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ICD-10 Guide
ICD-10 CodesS61.357

S61.357

Billable

Open bite of left little finger with damage to nail

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

Code Description

ICD-10 S61.357 is a billable code used to indicate a diagnosis of open bite of left little finger with damage to nail.

Key Diagnostic Point:

An open bite of the left little finger with damage to the nail is a specific type of injury 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 trauma to the surrounding soft tissues, including the nail bed, which may result in nail loss or deformity. The open nature of the wound increases the risk of infection, necessitating careful management and potential surgical intervention. In addition to the immediate concerns of wound care, there may be associated injuries to the underlying structures, such as tendons, nerves, and blood vessels, which can complicate recovery and rehabilitation. Proper assessment and documentation of the extent of the injury are crucial for determining the appropriate treatment plan and coding. Treatment may involve cleaning the wound, suturing, and possibly surgical repair of damaged tendons or nerves, depending on the severity of the injury. Follow-up care is essential to monitor for complications such as infection or impaired function of the finger.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Specificity of the injury location (left little finger)
  • Involvement of nail damage
  • Potential for associated tendon or nerve injuries
  • Need for detailed documentation of the injury mechanism

Audit Risk Factors

  • Inadequate documentation of the injury mechanism
  • Failure to note associated injuries (tendons, nerves)
  • Lack of follow-up documentation on healing
  • Inconsistent coding of related procedures

Specialty Focus

Medical Specialties

Orthopedic Surgery

Documentation Requirements

Detailed notes on the extent of injury, surgical interventions performed, and follow-up care.

Common Clinical Scenarios

Surgical repair of tendon injuries, management of complex hand trauma.

Billing Considerations

Ensure clear documentation of any nerve or tendon involvement for accurate coding.

Emergency Medicine

Documentation Requirements

Thorough assessment of the wound, including size, depth, and any foreign bodies.

Common Clinical Scenarios

Initial evaluation and management of hand injuries, including wound care and referral for surgery.

Billing Considerations

Document the mechanism of injury and any immediate interventions performed.

Coding Guidelines

Inclusion Criteria

Use S61.357 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 S61.357 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 size and depth of the wound, and any foreign bodies removed.

Specialty Considerations

Orthopedic surgeons may need to provide additional details on tendon repair if applicable.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of injuries, such as open bites, which helps in better tracking of injury types and treatment outcomes. This specificity aids in research and quality improvement initiatives.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of injuries, such as open bites, which helps in better tracking of injury types and treatment outcomes. This specificity aids in research and quality improvement initiatives.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of injuries, such as open bites, which helps in better tracking of injury types and treatment outcomes. This specificity aids in research and quality improvement initiatives.

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?

An open bite involves a break in the skin, exposing underlying tissues, while a closed bite does not penetrate the skin.