Open wound of thumb without damage to nail
ICD-10 S61.0 is a billable code used to indicate a diagnosis of open wound of thumb without damage to nail.
An open wound of the thumb without damage to the nail typically results from trauma, such as cuts, lacerations, or punctures. This type of injury can occur in various settings, including workplaces, homes, or during recreational activities. The wound may involve the skin and underlying tissues but does not extend to the nail bed, which is crucial for determining the appropriate coding. Clinically, these wounds can vary in severity, from superficial abrasions to deeper lacerations that may affect tendons, nerves, or blood vessels. Proper assessment is essential to evaluate the extent of the injury and to determine if surgical intervention is necessary. Treatment often involves cleaning the wound, suturing if required, and monitoring for signs of infection. In cases where tendons or nerves are involved, further surgical procedures may be indicated to restore function. Accurate documentation of the injury's nature, location, and any associated complications is vital for coding and billing purposes.
Detailed operative notes, including the extent of the wound, any repairs performed, and post-operative care.
Surgical repair of lacerated tendons or nerves in the thumb.
Ensure that all surgical interventions are documented, including any complications.
Comprehensive assessment notes, including mechanism of injury, wound characteristics, and treatment provided.
Initial evaluation and treatment of an open thumb wound in the emergency department.
Document the time of injury and any immediate interventions performed.
Used for suturing a clean laceration on the thumb.
Document the size of the wound and the method of repair.
Orthopedic surgeons should note any additional procedures performed.
Used when a tendon injury is identified during the treatment of the open wound.
Detailed operative notes are required.
Ensure to document the specific tendon repaired.
S61.0 refers specifically to an open wound of the thumb without damage to the nail, while S61.1 pertains to open wounds of the index finger, which may involve different anatomical considerations and treatment approaches.
