Puncture wound with foreign body of left ring finger without damage to nail
ICD-10 S61.245 is a billable code used to indicate a diagnosis of puncture wound with foreign body of left ring finger without damage to nail.
A puncture wound with a foreign body in the left ring finger is characterized by a penetrating injury that does not compromise the integrity of the nail. This type of injury can occur from various sources, such as sharp objects, nails, or other foreign materials that penetrate the skin and underlying tissues. Clinically, it may present with localized pain, swelling, and potential signs of infection, such as redness and discharge. The absence of nail damage is significant, as it indicates that the injury is limited to the soft tissues of the finger, which may include skin, subcutaneous tissue, and possibly tendons or nerves. Proper assessment is crucial to determine if there is any involvement of deeper structures, which could complicate the injury. Treatment typically involves cleaning the wound, removing the foreign body, and monitoring for infection. In some cases, surgical intervention may be necessary if the foreign body is deeply embedded or if there is significant tissue damage. Accurate coding of this condition is essential for appropriate treatment and reimbursement.
Detailed notes on the mechanism of injury, foreign body type, and any surgical interventions performed.
Patients presenting with puncture wounds from industrial accidents or sports injuries.
Ensure that all surgical procedures related to foreign body removal are documented to support coding.
Comprehensive assessment of the wound, including size, depth, and any signs of infection.
Patients with acute injuries from sharp objects requiring immediate care.
Document the initial treatment provided and any referrals for follow-up care.
Used if the puncture wound becomes infected and requires drainage.
Document the size of the abscess and the procedure performed.
Orthopedic surgeons should note any additional procedures performed during the same visit.
Document the mechanism of injury, the type of foreign body, the condition of the nail, and any treatment provided, including foreign body removal and follow-up care.
