Puncture wound with foreign body of left thumb with damage to nail
ICD-10 S61.142 is a billable code used to indicate a diagnosis of puncture wound with foreign body of left thumb with damage to nail.
A puncture wound with a foreign body in the left thumb typically occurs when a sharp object penetrates the skin, potentially introducing foreign material into the wound. This injury can lead to complications such as infection, damage to underlying structures, and nail bed injury. The presence of a foreign body complicates the healing process and may require surgical intervention to remove the object and repair any damage to the nail or surrounding tissues. Clinically, the patient may present with localized pain, swelling, and redness at the site of injury, along with visible damage to the nail. Proper assessment is crucial to determine the extent of the injury, including evaluation for possible fractures, tendon injuries, or nerve damage. Treatment may involve wound cleaning, foreign body removal, and possibly surgical repair of the nail bed or surrounding structures. Follow-up care is essential to monitor for signs of infection and ensure proper healing.
Detailed operative notes describing the procedure, including foreign body removal and any repairs made.
Surgical intervention for foreign body removal and repair of nail bed injuries.
Ensure documentation reflects the complexity of the injury and any associated procedures performed.
Comprehensive assessment notes including mechanism of injury, examination findings, and treatment provided.
Initial evaluation and management of puncture wounds with foreign bodies.
Document all findings meticulously to support coding and billing.
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 should note any additional repairs needed.
Used when a foreign body is surgically removed from the thumb.
Detailed operative report including the type of foreign body and any complications.
Emergency physicians should document the mechanism of injury and any follow-up care.
Specifying the foreign body is crucial for accurate coding and billing, as it impacts the complexity of the injury and the treatment required.
