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ICD-10 Guide
ICD-10 CodesS61.219

S61.219

Billable

Laceration without foreign body of unspecified finger without damage to nail

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

Code Description

ICD-10 S61.219 is a billable code used to indicate a diagnosis of laceration without foreign body of unspecified finger without damage to nail.

Key Diagnostic Point:

S61.219 refers to a laceration of an unspecified 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 recreational activities. The laceration may vary in depth and severity, potentially affecting the skin, subcutaneous tissue, and possibly underlying structures such as tendons and nerves. While the nail remains intact, the injury can still lead to complications such as infection, scarring, and functional impairment of the finger. Proper assessment is crucial to determine the extent of the injury, as deeper lacerations may require surgical intervention to repair damaged structures. Treatment typically involves cleaning the wound, possible suturing, and follow-up care to monitor healing and prevent complications. Accurate coding is essential for appropriate reimbursement and to reflect the complexity of care provided.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in injury severity and depth
  • Potential for associated tendon or nerve injuries
  • Need for detailed documentation of the injury site
  • Differentiation from similar codes for lacerations

Audit Risk Factors

  • Inadequate documentation of injury specifics
  • Failure to note associated injuries (e.g., tendon, nerve)
  • Misclassification of the injury severity
  • Lack of follow-up documentation

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 finger lacerations from accidents, kitchen injuries, or sports.

Billing Considerations

Ensure to document the mechanism of injury and any immediate interventions performed.

Orthopedic Surgery

Documentation Requirements

Comprehensive assessment of the injury, including imaging if necessary.

Common Clinical Scenarios

Surgical repair of lacerations involving deeper structures or complications.

Billing Considerations

Document any surgical procedures performed and the rationale for intervention.

Coding Guidelines

Inclusion Criteria

Use S61.219 When
  • Follow ICD
  • CM coding guidelines, ensuring accurate documentation of the injury's specifics, including location, depth, and any associated injuries

Exclusion Criteria

Do NOT use S61.219 When
  • Exclude codes for injuries with foreign bodies or nail damage

Related ICD-10 Codes

Related CPT Codes

12001CPT Code

Simple repair of superficial wounds

Clinical Scenario

Used for suturing a laceration on the finger.

Documentation Requirements

Document the size of the laceration and the repair technique used.

Specialty Considerations

Orthopedic surgeons may perform more complex repairs if deeper structures are involved.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 allows for more detailed coding of lacerations, improving specificity and accuracy in billing and clinical documentation.

ICD-9 vs ICD-10

The transition to ICD-10 allows for more detailed coding of lacerations, improving specificity and accuracy in billing and clinical documentation.

Reimbursement & Billing Impact

billing and clinical documentation.

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 a laceration without foreign body?

Document the location, depth, mechanism of injury, and any treatment provided, including suturing or dressing.