Puncture wound with foreign body of thumb with damage to nail
ICD-10 S61.14 is a billable code used to indicate a diagnosis of puncture wound with foreign body of thumb with damage to nail.
A puncture wound with a foreign body of the thumb with damage to the nail is a specific type of injury that occurs when a sharp object penetrates the skin of the thumb, potentially introducing foreign material into the wound. This injury can lead to complications such as infection, inflammation, and damage to underlying structures, including tendons, nerves, and blood vessels. The presence of a foreign body complicates the healing process and may necessitate surgical intervention to remove the object and repair any associated damage. Damage to the nail can result in nail bed injuries, which may affect nail growth and appearance. Clinicians must assess the extent of the injury, including the depth of the puncture, the type of foreign body, and any associated injuries to the surrounding tissues. Proper management may involve cleaning the wound, administering antibiotics, and possibly performing a surgical procedure to ensure complete removal of the foreign body and repair of any damaged structures.
Detailed operative notes, including the type of foreign body, surgical approach, and any repairs performed.
Management of puncture wounds with foreign bodies requiring surgical intervention.
Ensure documentation reflects the complexity of the injury and any associated repairs.
Comprehensive assessment notes, including mechanism of injury, foreign body identification, and initial treatment provided.
Initial evaluation and management of puncture wounds in the emergency department.
Accurate documentation of the injury's mechanism and any immediate interventions is crucial.
Used when the wound requires closure after foreign body removal.
Document the size and location of the wound, and the method of closure.
Orthopedic surgeons may need to document additional details regarding tendon or nerve repair.
Documenting the foreign body is crucial as it affects the treatment plan, potential complications, and the coding process. It ensures that the complexity of the injury is accurately captured for billing and clinical management.
