the injury mechanism.
  • Assessment of associated structures (nail, tendons, nerves) is necessary.
  • Potential for complications such as infection or nerve damage.
  • Differentiation from similar codes related to finger injuries.

Audit Risk Factors

  • Inadequate documentation of the injury mechanism.
  • Failure to document associated injuries (e.g., tendon or nerve damage).
  • Misclassification of the injury site.
  • Lack of follow-up documentation regarding healing and complications.

Specialty Focus

Medical Specialties

Orthopedic Surgery

Documentation Requirements

Detailed operative notes, including descriptions of any repairs to tendons or nerves.

Common Clinical Scenarios

Surgical repair of tendon injuries following an open bite, management of nail bed injuries.

Billing Considerations

Ensure that all surgical interventions are documented, including any complications that arise.

Emergency Medicine

Documentation Requirements

Thorough assessment of the injury, including imaging results if applicable.

Common Clinical Scenarios

Initial evaluation and management of open bite injuries, including wound care and tetanus prophylaxis.

Billing Considerations

Document the mechanism of injury and any immediate interventions performed.

Coding Guidelines

Inclusion Criteria

Use S61.354 When
  • According to ICD
  • 10 coding guidelines, S61
  • 354 should be used when the documentation specifies an open bite injury to the right ring finger with nail damage
  • It is important to ensure that the injury is not classified as a closed injury or a different type of trauma

Exclusion Criteria

Do NOT use S61.354 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

12001CPT Code

Simple repair of superficial wounds

Clinical Scenario

Used for initial treatment of the open bite injury.

Documentation Requirements

Document the extent of the wound and any repairs performed.

Specialty Considerations

Orthopedic surgeons may need to provide detailed operative notes.

26300CPT Code

Nail bed repair

Clinical Scenario

When the nail bed is damaged, this procedure may be necessary.

Documentation Requirements

Detailed description of the nail bed injury and repair technique.

Specialty Considerations

Ensure that the nail repair is documented as part of the surgical 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 open bites, which helps in better tracking and management of hand trauma cases. This specificity aids in improving patient care and outcomes.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of injuries, including open bites, which helps in better tracking and management of hand trauma cases. This specificity aids in improving patient care and outcomes.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of injuries, including open bites, which helps in better tracking and management of hand trauma cases. This specificity aids in improving patient care and outcomes.

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 an open bite and a closed bite injury?

An open bite injury involves a break in the skin, exposing underlying tissues, while a closed bite injury does not break the skin and may involve bruising or swelling without external wounds.