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ICD-10 Guide
ICD-10 CodesS61.052

S61.052

Billable

Open bite of left thumb without damage to nail

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

Code Description

ICD-10 S61.052 is a billable code used to indicate a diagnosis of open bite of left thumb without damage to nail.

Key Diagnostic Point:

An open bite of the left thumb without damage to the nail is a type of injury characterized by a break in the skin and underlying tissues of the thumb, typically resulting from a puncture or laceration caused by a sharp object or animal bite. This injury can lead to significant pain, swelling, and potential complications such as infection or damage to underlying structures, including tendons, nerves, and blood vessels. The absence of nail damage indicates that the injury is confined to the soft tissues of the thumb, which may include the skin, subcutaneous tissue, and possibly deeper structures. Proper assessment and management are crucial to prevent complications, and treatment may involve cleaning the wound, suturing if necessary, and monitoring for signs of infection. Rehabilitation may be required to restore function and strength to the thumb, especially if there is associated tendon or nerve injury. Accurate coding of this condition is essential for appropriate treatment and reimbursement.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between open and closed injuries
  • Assessing potential nerve or tendon involvement
  • Documenting the absence of nail damage
  • Understanding the implications of bite wounds versus lacerations

Audit Risk Factors

  • Inadequate documentation of the mechanism of injury
  • Failure to specify the location of the injury
  • Lack of follow-up documentation regarding treatment outcomes
  • Misclassification of the injury type (open vs. closed)

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Detailed description of the injury mechanism, assessment of nerve and tendon function, and treatment provided.

Common Clinical Scenarios

Patients presenting with animal bites, lacerations from sharp objects, or injuries sustained during sports.

Billing Considerations

Ensure that all relevant details about the injury and treatment are documented to support the coding.

Orthopedic Surgery

Documentation Requirements

Comprehensive evaluation of the injury, including imaging studies if performed, and surgical notes if applicable.

Common Clinical Scenarios

Surgical intervention for severe lacerations or repair of tendon injuries associated with the bite.

Billing Considerations

Document any surgical procedures performed and the rationale for intervention.

Coding Guidelines

Inclusion Criteria

Use S61.052 When
  • According to ICD
  • 10 guidelines, this code should be used when documenting an open bite injury to the left thumb without nail damage
  • Coders must ensure that the documentation clearly supports the diagnosis and that any associated injuries are also coded appropriately

Exclusion Criteria

Do NOT use S61.052 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

12001CPT Code

Simple repair of superficial wounds

Clinical Scenario

Used when the open bite requires suturing of the wound.

Documentation Requirements

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

Specialty Considerations

Ensure that the procedure is linked to the diagnosis of the open bite.

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 open bites, which helps in better tracking and management of such injuries. This specificity aids in improving patient care and outcomes.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of injuries, including open bites, which helps in better tracking and management of such injuries. This specificity aids in improving patient care and outcomes.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of injuries, including open bites, which helps in better tracking and management of such injuries. This specificity aids in improving patient care and outcomes.

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 an open bite and a laceration?

An open bite refers specifically to injuries caused by a bite or puncture that breaks the skin, while a laceration is a broader term that includes any cut or tear in the skin, regardless of the cause.