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ICD-10 Guide
ICD-10 CodesS61.141

S61.141

Billable

Puncture wound with foreign body of right thumb with damage to nail

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

Code Description

ICD-10 S61.141 is a billable code used to indicate a diagnosis of puncture wound with foreign body of right thumb with damage to nail.

Key Diagnostic Point:

A puncture wound with a foreign body in the right thumb typically occurs when a sharp object penetrates the skin, potentially introducing foreign materials into the wound. This injury can lead to complications such as infection, inflammation, and damage to underlying structures, including the nail matrix, tendons, and nerves. 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 deformity or loss of the nail, impacting the patient's hand function. Proper assessment and management are crucial to prevent long-term complications, including chronic pain or functional impairment. Treatment may involve wound cleaning, foreign body removal, and possibly repair of any damaged structures, including the nail bed or surrounding soft tissue. Follow-up care is essential to monitor for signs of infection and ensure proper healing.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Presence of a foreign body complicates the diagnosis and treatment.
  • Potential for associated injuries to tendons, nerves, and blood vessels.
  • Need for detailed documentation of the injury mechanism and treatment.
  • Variability in treatment approaches based on the extent of damage.

Audit Risk Factors

  • Inadequate documentation of the foreign body and its removal.
  • Failure to document associated injuries (e.g., tendon or nerve damage).
  • Misclassification of the injury type (e.g., coding as a simple laceration).
  • Lack of follow-up documentation to confirm healing and complications.

Specialty Focus

Medical Specialties

Orthopedic Surgery

Documentation Requirements

Detailed operative notes describing the injury, foreign body removal, and any repairs performed.

Common Clinical Scenarios

Management of puncture wounds with foreign bodies, tendon repairs, and nail bed injuries.

Billing Considerations

Ensure accurate coding of any surgical procedures performed in conjunction with the injury.

Emergency Medicine

Documentation Requirements

Comprehensive documentation of the mechanism of injury, initial assessment, and treatment provided.

Common Clinical Scenarios

Assessment and management of acute hand injuries, including foreign body removal.

Billing Considerations

Document any imaging studies or consultations that may influence treatment decisions.

Coding Guidelines

Inclusion Criteria

Use S61.141 When
  • Follow official ICD
  • CM guidelines for coding injuries, ensuring accurate documentation of the injury site, type, and any associated complications
  • Include details about the foreign body and any surgical procedures performed

Exclusion Criteria

Do NOT use S61.141 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

12001CPT Code

Simple repair of superficial wounds

Clinical Scenario

Used when the wound requires closure after foreign body removal.

Documentation Requirements

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

Specialty Considerations

Orthopedic surgeons may perform more complex repairs if tendon or nerve damage is present.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 allows for more specific coding of injuries, including the identification of foreign bodies and associated damage, which enhances the accuracy of medical records and billing.

ICD-9 vs ICD-10

The transition to ICD-10 allows for more specific coding of injuries, including the identification of foreign bodies and associated damage, which enhances the accuracy of medical records and billing.

Reimbursement & Billing Impact

billing.

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 significance of coding S61.141 accurately?

Accurate coding of S61.141 is crucial for proper reimbursement, tracking of injury types, and ensuring appropriate treatment protocols are followed. It also helps in identifying trends in hand injuries and the need for preventive measures.