ICD-10 Logo
ICDxICD-10 Medical Coding
ICD-10 Logo
ICDxICD-10 Medical Coding
ICD 10 CodesDiagnoses
ICD 10 CodesDiagnoses
ICD-10 Logo
ICDxICD-10 Medical Coding

Comprehensive ICD-10-CM code reference with AI-powered search capabilities.

© 2025 ICD Code Compass. All rights reserved.

Browse

  • All Chapters
  • All Categories
  • Diagnoses

Tools

  • AI Code Search
ICD-10-CM codes are maintained by the CDC and CMS. This tool is for reference purposes only.
v1.0.0
ICD-10 Guide
ICD-10 CodesS61.246

S61.246

Billable

Puncture wound with foreign body of right little finger without damage to nail

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

Code Description

ICD-10 S61.246 is a billable code used to indicate a diagnosis of puncture wound with foreign body of right little finger without damage to nail.

Key Diagnostic Point:

A puncture wound with a foreign body in the right little finger is a specific type of injury that occurs when a sharp object penetrates the skin, potentially introducing foreign material into the wound. This injury can result from various incidents, such as accidents involving sharp tools, glass, or metal objects. The absence of damage to the nail indicates that the injury is confined to the soft tissues of the finger, which may include the skin, subcutaneous tissue, and possibly deeper structures like tendons or nerves. Clinically, such wounds can lead to complications such as infection, foreign body reaction, or damage to underlying structures. Proper assessment and management are crucial to prevent long-term dysfunction or complications. Treatment may involve cleaning the wound, removing the foreign body, and possibly suturing if the wound is deep. Follow-up care is essential to monitor for signs of infection or other complications.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Identification of the foreign body type and its location
  • Assessment of potential nerve or tendon involvement
  • Differentiation from other types of hand injuries
  • Documentation of the absence of nail damage

Audit Risk Factors

  • Inadequate documentation of the foreign body type
  • Failure to note the absence of nail damage
  • Lack of follow-up documentation for wound healing
  • Misclassification of the injury severity

Specialty Focus

Medical Specialties

Orthopedic Surgery

Documentation Requirements

Detailed notes on the mechanism of injury, foreign body identification, and any surgical interventions performed.

Common Clinical Scenarios

Patients presenting with puncture wounds from tools or accidents requiring surgical intervention.

Billing Considerations

Ensure that all surgical procedures are documented, including any foreign body removal.

Emergency Medicine

Documentation Requirements

Comprehensive assessment of the wound, including size, depth, and any signs of infection.

Common Clinical Scenarios

Patients with acute puncture wounds presenting to the emergency department.

Billing Considerations

Document the initial treatment provided and any referrals made for follow-up care.

Coding Guidelines

Inclusion Criteria

Use S61.246 When
  • Follow ICD
  • CM coding guidelines for injuries, ensuring accurate documentation of the injury site, type, and any associated complications
  • Include details about the foreign body and any treatment provided

Exclusion Criteria

Do NOT use S61.246 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

12001CPT Code

Simple repair of superficial wounds of the face, ears, eyelids, scalp, neck, axillae, genitalia, trunk, and extremities

Clinical Scenario

Used when the puncture wound requires suturing.

Documentation Requirements

Document the size of the wound and the method of repair.

Specialty Considerations

Orthopedic surgeons should note any additional procedures performed.

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 puncture wounds with foreign bodies. This specificity helps in better tracking of injury types and outcomes.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of injuries, including puncture wounds with foreign bodies. This specificity helps in better tracking of injury types and outcomes.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of injuries, including puncture wounds with foreign bodies. This specificity helps in better tracking of injury types 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 I document for a puncture wound with a foreign body?

Document the mechanism of injury, the type of foreign body, the depth of the wound, and any treatment provided, including foreign body removal.