Laceration with foreign body of thumb without damage to nail
ICD-10 S61.02 is a billable code used to indicate a diagnosis of laceration with foreign body of thumb without damage to nail.
S61.02 refers to a laceration of the thumb that is accompanied by a foreign body but does not involve damage to the nail. This condition typically arises from traumatic incidents such as cuts from sharp objects, punctures from nails or glass, or injuries sustained during manual labor or sports. The presence of a foreign body complicates the injury, as it may lead to infection, delayed healing, or further tissue damage if not properly addressed. Clinicians must assess the extent of the laceration, the type of foreign body, and any associated injuries, such as tendon or nerve damage. Treatment often involves thorough cleaning of the wound, removal of the foreign body, and potential surgical intervention if deeper structures are involved. Accurate coding is essential for proper reimbursement and to reflect the complexity of the injury, especially in cases where surgical repair or additional procedures are required.
Detailed description of the injury mechanism, foreign body type, and any immediate interventions performed.
Patients presenting with lacerations from accidents, sports injuries, or occupational hazards.
Ensure all relevant details are captured to support the complexity of the injury and any procedures performed.
Comprehensive assessment of any tendon or nerve involvement, surgical notes if repair is performed.
Surgical intervention for repair of lacerations involving deeper structures or foreign body removal.
Document any pre-existing conditions that may affect healing or surgical outcomes.
Used for simple repair of the laceration without deeper involvement.
Document the size of the laceration and the method of repair.
Ensure the procedure aligns with the complexity of the injury.
Used when a foreign body is removed from the laceration.
Document the type of foreign body and the technique used for removal.
Detail any complications or additional procedures performed.
Documentation should include the mechanism of injury, the type of foreign body, the extent of the laceration, and any associated injuries such as tendon or nerve damage.