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ICD-10 Guide
ICD-10 CodesS61.01

S61.01

Billable

Laceration without foreign body of thumb without damage to nail

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/24/2025

Code Description

ICD-10 S61.01 is a billable code used to indicate a diagnosis of laceration without foreign body of thumb without damage to nail.

Key Diagnostic Point:

S61.01 refers to a laceration of the thumb that does not involve a foreign body and does not damage the nail. This type of injury is common in various settings, including home accidents, workplace injuries, and sports-related incidents. The laceration may vary in depth and severity, potentially affecting the skin, subcutaneous tissue, and underlying structures such as tendons and nerves. Proper assessment is crucial to determine the extent of the injury, as deeper lacerations may require surgical intervention to repair damaged structures. The absence of a foreign body simplifies the treatment process, focusing on wound care and potential suturing. Clinicians must evaluate for associated injuries, such as fractures or tendon injuries, which may necessitate additional coding and treatment considerations. Accurate documentation of the injury's specifics, including location, depth, and any associated complications, is essential for appropriate coding and reimbursement.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in injury severity and depth
  • Potential for associated injuries (e.g., fractures, tendon damage)
  • Need for precise documentation of injury specifics
  • Differentiation from similar codes (e.g., lacerations with foreign bodies)

Audit Risk Factors

  • Inadequate documentation of injury specifics
  • Failure to identify associated injuries
  • Incorrect coding of depth or severity
  • Misclassification of laceration type

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Detailed description of the injury, treatment provided, and follow-up care.

Common Clinical Scenarios

Patients presenting with hand injuries from accidents, sports, or work-related incidents.

Billing Considerations

Ensure all associated injuries are documented to avoid undercoding.

Orthopedic Surgery

Documentation Requirements

Comprehensive assessment of the injury, including imaging results if fractures are suspected.

Common Clinical Scenarios

Surgical repair of lacerations involving tendons or nerves.

Billing Considerations

Document any surgical interventions and post-operative care plans.

Coding Guidelines

Inclusion Criteria

Use S61.01 When
  • Follow official ICD
  • 10 coding guidelines, ensuring accurate documentation of the injury's specifics
  • Include details about the depth of the laceration and any associated injuries

Exclusion Criteria

Do NOT use S61.01 When
  • Exclude conditions that involve foreign bodies or damage to the nail

Related ICD-10 Codes

Related CPT Codes

12001CPT Code

Simple repair of superficial wounds

Clinical Scenario

Used for suturing a laceration of the thumb.

Documentation Requirements

Document the size of the laceration and the method of repair.

Specialty Considerations

Ensure that the procedure is performed by a qualified provider.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of lacerations, improving the accuracy of claims and facilitating better patient care through detailed documentation.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of lacerations, improving the accuracy of claims and facilitating better patient care through detailed documentation.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of lacerations, improving the accuracy of claims and facilitating better patient care through detailed documentation.

Resources

Clinical References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Coding & Billing References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Frequently Asked Questions

What is the difference between S61.01 and S61.02?

S61.01 refers to a laceration of the thumb without foreign body and without damage to the nail, while S61.02 includes damage to the nail.