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ICD-10 Guide
ICD-10 CodesChapter 19: Injury, poisoning and other consequences of external causesS61

S61

Non-billable

Open wound of wrist, hand and fingers

Chapter 19:Injury, poisoning and other consequences of external causes

BILLABLE STATUSNo
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/05/2025

Code Description

ICD-10 S61 is a used to indicate a diagnosis of open wound of wrist, hand and fingers.

Key Diagnostic Point:

The ICD-10 Level 1 Category code S61 pertains to open wounds of the wrist, hand, and fingers. This category encompasses a variety of conditions, including lacerations, abrasions, and puncture wounds that occur in these anatomical regions. Open wounds can result from various incidents such as accidents, falls, or sports injuries, and they may vary in severity from minor cuts to deep lacerations that penetrate underlying tissues. Clinically, these wounds require careful assessment and management to prevent complications such as infection, impaired function, and scarring. Proper coding is essential for accurate documentation and reimbursement, as well as for tracking injury patterns in public health data.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of wound types
  • Potential for complications
  • Need for detailed documentation

Audit Risk Factors

  • Inadequate documentation of wound type
  • Failure to specify location
  • Misclassification of wound severity

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Standard ICD-10-CM documentation requirements apply

Common Clinical Scenarios

Various clinical presentations within this specialty area

Billing Considerations

Follow specialty-specific billing guidelines

Orthopedics

Documentation Requirements

Standard ICD-10-CM documentation requirements apply

Common Clinical Scenarios

Various clinical presentations within this specialty area

Billing Considerations

Follow specialty-specific billing guidelines

Related CPT Codes

CPT Code

Clinical Scenario

Documentation Requirements

CPT Code

Clinical Scenario

Documentation Requirements

CPT Code

Clinical Scenario

Documentation Requirements

CPT Code

Clinical Scenario

Documentation Requirements

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The clinical and administrative impact of the S61 code category is significant, as it plays a crucial role in tracking injury trends and outcomes in the population. Accurate coding can influence quality measures and healthcare policies aimed at reducing injury rates and improving treatment protocols. Furthermore, understanding the implications of open wounds on population health can guide preventive measures and resource allocation in healthcare settings, ultimately enhancing patient care and safety.

ICD-9 vs ICD-10

The clinical and administrative impact of the S61 code category is significant, as it plays a crucial role in tracking injury trends and outcomes in the population. Accurate coding can influence quality measures and healthcare policies aimed at reducing injury rates and improving treatment protocols. Furthermore, understanding the implications of open wounds on population health can guide preventive measures and resource allocation in healthcare settings, ultimately enhancing patient care and safety.

Reimbursement & Billing Impact

Reimbursement may vary based on the severity of the wound and the treatment rendered, such as suturing or wound care management. It is essential to document the patient's clinical condition, treatment plan, and any follow-up care to support the billing process and justify the services rendered.

Resources

Clinical References

  • •
    Official ICD-10 Guidelines for S61

Coding & Billing References

  • •
    Official ICD-10 Guidelines for S61

Frequently Asked Questions

What conditions are included in S61?

Conditions included in S61 are open wounds such as lacerations, puncture wounds, and abrasions affecting the wrist, hand, and fingers. These can arise from various causes including trauma, surgical procedures, or accidents.

When should I use S61 codes?

S61 codes should be used when documenting any open wound of the wrist, hand, or fingers. It is crucial to specify the type and severity of the wound for accurate coding and treatment planning.

What documentation is required for S61?

Documentation for S61 should include a detailed description of the wound, including its location, type, size, and any associated complications. Photographic evidence may also be beneficial in some cases.