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ICD-10 Guide
ICD-10 CodesS61.247

S61.247

Billable

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

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

Code Description

ICD-10 S61.247 is a billable code used to indicate a diagnosis of puncture wound with foreign body of left little finger without damage to nail.

Key Diagnostic Point:

A puncture wound with a foreign body in the left little finger is a specific type of injury characterized by a sharp object penetrating the skin and underlying tissues without causing damage to the nail. This type of injury can occur in various settings, including occupational accidents, household injuries, or recreational activities. The presence of a foreign body, such as wood, metal, or glass, can complicate the healing process and may lead to infection or other complications if not properly addressed. Clinically, the patient may present with localized pain, swelling, and tenderness at the site of injury. It is crucial to assess for any associated injuries, such as tendon or nerve damage, which can occur in deeper puncture wounds. Treatment typically involves thorough cleaning of the wound, removal of the foreign body, and possibly the administration of antibiotics to prevent infection. Follow-up care may include monitoring for signs of infection and ensuring proper healing of the wound.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Identification of the foreign body type and its location
  • Assessment of potential associated injuries (tendons, nerves)
  • 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 document the absence of nail damage
  • Lack of follow-up notes regarding wound healing
  • Inconsistent coding of associated injuries

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Detailed description of the injury mechanism, foreign body identification, and treatment provided.

Common Clinical Scenarios

Patients presenting with puncture wounds from various sources, including industrial accidents or household injuries.

Billing Considerations

Ensure that all associated injuries are documented, and follow-up care is noted.

Orthopedic Surgery

Documentation Requirements

Comprehensive assessment of any potential tendon or nerve involvement, including imaging results.

Common Clinical Scenarios

Surgical intervention for foreign body removal and repair of associated injuries.

Billing Considerations

Document any surgical procedures performed and the rationale for intervention.

Coding Guidelines

Inclusion Criteria

Use S61.247 When
  • Follow the official ICD
  • CM coding guidelines, ensuring accurate documentation of the injury type, location, and any associated injuries

Exclusion Criteria

Do NOT use S61.247 When
  • Exclude codes for injuries with nail damage or other types of wounds

Related ICD-10 Codes

Related CPT Codes

10120CPT Code

Incision and drainage of abscess

Clinical Scenario

Used if the puncture wound becomes infected and requires drainage.

Documentation Requirements

Document the reason for drainage and the condition of the wound.

Specialty Considerations

Orthopedic surgeons may perform this procedure if associated injuries are present.

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 aids in better tracking of injury types and treatment 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 aids in better tracking of injury types and treatment 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 aids in better tracking of injury types and treatment 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, type of foreign body, location of the wound, and any associated injuries or complications.