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ICD-10 Guide
ICD-10 CodesS61.012

S61.012

Billable

Laceration without foreign body of left thumb without damage to nail

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

Code Description

ICD-10 S61.012 is a billable code used to indicate a diagnosis of laceration without foreign body of left thumb without damage to nail.

Key Diagnostic Point:

S61.012 refers to a laceration of the left 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 can vary in depth and severity, potentially affecting the skin, subcutaneous tissue, and underlying structures such as tendons and nerves. While the nail remains intact, it is crucial to assess the injury for any associated complications, such as infection or damage to the flexor and extensor tendons, which could impair thumb function. Proper wound care and assessment are essential to prevent complications and ensure optimal healing. Treatment may involve cleaning the wound, suturing if necessary, and providing instructions for care to avoid infection. Follow-up care is important to monitor healing and function.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between lacerations and other types of injuries (e.g., abrasions, punctures)
  • Assessing the depth and extent of the laceration
  • Determining the need for surgical intervention based on tendon or nerve involvement
  • Documenting the absence of foreign bodies and nail damage accurately

Audit Risk Factors

  • Inadequate documentation of the injury's specifics
  • Failure to document the absence of foreign bodies
  • Misclassification of the injury type
  • Lack of follow-up documentation for healing progress

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

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

Common Clinical Scenarios

Patients presenting with hand injuries from accidents, sports, or household incidents.

Billing Considerations

Ensure to document the mechanism of injury and any associated injuries to the hand.

Orthopedic Surgery

Documentation Requirements

Comprehensive assessment of the injury, including imaging if necessary, and surgical notes if repair is performed.

Common Clinical Scenarios

Surgical repair of lacerations involving tendons or nerves.

Billing Considerations

Document any surgical interventions and post-operative care instructions.

Coding Guidelines

Inclusion Criteria

Use S61.012 When
  • Follow the official ICD
  • CM coding guidelines, ensuring accurate documentation of the injury's specifics, including location, depth, and any associated injuries

Exclusion Criteria

Do NOT use S61.012 When
  • Exclude codes for injuries involving foreign bodies or nail damage

Related ICD-10 Codes

Related CPT Codes

12001CPT Code

Simple repair of superficial wounds

Clinical Scenario

Used for suturing a laceration on the left thumb.

Documentation Requirements

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

Specialty Considerations

Orthopedic surgeons may need to document any tendon repair if applicable.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of injuries, including lacerations. This specificity helps in better tracking of injury types and outcomes, improving patient care and resource allocation.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of injuries, including lacerations. This specificity helps in better tracking of injury types and outcomes, improving patient care and resource allocation.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of injuries, including lacerations. This specificity helps in better tracking of injury types and outcomes, improving patient care and resource allocation.

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 should I document for a laceration without foreign body?

Document the location, depth, and extent of the laceration, any treatment provided, and the absence of foreign bodies or nail damage.