Puncture wound without foreign body of other finger without damage to nail
ICD-10 S61.238 is a billable code used to indicate a diagnosis of puncture wound without foreign body of other finger without damage to nail.
A puncture wound of the finger is a type of injury that occurs when a sharp object penetrates the skin, creating a small hole. In the case of S61.238, the injury is specifically located on the 'other finger' (not the thumb) and does not involve any foreign body or damage to the nail. These wounds can occur in various settings, including occupational accidents, sports injuries, or household mishaps. While the wound may appear minor, it can lead to complications such as infection, tendon injury, or nerve damage if not properly assessed and treated. The absence of a foreign body simplifies the clinical management, as there is no need for removal of debris. However, thorough examination is essential to rule out deeper injuries, particularly to the flexor tendons or digital nerves, which may not be immediately apparent. Treatment typically involves cleaning the wound, possibly suturing if the wound is deep, and monitoring for signs of infection. Proper documentation of the injury's location, depth, and any associated symptoms is crucial for accurate coding and reimbursement.
Detailed description of the injury, treatment provided, and follow-up care.
Patients presenting with puncture wounds from various sources, such as nails, glass, or animal bites.
Ensure to document any signs of infection or complications that may require further intervention.
Comprehensive assessment of potential tendon or nerve damage, imaging results if applicable.
Patients with puncture wounds requiring surgical intervention due to deeper tissue involvement.
Document any surgical procedures performed, including repair of tendons or nerves.
Used when the puncture wound requires suturing.
Document the size and depth of the wound, and the repair performed.
Orthopedic surgeons may need to document any tendon repair performed.
A puncture wound is a small hole caused by a sharp object penetrating the skin, while a laceration is a tear or cut in the skin that may be deeper and wider.
