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ICD-10 Guide
ICD-10 CodesS61.412

S61.412

Billable

Laceration without foreign body of left hand

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

Code Description

ICD-10 S61.412 is a billable code used to indicate a diagnosis of laceration without foreign body of left hand.

Key Diagnostic Point:

S61.412 refers to a laceration of the left hand that does not involve any foreign body. This type of injury is common in various settings, including occupational accidents, sports injuries, and household mishaps. The laceration can vary in severity, from superficial cuts affecting only the skin to deeper wounds that may involve underlying structures such as tendons, nerves, and blood vessels. Accurate assessment is crucial, as deeper lacerations can lead to complications such as tendon injuries, nerve damage, or infection. Treatment typically involves cleaning the wound, suturing if necessary, and monitoring for signs of complications. In cases where tendons or nerves are involved, surgical intervention may be required to restore function. Proper documentation of the injury's depth, location, and any associated injuries is essential for accurate coding and reimbursement.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in injury severity and depth
  • Potential for associated injuries (tendons, nerves)
  • Need for detailed documentation of the injury
  • Differentiation from similar codes (e.g., with foreign body)

Audit Risk Factors

  • Inadequate documentation of injury specifics
  • Failure to note associated injuries
  • Incorrect coding of depth or severity
  • Lack of follow-up documentation

Specialty Focus

Medical Specialties

Orthopedic Surgery

Documentation Requirements

Detailed notes on the extent of the laceration, any tendon or nerve involvement, and treatment provided.

Common Clinical Scenarios

Lacerations from sports injuries, workplace accidents, or falls.

Billing Considerations

Ensure to document any surgical interventions or referrals to specialists.

Emergency Medicine

Documentation Requirements

Comprehensive assessment of the injury, including mechanism of injury and immediate treatment provided.

Common Clinical Scenarios

Patients presenting with acute lacerations from various causes.

Billing Considerations

Document any imaging or consultations performed to rule out deeper injuries.

Coding Guidelines

Inclusion Criteria

Use S61.412 When
  • Follow official ICD
  • CM guidelines for coding injuries, ensuring to document the specific location and depth of the laceration
  • Include any associated injuries and treatment details

Exclusion Criteria

Do NOT use S61.412 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

12001CPT Code

Simple repair of superficial wounds

Clinical Scenario

Used for suturing a laceration on the left hand.

Documentation Requirements

Document the size of the laceration and the technique used.

Specialty Considerations

Orthopedic surgeons may need to document any tendon involvement.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of lacerations, improving the granularity of data for treatment and outcomes. S61.412 provides clarity in cases without foreign bodies, aiding in accurate billing and treatment planning.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of lacerations, improving the granularity of data for treatment and outcomes. S61.412 provides clarity in cases without foreign bodies, aiding in accurate billing and treatment planning.

Reimbursement & Billing Impact

billing and treatment planning.

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 S61.412 and S61.411?

S61.412 is used for lacerations of the left hand without foreign bodies, while S61.411 is for the right hand. Accurate coding depends on the specific location of the injury.