Unspecified open wound of left little finger without damage to nail
ICD-10 S61.207 is a billable code used to indicate a diagnosis of unspecified open wound of left little finger without damage to nail.
An unspecified open wound of the left little finger without damage to the nail indicates a traumatic injury that has penetrated the skin but does not involve the nail structure. Such wounds can arise from various incidents, including cuts, lacerations, or punctures. The clinical presentation may include bleeding, pain, and swelling in the affected area. The absence of nail damage suggests that the injury is limited to the soft tissue, which may involve the dermis and subcutaneous layers. Proper assessment is crucial to rule out associated injuries such as fractures, tendon lacerations, or nerve damage. Treatment typically involves cleaning the wound, possibly suturing, and monitoring for 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 mechanism, physical examination findings, and any imaging studies performed.
Fractures associated with open wounds, tendon repairs, and nerve decompression.
Ensure documentation reflects the complexity of the injury and any surgical interventions performed.
Thorough documentation of the patient's history, mechanism of injury, and initial treatment provided.
Acute presentations of hand injuries, including lacerations and fractures.
Document all assessments and treatments to support coding for potential surgical interventions.
Used for suturing the open wound on the left little finger.
Document the size of the wound and the method of repair.
Orthopedic surgeons may perform more complex repairs if deeper structures are involved.
Document the mechanism of injury, the extent of the wound, any associated injuries, and the treatment provided. Include details about the wound's depth and any follow-up care.
