Puncture wound without foreign body of unspecified thumb with damage to nail
ICD-10 S61.139 is a billable code used to indicate a diagnosis of puncture wound without foreign body of unspecified thumb with damage to nail.
A puncture wound of the thumb occurs when a sharp object penetrates the skin, causing a wound that may involve damage to the nail. This type of injury is common in various settings, including workplaces, homes, and recreational activities. The absence of a foreign body indicates that the wound is not complicated by retained debris, which can often complicate healing and increase the risk of infection. Damage to the nail may manifest as a split, crack, or complete detachment, which can lead to further complications such as nail bed infections or deformities. Clinically, these injuries require careful assessment to rule out associated injuries such as fractures, tendon lacerations, or nerve damage. Treatment typically involves cleaning the wound, assessing for any underlying injuries, and possibly surgical intervention if the nail bed is significantly damaged. Proper documentation of the injury's specifics, including the mechanism of injury and any associated symptoms, is crucial for accurate coding and reimbursement.
Detailed notes on the mechanism of injury, physical examination findings, and any imaging studies performed.
Patients presenting with puncture wounds from tools or machinery, requiring surgical intervention.
Ensure to document any associated fractures or tendon injuries for accurate coding.
Complete assessment of the wound, including size, depth, and any signs of infection.
Patients with acute puncture wounds presenting to the emergency department.
Document the time of injury and initial treatment provided to support coding.
Used when the puncture wound requires suturing or closure.
Document the size of the wound and the method of closure.
Orthopedic surgeons may need to document any underlying injuries.
S61.139 is used for puncture wounds without foreign bodies, while S61.139A is for those with a foreign body present.
