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ICD-10 Guide
ICD-10 CodesS61.102

S61.102

Billable

Unspecified open wound of left thumb with damage to nail

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

Code Description

ICD-10 S61.102 is a billable code used to indicate a diagnosis of unspecified open wound of left thumb with damage to nail.

Key Diagnostic Point:

An unspecified open wound of the left thumb with damage to the nail indicates a traumatic injury that has penetrated the skin and may involve the underlying structures of the thumb. This type of injury can result from various incidents, such as cuts, lacerations, or punctures, and may vary in severity. The damage to the nail can range from minor abrasions to complete avulsion, which can complicate healing and may require surgical intervention. The thumb is crucial for hand function, and injuries in this area can significantly impact a patient's ability to perform daily activities. Treatment may involve cleaning the wound, suturing if necessary, and addressing any associated injuries such as fractures, tendon injuries, or nerve damage. Proper documentation is essential to capture the extent of the injury and any associated complications, which can influence treatment decisions and coding accuracy.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in the severity of the wound and associated injuries
  • Need for detailed documentation of the injury type and extent
  • Potential for co-existing conditions such as fractures or tendon injuries
  • Variability in treatment approaches and surgical interventions

Audit Risk Factors

  • Inadequate documentation of the injury's specifics
  • Failure to capture associated injuries or complications
  • Misclassification of the wound type
  • Inconsistent coding practices among providers

Specialty Focus

Medical Specialties

Orthopedic Surgery

Documentation Requirements

Detailed descriptions of the injury, treatment plan, and any surgical procedures performed.

Common Clinical Scenarios

Fractures of the thumb, tendon repairs, and nail bed injuries.

Billing Considerations

Ensure that all associated injuries are documented to support the coding of S61.102.

Emergency Medicine

Documentation Requirements

Thorough documentation of the mechanism of injury, initial assessment, and treatment provided.

Common Clinical Scenarios

Acute trauma cases involving lacerations and open wounds.

Billing Considerations

Accurate coding requires clear documentation of the injury's nature and any immediate interventions.

Coding Guidelines

Inclusion Criteria

Use S61.102 When
  • According to ICD
  • CM guidelines, codes for open wounds should specify the site and type of injury
  • 102 is used when the specific details of the wound are not documented
  • Coders should ensure that the documentation supports the use of this code and consider any associated injuries

Exclusion Criteria

Do NOT use S61.102 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

12001CPT Code

Simple repair of superficial wounds

Clinical Scenario

Used for suturing the open wound on the left thumb.

Documentation Requirements

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

Specialty Considerations

Orthopedic surgeons may perform more complex repairs if associated injuries are present.

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 wounds. S61.102 provides a clear designation for unspecified open wounds of the left thumb, facilitating better tracking of injury types and treatment outcomes.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of injuries, including open wounds. S61.102 provides a clear designation for unspecified open wounds of the left thumb, facilitating better tracking of injury types and treatment outcomes.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of injuries, including open wounds. S61.102 provides a clear designation for unspecified open wounds of the left thumb, facilitating better tracking of injury types and treatment 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 should I document to support the use of S61.102?

Document the mechanism of injury, the extent of the wound, any associated injuries, and the treatment provided. This information is crucial for accurate coding and billing.