Puncture wound with foreign body of unspecified thumb with damage to nail
ICD-10 S61.149 is a billable code used to indicate a diagnosis of puncture wound with foreign body of unspecified thumb with damage to nail.
A puncture wound with a foreign body in the thumb is a specific type of injury that 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 thumb, being a critical digit for hand function, is particularly susceptible to such injuries. Damage to the nail may result in nail deformity or loss, and if the foreign body is not removed, it can lead to chronic pain or infection. Clinicians must assess for associated injuries, including fractures of the phalanges, tendon injuries, or nerve damage, which may require surgical intervention. Proper wound care and follow-up are essential to ensure healing and restore function. The complexity of this injury lies in the potential for multiple associated injuries and the need for thorough documentation to capture the full extent of the injury and treatment provided.
Detailed operative notes including the type of foreign body, method of removal, and any associated repairs.
Injuries from industrial accidents, sports injuries, or household accidents involving sharp objects.
Ensure to document any nerve or tendon repair performed during surgery.
Comprehensive assessment notes including mechanism of injury, initial treatment, and follow-up care.
Patients presenting with puncture wounds from nails, glass, or other sharp objects.
Document tetanus status and any prophylactic measures taken.
Used when the wound requires closure after foreign body removal.
Document the size of the wound and the method of closure.
Orthopedic surgeons may need to document any additional repairs performed.
Document the mechanism of injury, type of foreign body, location of the wound, any associated injuries, and the treatment provided, including foreign body removal and wound care.
