Unspecified open wound of unspecified thumb without damage to nail
ICD-10 S61.009 is a billable code used to indicate a diagnosis of unspecified open wound of unspecified thumb without damage to nail.
An unspecified open wound of the thumb refers to a traumatic injury that results in a break in the skin, exposing underlying tissues without any damage to the nail. This type of injury can occur due to various mechanisms such as lacerations, punctures, or abrasions. The thumb, being a critical digit for hand function, is susceptible to injuries that can affect not only the skin but also underlying structures such as tendons, nerves, and blood vessels. The clinical presentation may include pain, swelling, and bleeding at the site of injury. Depending on the severity, treatment may range from simple wound care to more complex surgical interventions. It is essential to assess for associated injuries, such as fractures or tendon lacerations, which may complicate the healing process and affect hand function. Accurate documentation of the injury mechanism, location, and any associated injuries is crucial for appropriate coding and treatment planning.
Detailed descriptions of the injury, treatment plan, and any surgical interventions performed.
Fractures associated with open wounds, tendon repairs, and reconstructive surgeries.
Ensure to document any complications or additional procedures performed during surgery.
Thorough assessment of the wound, including size, depth, and any foreign bodies present.
Acute trauma cases presenting with open wounds requiring immediate care.
Document the mechanism of injury and any immediate interventions performed.
Used for suturing an open wound on the thumb.
Document the size of the wound and the method of closure.
Orthopedic surgeons may perform more complex repairs if associated injuries are present.
An open wound involves a break in the skin, exposing underlying tissues, while a closed wound does not break the skin and may involve bruising or internal damage.
