Open bite of thumb with damage to nail
ICD-10 S61.15 is a billable code used to indicate a diagnosis of open bite of thumb with damage to nail.
An open bite of the thumb with damage to the nail is a specific type of injury characterized by a laceration or puncture wound that penetrates the skin and underlying tissues of the thumb, often resulting from a bite or crush injury. This condition can lead to significant trauma to the nail bed, potentially causing nail loss or deformity. The injury may involve damage to the surrounding soft tissues, including tendons, nerves, and blood vessels, which can complicate healing and function. Patients may present with pain, swelling, and bleeding, and there may be signs of infection if the wound is not properly managed. Treatment typically involves cleaning the wound, possible suturing, and in some cases, surgical intervention to repair damaged structures. The prognosis depends on the extent of the injury and the timeliness of treatment, with early intervention generally leading to better outcomes.
Detailed descriptions of the injury, surgical procedures performed, and post-operative care.
Fractures associated with open bites, tendon repairs, and nail bed reconstructions.
Ensure clear documentation of any surgical interventions and follow-up care to support coding.
Accurate recording of the mechanism of injury, initial assessment findings, and treatment provided.
Acute presentations of open bites, management of infections, and referral for surgical intervention.
Document all assessments and treatments to justify the use of S61.15 and any associated codes.
Used when the open bite requires suturing of the skin without deeper tissue involvement.
Document the size of the wound and the method of closure.
Orthopedic surgeons may need to document any additional procedures performed.
Used when the nail bed is damaged and requires surgical intervention.
Detailed description of the nail bed injury and repair technique.
Ensure that the surgical notes clearly outline the extent of the injury.
The primary treatment involves cleaning the wound, assessing for any associated injuries, and possibly suturing the wound. If the nail bed is damaged, surgical repair may be necessary.
An open bite involves a break in the skin with potential exposure of underlying tissues, while a closed bite does not penetrate the skin.
