Puncture wound without foreign body of left index finger without damage to nail
ICD-10 S61.231 is a billable code used to indicate a diagnosis of puncture wound without foreign body of left index finger without damage to nail.
A puncture wound of the left index finger is characterized by a small, deep injury caused by a sharp object penetrating the skin without causing damage to the nail or introducing a foreign body. This type of injury can occur in various settings, including occupational accidents, household injuries, or sports-related incidents. Clinically, puncture wounds may present with localized pain, swelling, and tenderness at the site of injury. While the wound may appear minor, there is a risk of infection, particularly if the wound is not properly cleaned and treated. The absence of foreign bodies and nail damage simplifies the management of the injury, as it reduces the complexity of potential complications. Treatment typically involves thorough cleaning of the wound, possible tetanus prophylaxis, and monitoring for signs of infection. In some cases, further evaluation may be necessary to rule out deeper tissue damage, such as tendon or nerve injury, especially if the patient reports persistent pain or functional impairment. Proper documentation of the injury's mechanism, location, and treatment is essential for accurate coding and billing.
Detailed account of the injury mechanism, treatment provided, and follow-up care instructions.
Patients presenting with puncture wounds from various sources, including animal bites, sharp objects, or sports injuries.
Ensure that tetanus status is documented and that any signs of infection are noted.
Comprehensive assessment of potential tendon or nerve involvement, including imaging if necessary.
Patients with puncture wounds who may require surgical intervention for deeper injuries.
Document any surgical procedures performed and the rationale for intervention.
Used when the puncture wound requires suturing or closure.
Document the size of the wound and the method of closure.
Orthopedic surgeons may perform this procedure if deeper structures are involved.
Document the mechanism of injury, the location of the wound, any treatment provided, and the patient's tetanus status.
