Open bite of right little finger with damage to nail
ICD-10 S61.356 is a billable code used to indicate a diagnosis of open bite of right little finger with damage to nail.
An open bite of the right little finger with damage to the nail typically occurs due to trauma, such as a bite from an animal or a human. This injury can result in significant soft tissue damage, exposing underlying structures, including tendons, nerves, and blood vessels. The nail may be partially or completely avulsed, leading to complications such as infection or delayed healing. Clinically, patients may present with pain, swelling, and bleeding at the site of injury. The assessment should include a thorough examination of the finger to evaluate for fractures, tendon injuries, or nerve damage. Imaging studies, such as X-rays, may be necessary to rule out fractures. Treatment often involves wound care, possible surgical intervention to repair damaged structures, and tetanus prophylaxis if indicated. Proper documentation of the injury's mechanism, extent of damage, and treatment provided is crucial for accurate coding and reimbursement.
Detailed description of the injury mechanism, assessment of associated injuries, and treatment provided.
Patients presenting with animal bites, human bites, or traumatic injuries to the fingers.
Ensure to document any signs of infection or complications that may arise from the injury.
Comprehensive evaluation of the injury, including imaging results and surgical interventions if performed.
Surgical repair of tendon injuries or fractures associated with open bites.
Document any surgical procedures performed, including repair of the nail bed or tendon reconstruction.
Used for repair of the open bite injury to the little finger.
Document the extent of the wound and repair performed.
Ensure that the procedure is linked to the correct diagnosis.
Documenting the mechanism of injury is crucial for accurate coding, as it helps differentiate between types of injuries and supports the medical necessity of the treatment provided.