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ICD-10 Guide
ICD-10 CodesS61.132

S61.132

Billable

Puncture wound without foreign body of left thumb with damage to nail

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

Code Description

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.

Key Diagnostic Point:

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.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between puncture wounds and other types of wounds.
  • Assessing the extent of nail damage and its implications.
  • Identifying potential complications such as infection or tendon injury.
  • Documenting the mechanism of injury accurately.

Audit Risk Factors

  • Inadequate documentation of the mechanism of injury.
  • Failure to note associated injuries such as tendon or nerve damage.
  • Misclassification of the wound type (puncture vs. laceration).
  • Lack of follow-up documentation indicating treatment outcomes.

Specialty Focus

Medical Specialties

Orthopedic Surgery

Documentation Requirements

Detailed notes on the extent of injury, treatment provided, and any surgical interventions.

Common Clinical Scenarios

Patients presenting with puncture wounds from tools or machinery, requiring surgical evaluation.

Billing Considerations

Consideration of potential tendon or nerve involvement and the need for repair.

Emergency Medicine

Documentation Requirements

Comprehensive assessment of the wound, including size, depth, and any foreign bodies.

Common Clinical Scenarios

Patients with acute puncture wounds presenting to the emergency department.

Billing Considerations

Immediate assessment for signs of infection and the need for tetanus prophylaxis.

Coding Guidelines

Inclusion Criteria

Use S61.132 When
  • According to ICD
  • 10 coding guidelines, S61
  • 132 should be used when a puncture wound occurs without a foreign body and includes damage to the nail
  • Coders must ensure that the documentation supports the diagnosis and that any associated injuries are noted

Exclusion Criteria

Do NOT use S61.132 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

12001CPT Code

Simple repair of superficial wounds

Clinical Scenario

Used when the puncture wound requires suturing.

Documentation Requirements

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

Specialty Considerations

Orthopedic surgeons may need to document any tendon repair 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, including puncture wounds. This specificity helps in better tracking of injury types and outcomes, leading to improved patient care and resource allocation.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of injuries, including puncture wounds. This specificity helps in better tracking of injury types and outcomes, leading to improved patient care and resource allocation.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of injuries, including puncture wounds. This specificity helps in better tracking of injury types and outcomes, leading to improved patient care and resource allocation.

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 difference between S61.132 and S61.131?

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.