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ICD-10 Guide
ICD-10 CodesS61.228

S61.228

Billable

Laceration with foreign body of other finger without damage to nail

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

Code Description

ICD-10 S61.228 is a billable code used to indicate a diagnosis of laceration with foreign body of other finger without damage to nail.

Key Diagnostic Point:

S61.228 refers to a laceration of a finger that has been penetrated by a foreign body, specifically in cases where the nail remains intact. This type of injury is common in various settings, including workplaces, homes, and during recreational activities. The presence of a foreign body complicates the injury, as it may lead to infection, delayed healing, or further tissue damage if not properly addressed. Clinically, the laceration may involve the skin and underlying soft tissues, potentially affecting tendons, nerves, or blood vessels. Proper assessment is crucial to determine the extent of the injury and the necessary interventions. Treatment may involve cleaning the wound, removing the foreign body, and suturing the laceration if needed. In some cases, surgical intervention may be required to repair damaged tendons or nerves. Accurate coding is essential for appropriate reimbursement and to reflect the complexity of the injury in medical records.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Identification of the foreign body type and location
  • Assessment of associated soft tissue damage
  • Differentiation from similar laceration codes
  • Documentation of treatment procedures performed

Audit Risk Factors

  • Inadequate documentation of the foreign body removal
  • Failure to document the extent of the laceration
  • Lack of clarity on associated injuries (e.g., tendon or nerve involvement)
  • Improper linkage between diagnosis and procedure codes

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 finger lacerations from accidents, machinery, or sharp objects.

Billing Considerations

Ensure all relevant details about the foreign body and any associated injuries are documented.

Orthopedic Surgery

Documentation Requirements

Comprehensive notes on any surgical interventions, including tendon or nerve repairs.

Common Clinical Scenarios

Cases requiring surgical intervention for complex lacerations with potential tendon or nerve damage.

Billing Considerations

Document the surgical approach and any complications encountered during the procedure.

Coding Guidelines

Inclusion Criteria

Use S61.228 When
  • Follow official ICD
  • CM coding guidelines, ensuring accurate documentation of the injury's specifics, including the presence of a foreign body and any associated injuries

Exclusion Criteria

Do NOT use S61.228 When
  • Exclude cases where the nail is damaged or where the laceration is not present

Related ICD-10 Codes

Related CPT Codes

12001CPT Code

Simple repair of superficial wounds

Clinical Scenario

Used for lacerations requiring simple closure without extensive tissue damage.

Documentation Requirements

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

Specialty Considerations

Orthopedic surgeons should note any tendon involvement.

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 improves data accuracy and enhances the ability to track injury trends and outcomes.

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 improves data accuracy and enhances the ability to track injury trends and outcomes.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of injuries, including those with foreign bodies. This specificity improves data accuracy and enhances the ability to track injury trends and outcomes.

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, the type and location of the foreign body, the extent of the laceration, and any associated injuries or treatments performed.