ICD-10 Logo
ICDxICD-10 Medical Coding
ICD-10 Logo
ICDxICD-10 Medical Coding
ICD 10 CodesDiagnoses
ICD 10 CodesDiagnoses
ICD-10 Logo
ICDxICD-10 Medical Coding

Comprehensive ICD-10-CM code reference with AI-powered search capabilities.

© 2025 ICD Code Compass. All rights reserved.

Browse

  • All Chapters
  • All Categories
  • Diagnoses

Tools

  • AI Code Search
ICD-10-CM codes are maintained by the CDC and CMS. This tool is for reference purposes only.
v1.0.0
ICD-10 Guide
ICD-10 CodesS61.356

S61.356

Billable

Open bite of right little finger with damage to nail

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

Code Description

ICD-10 S61.356 is a billable code used to indicate a diagnosis of open bite of right little finger with damage to nail.

Key Diagnostic Point:

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.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in injury severity and associated complications
  • Need for detailed documentation of the injury mechanism
  • Potential for co-existing injuries (e.g., fractures, tendon damage)
  • Variations in treatment approaches based on clinical findings

Audit Risk Factors

  • Inadequate documentation of the injury mechanism
  • Failure to document associated injuries (e.g., fractures, tendon injuries)
  • Lack of clarity on the extent of nail damage
  • Improper linkage of diagnosis to treatment provided

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Detailed description of the injury mechanism, assessment of associated injuries, and treatment provided.

Common Clinical Scenarios

Patients presenting with animal bites, human bites, or traumatic injuries to the fingers.

Billing Considerations

Ensure to document any signs of infection or complications that may arise from the injury.

Orthopedic Surgery

Documentation Requirements

Comprehensive evaluation of the injury, including imaging results and surgical interventions if performed.

Common Clinical Scenarios

Surgical repair of tendon injuries or fractures associated with open bites.

Billing Considerations

Document any surgical procedures performed, including repair of the nail bed or tendon reconstruction.

Coding Guidelines

Inclusion Criteria

Use S61.356 When
  • Follow official ICD
  • 10 coding guidelines, ensuring accurate documentation of the injury type, location, and any associated injuries
  • Include details on the mechanism of injury and treatment provided

Exclusion Criteria

Do NOT use S61.356 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

12001CPT Code

Simple repair of superficial wounds of the face, ears, eyelids, scalp, neck, axillae, genitalia, trunk, and extremities

Clinical Scenario

Used for repair of the open bite injury to the little finger.

Documentation Requirements

Document the extent of the wound and repair performed.

Specialty Considerations

Ensure that the procedure is linked to the correct diagnosis.

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 improves data accuracy and enhances the ability to track injury patterns and treatment outcomes.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of injuries, including open bites, which improves data accuracy and enhances the ability to track injury patterns and treatment outcomes.

Reimbursement & Billing Impact

reimbursement process.

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 documenting the mechanism of injury?

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.