Unspecified open wound of right ring finger without damage to nail
ICD-10 S61.204 is a billable code used to indicate a diagnosis of unspecified open wound of right ring finger without damage to nail.
An unspecified open wound of the right ring finger without damage to the nail indicates a traumatic injury that has penetrated the skin but does not involve the nail structure. Such injuries can arise from various incidents, including cuts, lacerations, or punctures. The clinical presentation may vary from minor abrasions to more severe wounds that could potentially involve underlying structures such as tendons, nerves, or blood vessels. The absence of nail damage suggests that the injury is limited to the soft tissue of the finger. 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 typically involves cleaning the wound, possibly suturing, and monitoring for signs of infection. In cases where deeper structures are involved, further surgical intervention may be necessary. Accurate coding is essential for appropriate treatment reimbursement and tracking of hand trauma cases.
Detailed descriptions of the injury, treatment plan, and any surgical interventions performed.
Fractures associated with open wounds, tendon repairs, and nerve decompression.
Ensure that all surgical procedures are documented, including any complications that arise during treatment.
Thorough documentation of the mechanism of injury, initial assessment, and treatment provided in the emergency setting.
Acute trauma cases presenting with open wounds, lacerations, and potential infections.
Document the patient's vital signs and any immediate interventions performed to support the diagnosis.
Used when the open wound is sutured in the outpatient setting.
Document the size of the wound and the method of closure.
Orthopedic surgeons may perform more complex repairs if deeper structures are involved.
An open wound involves a break in the skin, exposing underlying tissues, while a closed wound does not break the skin and may involve bruising or internal damage.
