Puncture wound without foreign body of unspecified finger without damage to nail
ICD-10 S61.239 is a billable code used to indicate a diagnosis of puncture wound without foreign body of unspecified finger without damage to nail.
A puncture wound is a type of injury that occurs when a sharp object penetrates the skin, creating a small hole. In the case of S61.239, the injury is specifically located on an unspecified finger and does not involve any foreign body or damage to the nail. Such injuries can occur in various settings, including workplaces, homes, or during recreational activities. While puncture wounds may seem minor, they can lead to complications such as infection, especially if the wound is not properly cleaned and treated. The absence of a foreign body simplifies the management of the wound, as there is no need for surgical intervention to remove debris. However, it is crucial to assess for potential tendon or nerve damage, which can occur depending on the depth and location of the puncture. Proper documentation of the injury's characteristics, treatment provided, and follow-up care is essential for accurate coding and billing.
Detailed description of the injury, treatment provided, and any follow-up care instructions.
Patients presenting with puncture wounds from various sources, such as nails, glass, or animal bites.
Ensure that all relevant details are documented to support the diagnosis and any procedures performed.
Comprehensive assessment of potential tendon or nerve involvement, imaging results if applicable.
Patients with puncture wounds that may affect hand function or require surgical intervention.
Document any surgical procedures performed and the rationale for intervention.
Used when a puncture wound requires suturing or closure.
Document the size of the wound and the method of closure.
Orthopedic surgeons may need to document any potential tendon involvement.
S61.239 is used for puncture wounds without foreign bodies, while S61.231 is for those with foreign bodies present. Accurate documentation is essential to determine the correct code.
