Laceration without foreign body of left thumb with damage to nail
ICD-10 S61.112 is a billable code used to indicate a diagnosis of laceration without foreign body of left thumb with damage to nail.
S61.112 refers to a specific type of injury characterized by a laceration of the left thumb that does not involve any foreign body and includes damage to the nail. This injury can occur due to various mechanisms, such as cuts from sharp objects, crush injuries, or accidents involving machinery. The laceration may vary in depth and severity, potentially affecting not only the skin but also underlying structures such as tendons, nerves, and blood vessels. Damage to the nail can manifest as a split, avulsion, or complete loss of the nail plate, which may complicate healing and require specific treatment approaches. Proper assessment is crucial to determine the extent of the injury, as associated conditions like tendon injuries or nerve damage may necessitate surgical intervention. Treatment often involves wound cleaning, suturing, and possibly nail bed repair, depending on the severity of the injury. Accurate coding is essential for appropriate reimbursement and to reflect the complexity of the injury in clinical documentation.
Detailed notes on the injury mechanism, extent of damage, and treatment plan.
Fractures associated with lacerations, tendon repairs, and nail bed injuries.
Ensure clear documentation of any surgical procedures performed and the rationale for intervention.
Comprehensive assessment of the injury, including vital signs and initial treatment provided.
Acute lacerations from accidents, sports injuries, or domestic incidents.
Document the time of injury, mechanism, and any immediate interventions performed.
Used when the laceration requires suturing without extensive tissue manipulation.
Document the size of the wound and the method of repair.
Orthopedic surgeons may need to document additional details regarding underlying structures.
Documenting nail damage is crucial as it can indicate the severity of the injury and may influence treatment decisions, including the need for surgical intervention or specialized care.
