Puncture wound without foreign body of thumb with damage to nail
ICD-10 S61.13 is a billable code used to indicate a diagnosis of puncture wound without foreign body of thumb with damage to nail.
A puncture wound of the thumb occurs when a sharp object penetrates the skin, causing a wound that does not involve a foreign body. This type of injury can lead to damage to the nail, which may present as nail bed laceration or subungual hematoma. Clinically, these injuries can vary in severity, potentially affecting the underlying structures such as tendons, nerves, and blood vessels. Proper assessment is crucial to determine the extent of the injury, as complications can arise if the wound is not adequately treated. Treatment may involve cleaning the wound, possible suturing, and monitoring for infection. In some cases, surgical intervention may be necessary to repair damaged tendons or nerves. Accurate coding is essential for appropriate reimbursement and to reflect the complexity of the injury and treatment provided.
Detailed notes on the mechanism of injury, extent of damage, and treatment plan.
Puncture wounds from tools or machinery, nail bed injuries requiring surgical repair.
Ensure documentation reflects any surgical interventions performed and the rationale for surgery.
Comprehensive assessment of the wound, including vital signs and initial treatment provided.
Patients presenting with puncture wounds from accidents or sports injuries.
Document the patient's tetanus status and any prophylactic measures taken.
Used when the puncture wound requires suturing.
Document the size of the wound and the method of repair.
Orthopedic surgeons should note any tendon repair performed.
S61.13 is used for puncture wounds without foreign bodies, while S61.12 is for those with foreign bodies present. Accurate documentation is essential to determine the correct code.
