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ICD-10 Guide
ICD-10 CodesS61.220

S61.220

Billable

Laceration with foreign body of right index finger without damage to nail

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

Code Description

ICD-10 S61.220 is a billable code used to indicate a diagnosis of laceration with foreign body of right index finger without damage to nail.

Key Diagnostic Point:

S61.220 refers to a specific type of injury characterized by a laceration of the right index finger that includes a foreign body embedded within the wound, but does not involve any damage to the nail. This type of injury is common in various settings, particularly in occupational and recreational activities where the hands are exposed to sharp objects or machinery. The presence of a foreign body complicates the injury, as it may require additional procedures for removal and can increase the risk of infection. Clinically, the patient may present with pain, swelling, and bleeding at the site of the laceration. Proper assessment is crucial to determine the extent of the injury, including any potential damage to underlying structures such as tendons, nerves, or blood vessels. Treatment typically involves cleaning the wound, removing the foreign body, and suturing the laceration if necessary. Follow-up care is essential to monitor for signs of infection and to ensure proper healing.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Presence of a foreign body complicates the coding process.
  • Need for detailed documentation of the injury's specifics.
  • Potential for associated injuries (e.g., tendon or nerve damage).
  • Variability in treatment approaches based on injury severity.

Audit Risk Factors

  • Inadequate documentation of the foreign body type and location.
  • Failure to document associated injuries (e.g., tendon or nerve damage).
  • Misclassification of the laceration severity.
  • Lack of follow-up documentation regarding healing and complications.

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Detailed description of the injury mechanism, foreign body type, and treatment provided.

Common Clinical Scenarios

Patients presenting with hand injuries from accidents, sports, or industrial settings.

Billing Considerations

Ensure 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, along with surgical notes if applicable.

Common Clinical Scenarios

Surgical intervention for complex lacerations involving foreign bodies.

Billing Considerations

Document any surgical procedures performed and the rationale for intervention.

Coding Guidelines

Inclusion Criteria

Use S61.220 When
  • According to ICD
  • 10 coding guidelines, S61
  • 220 should be used when a laceration with a foreign body is documented without nail damage
  • Coders must ensure that the documentation supports the presence of a foreign body and that no other more specific codes apply

Exclusion Criteria

Do NOT use S61.220 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

12001CPT Code

Simple repair of superficial wounds

Clinical Scenario

Used for suturing the laceration after foreign body removal.

Documentation Requirements

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

Specialty Considerations

Orthopedic surgeons may need to document additional details if tendon repair is involved.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of injuries, including those with foreign bodies. This specificity helps in better tracking of injury types and outcomes, leading to improved patient care and resource allocation.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of injuries, including those with foreign bodies. This specificity helps in better tracking of injury types and outcomes, leading to improved patient care and resource allocation.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of injuries, including those with foreign bodies. This specificity helps in better tracking of injury types and outcomes, leading to improved patient care and resource allocation.

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 be documented for a laceration with a foreign body?

Document the mechanism of injury, type of foreign body, location of the laceration, and any associated injuries or treatments provided.