Puncture wound without foreign body of left thumb with damage to nail
ICD-10 S61.132 is a billable code used to indicate a diagnosis of puncture wound without foreign body of left thumb with damage to nail.
A puncture wound of the left 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 a split, crack, or complete loss of the nail plate. The clinical significance of this injury lies in the potential for infection, damage to underlying structures such as tendons and nerves, and the need for appropriate wound care. The thumb is a critical digit for hand function, and injuries can significantly impact a patient's ability to perform daily activities. Treatment may involve cleaning the wound, possible suturing, and monitoring for signs of infection. In some cases, surgical intervention may be required to repair any underlying tendon or nerve damage. Accurate documentation of the injury's specifics, including the mechanism of injury and any associated symptoms, is essential for proper coding and treatment planning.
Detailed notes on the extent of injury, treatment provided, and any surgical interventions.
Patients presenting with puncture wounds from tools or machinery, requiring surgical evaluation.
Consideration of potential tendon or nerve involvement and the need for repair.
Comprehensive assessment of the wound, including size, depth, and any foreign bodies.
Patients with acute puncture wounds presenting to the emergency department.
Immediate assessment for signs of infection and the need for tetanus prophylaxis.
Used when the puncture wound requires suturing.
Document the size of the wound and the method of repair.
Orthopedic surgeons may need to document any tendon repair performed.
S61.132 refers specifically to a puncture wound of the left thumb without a foreign body, while S61.131 refers to the same type of injury on the right thumb.