Unspecified open wound of right little finger without damage to nail
ICD-10 S61.206 is a billable code used to indicate a diagnosis of unspecified open wound of right little finger without damage to nail.
An unspecified open wound of the right little finger refers to a laceration or break in the skin that does not involve damage to the nail. This type of injury can occur due to various mechanisms, including cuts from sharp objects, crush injuries, or puncture wounds. The absence of nail damage suggests that the injury is limited to the soft tissue, which may include the skin, subcutaneous tissue, and possibly deeper structures such as tendons or nerves. Clinical evaluation is essential to assess the extent of the injury, as open wounds can lead to complications such as infection, delayed healing, or functional impairment of the finger. Treatment may involve cleaning the wound, suturing if necessary, and monitoring for signs of infection. In some cases, further intervention may be required if there is associated tendon or nerve injury, which could necessitate surgical repair. Accurate coding is crucial for proper reimbursement and to reflect the severity of the injury in the patient's medical record.
Detailed description of the injury mechanism, wound assessment, and treatment provided.
Patients presenting with lacerations from accidents, sports injuries, or household incidents.
Ensure that all associated injuries are documented to avoid undercoding.
Comprehensive evaluation of potential tendon or nerve involvement, surgical notes if applicable.
Surgical repair of complex hand injuries, including tendon repairs.
Document any surgical interventions and post-operative care to support coding.
Used for suturing the open wound on the right little finger.
Document the size of the wound and the method of repair.
Ensure that the procedure aligns with the diagnosis for accurate billing.
Document the mechanism of injury, depth of the wound, any associated injuries, treatment provided, and follow-up care instructions.