Laceration without foreign body of unspecified hand
ICD-10 S61.419 is a billable code used to indicate a diagnosis of laceration without foreign body of unspecified hand.
S61.419 refers to a laceration of the hand that does not involve a foreign body and is unspecified in terms of the exact location. Lacerations can occur due to various traumatic events, such as cuts from sharp objects, falls, or accidents. The hand is a complex structure composed of bones, tendons, nerves, and blood vessels, making injuries in this area potentially serious. A laceration may affect not only the skin but also underlying structures, leading to complications such as tendon injuries, nerve damage, or fractures. Proper assessment is crucial to determine the extent of the injury and the appropriate treatment. Surgical intervention may be necessary for deeper lacerations that involve tendons or nerves, and accurate coding is essential for reimbursement and tracking of hand injuries. Documentation should include details about the mechanism of injury, the depth of the laceration, and any associated injuries to ensure comprehensive coding and management.
Detailed descriptions of the laceration, associated injuries, and surgical procedures performed.
Lacerations requiring surgical repair, tendon repairs, or nerve exploration.
Ensure documentation reflects the complexity of the injury and any surgical interventions.
Thorough assessment of the injury, including mechanism, depth, and any immediate interventions.
Acute lacerations presenting in the emergency department.
Document all findings and treatments to support coding and billing.
Used for lacerations requiring simple closure without deeper involvement.
Document the size and location of the laceration, and the method of repair.
Orthopedic surgeons may need to document additional details if tendon or nerve repair is involved.
Document the mechanism of injury, depth of the laceration, any associated injuries, and the treatment provided to ensure accurate coding.
