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ICD-10 Guide
ICD-10 CodesS61.208

S61.208

Billable

Unspecified open wound of other finger without damage to nail

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

Code Description

ICD-10 S61.208 is a billable code used to indicate a diagnosis of unspecified open wound of other finger without damage to nail.

Key Diagnostic Point:

An unspecified open wound of the finger refers to a laceration or puncture that penetrates the skin and underlying tissues of the finger, excluding any damage to the nail. This type of injury can occur due to various mechanisms, such as cuts from sharp objects, bites, or accidents involving machinery. The wound may involve soft tissue, including skin, subcutaneous tissue, and possibly deeper structures like tendons or nerves, although the specific nature of the injury is not detailed in this code. The absence of nail damage is significant, as it indicates that the injury is limited to the soft tissues of the finger. Clinically, these wounds can present with varying degrees of pain, swelling, and bleeding, and may require different levels of intervention, from simple wound care to more complex surgical procedures if deeper structures are involved. Proper assessment and documentation are crucial to determine the extent of the injury and the appropriate treatment plan, which may include suturing, wound debridement, or even surgical repair of tendons or nerves if they are affected.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in injury severity and treatment required
  • Potential for associated injuries (e.g., tendon, nerve damage)
  • Need for detailed documentation to support coding
  • Differentiation from similar codes for accurate coding

Audit Risk Factors

  • Inadequate documentation of the injury mechanism
  • Failure to specify the depth of the wound
  • Lack of follow-up documentation on healing
  • Misclassification of the wound type

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Detailed description of the injury mechanism, assessment of wound depth, and any associated injuries.

Common Clinical Scenarios

Patients presenting with lacerations from accidents, bites, or cuts requiring immediate care.

Billing Considerations

Ensure to document any potential nerve or tendon involvement, as this may change the treatment approach.

Orthopedic Surgery

Documentation Requirements

Comprehensive evaluation of the injury, including imaging if necessary, and detailed surgical notes if repair is performed.

Common Clinical Scenarios

Surgical intervention for deeper wounds involving tendons or nerves.

Billing Considerations

Document any surgical procedures performed and the rationale for intervention.

Coding Guidelines

Inclusion Criteria

Use S61.208 When
  • Follow official ICD
  • 10 coding guidelines, ensuring accurate documentation of the injury type, mechanism, and any associated conditions

Exclusion Criteria

Do NOT use S61.208 When
  • Exclude codes for injuries with nail damage or those that are not open wounds

Related ICD-10 Codes

Related CPT Codes

12001CPT Code

Simple repair of superficial wounds

Clinical Scenario

Used for suturing a simple open wound on the finger.

Documentation Requirements

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

Specialty Considerations

Ensure the procedure aligns with the diagnosis and that the wound is classified correctly.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of injuries, improving the accuracy of claims and facilitating better patient care through detailed documentation of injuries.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of injuries, improving the accuracy of claims and facilitating better patient care through detailed documentation of injuries.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of injuries, improving the accuracy of claims and facilitating better patient care through detailed documentation of injuries.

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 should I document for an open wound of the finger?

Document the mechanism of injury, the depth of the wound, any associated injuries, and the treatment provided. Ensure to note if the nail is intact.