Laceration without foreign body of right hand
ICD-10 S61.411 is a billable code used to indicate a diagnosis of laceration without foreign body of right hand.
S61.411 refers to a laceration of the right hand that does not involve any foreign body. This type of injury is common in various settings, including workplaces, homes, and recreational activities. Lacerations can vary in depth and severity, potentially affecting not only the skin but also underlying structures such as tendons, nerves, and blood vessels. In the case of a laceration without a foreign body, the primary concern is the risk of infection and the need for proper wound care. Depending on the severity, treatment may involve simple wound closure with sutures or more complex surgical intervention if deeper structures are involved. Accurate documentation of the injury's location, depth, and any associated injuries (such as tendon or nerve damage) is crucial for appropriate coding and treatment planning. The right hand is particularly susceptible to injuries due to its frequent use in daily activities, making it essential for healthcare providers to assess the full extent of the injury to prevent complications and ensure optimal recovery.
Detailed notes on the extent of the laceration, any associated fractures, and surgical interventions performed.
Lacerations requiring surgical repair, tendon repairs, or nerve exploration.
Ensure to document any complications or additional procedures performed during surgery.
Thorough assessment of the laceration, including depth, location, and any immediate treatment provided.
Initial evaluation and treatment of hand lacerations, including wound cleaning and suturing.
Document any imaging studies performed to rule out fractures or deeper injuries.
Used for lacerations requiring simple closure without deeper tissue involvement.
Document the size of the wound and the method of closure.
Orthopedic surgeons may need to document any additional procedures if tendon repair is required.
S61.411 is used for lacerations of the right hand without foreign bodies, while S61.412 is for lacerations of the left hand without foreign bodies. The choice of code depends on the laterality of the injury.
