Laceration without foreign body of right index finger without damage to nail
ICD-10 S61.210 is a billable code used to indicate a diagnosis of laceration without foreign body of right index finger without damage to nail.
S61.210 refers to a laceration of the right index finger that does not involve a foreign body and does not damage the nail. This type of injury is common in various settings, including workplaces, homes, and during recreational activities. The laceration may vary in depth and length, potentially affecting the skin, subcutaneous tissue, and possibly underlying structures such as tendons or nerves. However, in this specific code, there is no indication of damage to the nail or the presence of foreign materials. Proper assessment is crucial to determine the extent of the injury, as untreated lacerations can lead to complications such as infection, scarring, or functional impairment. Treatment typically involves cleaning the wound, possible suturing, and follow-up care to ensure proper healing. Documentation should clearly describe the injury's characteristics, treatment provided, and any follow-up care required to ensure accurate coding and billing.
Detailed description of the injury, treatment provided, and any follow-up care.
Patients presenting with hand injuries from accidents, sports, or household tasks.
Ensure that all aspects of the injury are documented, including depth and potential involvement of underlying structures.
Comprehensive assessment of the injury, including imaging if necessary, and surgical notes if repair is performed.
Surgical repair of lacerations involving tendons or nerves, or complex lacerations requiring specialized care.
Documentation must clearly indicate the extent of the injury and any surgical interventions performed.
Used when the laceration is simple and requires suturing.
Document the size of the wound and the method of repair.
Orthopedic surgeons may need to document any additional procedures if tendon repair is involved.
Document the location, depth, treatment provided, and any follow-up care. Ensure that there is no mention of foreign bodies or nail damage.