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ICD-10 Guide
ICD-10 CodesS61.214

S61.214

Billable

Laceration without foreign body of right ring finger without damage to nail

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

Code Description

ICD-10 S61.214 is a billable code used to indicate a diagnosis of laceration without foreign body of right ring finger without damage to nail.

Key Diagnostic Point:

S61.214 refers to a specific type of injury characterized by a laceration on the right ring finger that does not involve any foreign body and does not damage the nail. This type of injury is common in various settings, including home accidents, workplace injuries, and sports-related incidents. The laceration may vary in depth and severity, potentially affecting the skin, subcutaneous tissue, and possibly underlying structures such as tendons or nerves. However, in this case, the absence of foreign bodies and nail damage simplifies the clinical picture. Proper assessment is crucial to determine if there are any associated injuries, such as tendon or nerve damage, which may require further intervention. Treatment typically involves cleaning the wound, suturing if necessary, and providing appropriate follow-up care to prevent infection and ensure proper healing. Documentation should detail the mechanism of injury, the extent of the laceration, and any treatment provided to support accurate coding and billing.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between lacerations and other types of injuries.
  • Assessing the depth and extent of the laceration.
  • Determining the presence of associated injuries (e.g., tendon or nerve damage).
  • Documenting the absence of foreign bodies and nail damage accurately.

Audit Risk Factors

  • Inadequate documentation of the mechanism of injury.
  • Failure to note the absence of foreign bodies.
  • Lack of detail regarding the extent of the laceration.
  • Improper coding of associated injuries.

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Detailed description of the injury, treatment provided, and follow-up care.

Common Clinical Scenarios

Patients presenting with hand injuries from accidents, sports, or household tasks.

Billing Considerations

Ensure that all relevant details about the injury and treatment are documented to support coding.

Orthopedic Surgery

Documentation Requirements

Comprehensive assessment of any potential tendon or nerve involvement.

Common Clinical Scenarios

Surgical intervention for complex lacerations or associated injuries.

Billing Considerations

Document any surgical procedures performed and the rationale for intervention.

Coding Guidelines

Inclusion Criteria

Use S61.214 When
  • Follow official ICD
  • 10 coding guidelines, ensuring accurate documentation of the injury's specifics
  • Include details about the mechanism of injury and any treatment provided

Exclusion Criteria

Do NOT use S61.214 When
  • Exclude codes for lacerations with foreign bodies or those involving nail damage

Related ICD-10 Codes

Related CPT Codes

12001CPT Code

Simple repair of superficial wounds of the face, ears, eyelids, scalp, neck, axillae, genitalia, trunk, and extremities.

Clinical Scenario

Used when the laceration requires suturing.

Documentation Requirements

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

Specialty Considerations

Ensure that the procedure aligns with the diagnosis for accurate billing.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of injuries, such as lacerations, which aids in better tracking and management of hand injuries. This specificity improves patient care and billing accuracy.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of injuries, such as lacerations, which aids in better tracking and management of hand injuries. This specificity improves patient care and billing accuracy.

Reimbursement & Billing Impact

billing accuracy.

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 is the significance of coding S61.214 accurately?

Accurate coding of S61.214 is crucial for proper reimbursement, tracking of hand injuries, and ensuring appropriate treatment protocols are followed. It also helps in identifying trends in hand injuries for preventive measures.