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ICD-10 Guide
ICD-10 CodesS61.111

S61.111

Billable

Laceration without foreign body of right thumb with damage to nail

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

Code Description

ICD-10 S61.111 is a billable code used to indicate a diagnosis of laceration without foreign body of right thumb with damage to nail.

Key Diagnostic Point:

S61.111 refers to a laceration of the right thumb that does not involve a foreign body and includes damage to the nail. This type of injury typically occurs due to sharp objects or trauma, leading to skin disruption and potential exposure of underlying structures. The laceration may vary in depth and severity, potentially affecting not only the skin but also the nail matrix, which can impact nail growth and appearance. In cases where the laceration is deep, there may be involvement of tendons, nerves, or blood vessels, necessitating careful assessment and management. Treatment often involves cleaning the wound, suturing if necessary, and monitoring for signs of infection. Proper documentation is crucial to capture the extent of the injury and any associated procedures, as this will influence coding and billing.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Need for precise documentation of injury depth and extent
  • Differentiation between laceration types (e.g., with or without foreign body)
  • Potential for associated injuries (tendons, nerves)
  • Variability in treatment approaches based on injury severity

Audit Risk Factors

  • Inadequate documentation of injury specifics
  • Failure to note associated injuries (e.g., tendon damage)
  • Misclassification of laceration severity
  • Inconsistent coding of nail damage

Specialty Focus

Medical Specialties

Orthopedic Surgery

Documentation Requirements

Detailed notes on the mechanism of injury, extent of laceration, and any surgical interventions performed.

Common Clinical Scenarios

Lacerations requiring surgical repair, tendon repair, or nail bed reconstruction.

Billing Considerations

Ensure to document any nerve or vascular involvement, as this may affect surgical decisions.

Emergency Medicine

Documentation Requirements

Comprehensive assessment of the injury, including vital signs, mechanism of injury, and initial treatment provided.

Common Clinical Scenarios

Patients presenting with acute hand injuries from accidents or falls.

Billing Considerations

Document the time of injury and treatment timeline for accurate coding.

Coding Guidelines

Inclusion Criteria

Use S61.111 When
  • Follow ICD
  • CM guidelines for coding injuries, ensuring to capture the specific site and nature of the injury
  • Include any additional codes for associated conditions or complications as necessary

Exclusion Criteria

Do NOT use S61.111 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

12001CPT Code

Simple repair of superficial wounds

Clinical Scenario

Used for suturing a laceration on the right thumb.

Documentation Requirements

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

Specialty Considerations

Orthopedic surgeons may need to document any additional procedures performed.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of injuries, improving the accuracy of data collection and reimbursement processes. S61.111 provides a clear distinction for lacerations without foreign bodies, which aids in clinical management and billing.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of injuries, improving the accuracy of data collection and reimbursement processes. S61.111 provides a clear distinction for lacerations without foreign bodies, which aids in clinical management and billing.

Reimbursement & Billing Impact

reimbursement processes. S61.111 provides a clear distinction for lacerations without foreign bodies, which aids in clinical management and billing.

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 importance of documenting nail damage in laceration cases?

Documenting nail damage is crucial as it can affect treatment decisions and outcomes. Nail bed injuries may require specific interventions to ensure proper nail growth and cosmetic appearance.