Laceration with foreign body of left hand
ICD-10 S61.422 is a billable code used to indicate a diagnosis of laceration with foreign body of left hand.
S61.422 refers to a laceration of the left hand that is complicated by the presence of a foreign body. This condition typically arises from traumatic incidents such as cuts or punctures caused by sharp objects, which may embed materials like glass, metal, or wood into the soft tissues of the hand. The presence of a foreign body can complicate the healing process, leading to potential infections, delayed recovery, or further injury to underlying structures such as tendons, nerves, and blood vessels. Clinically, patients may present with pain, swelling, and impaired function of the hand. A thorough examination is necessary to assess the extent of the laceration and the type of foreign body involved. Imaging studies may be required to locate non-visible foreign bodies. Treatment often involves surgical intervention to remove the foreign body, repair any damaged structures, and ensure proper wound care to promote healing and restore function. The complexity of this condition lies in the potential for associated injuries, such as tendon lacerations or nerve damage, which may necessitate specialized surgical techniques and rehabilitation.
Detailed operative reports, imaging studies, and follow-up notes.
Surgical repair of lacerations with foreign bodies, tendon repairs, and nerve decompression.
Ensure accurate coding of all associated injuries and procedures performed.
Initial assessment notes, imaging results, and treatment plans.
Emergency treatment of hand injuries, foreign body removal, and wound care.
Document the mechanism of injury and any immediate interventions performed.
Used for repair of lacerations without significant underlying injury.
Document the size, location, and complexity of the laceration.
Orthopedic surgeons may need to provide additional details on tendon or nerve involvement.
Used when nerve damage is present due to the laceration.
Detailed operative report and pre-operative assessment.
Ensure accurate coding of nerve repair procedures.
Document the mechanism of injury, type of foreign body, location and extent of the laceration, any associated injuries, and the treatment provided, including any surgical interventions.
