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ICD-10 Guide
ICD-10 CodesS61.2

S61.2

Billable

Open wound of other finger without damage to nail

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

Code Description

ICD-10 S61.2 is a billable code used to indicate a diagnosis of open wound of other finger without damage to nail.

Key Diagnostic Point:

An open wound of the finger without damage to the nail typically results from trauma such as cuts, lacerations, or punctures. This type of injury can occur in various settings, including workplace accidents, sports injuries, or household mishaps. Clinically, the wound may present with bleeding, swelling, and pain, and it may expose underlying structures such as tendons, nerves, or blood vessels. The absence of nail damage distinguishes this code from other finger injuries that involve the nail bed. Proper assessment is crucial to determine the extent of the injury, as open wounds can lead to complications such as infection or delayed healing. Treatment often involves cleaning the wound, suturing if necessary, and monitoring for signs of infection. In some cases, surgical intervention may be required to repair damaged tendons or nerves. Accurate coding is essential for appropriate reimbursement and to reflect the severity of the injury in the patient's medical record.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between open and closed wounds
  • Assessing the involvement of underlying structures
  • Documenting the absence of nail damage
  • Identifying associated injuries (e.g., fractures, tendon injuries)

Audit Risk Factors

  • Inadequate documentation of the injury mechanism
  • Failure to specify the exact location of the wound
  • Lack of follow-up documentation for wound healing
  • Inconsistent coding of associated injuries

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Detailed description of the injury mechanism, assessment of underlying structures, and treatment provided.

Common Clinical Scenarios

Patients presenting with lacerations from accidents, sports injuries, or animal bites.

Billing Considerations

Ensure that all relevant details are documented to support the coding of associated injuries.

Orthopedic Surgery

Documentation Requirements

Comprehensive evaluation of any tendon or nerve involvement, surgical notes if applicable.

Common Clinical Scenarios

Surgical repair of tendons or nerves following an open wound injury.

Billing Considerations

Document the surgical approach and any complications encountered during the procedure.

Coding Guidelines

Inclusion Criteria

Use S61.2 When
  • Follow official ICD
  • 10 coding guidelines, ensuring accurate documentation of the injury's specifics, including the mechanism of injury and any associated conditions

Exclusion Criteria

Do NOT use S61.2 When
  • Exclude codes for injuries involving the nail or other fingers

Related ICD-10 Codes

Related CPT Codes

12001CPT Code

Simple repair of superficial wounds

Clinical Scenario

Used for suturing an open wound on the finger.

Documentation Requirements

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

Specialty Considerations

Ensure that the procedure is performed by a qualified provider.

26300CPT Code

Repair of tendon

Clinical Scenario

Used when tendon repair is necessary due to an open wound.

Documentation Requirements

Detailed operative report and post-operative care plan.

Specialty Considerations

Document any complications or additional procedures performed.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of open wounds, improving the accuracy of medical records and reimbursement processes. S61.2 provides a clear distinction for open wounds without nail damage, which aids in clinical decision-making and treatment planning.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of open wounds, improving the accuracy of medical records and reimbursement processes. S61.2 provides a clear distinction for open wounds without nail damage, which aids in clinical decision-making and treatment planning.

Reimbursement & Billing Impact

reimbursement processes. S61.2 provides a clear distinction for open wounds without nail damage, which aids in clinical decision-making and treatment planning.

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 difference between S61.2 and S61.3?

S61.2 is used for open wounds of the finger without damage to the nail, while S61.3 is for open wounds that do involve damage to the nail. Accurate documentation is essential to determine the correct code.