Unspecified open wound of right index finger with damage to nail
ICD-10 S61.300 is a billable code used to indicate a diagnosis of unspecified open wound of right index finger with damage to nail.
An unspecified open wound of the right index finger with damage to the nail indicates a traumatic injury that has penetrated the skin and may involve the underlying structures of the finger. This type of injury can result from various incidents, including cuts, lacerations, or punctures, and may vary in severity. The damage to the nail can range from minor abrasions to complete avulsion, which can complicate healing and may require surgical intervention. Open wounds can lead to infections, necessitating careful monitoring and management. The right index finger is crucial for hand function, and injuries here can significantly impact daily activities. Treatment may involve cleaning the wound, suturing if necessary, and possibly splinting to protect the finger during the healing process. In cases where the nail matrix is affected, further evaluation may be required to assess potential long-term effects on nail growth. Accurate coding is essential for proper treatment reimbursement and tracking of hand injuries.
Detailed descriptions of the injury, treatment plan, and any surgical interventions performed.
Fractures associated with open wounds, tendon repairs, and nail bed injuries.
Documentation must clearly outline the extent of the injury and any surgical procedures performed to ensure accurate coding.
Comprehensive notes on the mechanism of injury, initial assessment, and treatment provided in the emergency setting.
Acute presentations of hand injuries, including lacerations and fractures.
Timely documentation is crucial for coding accuracy, especially in fast-paced environments.
Used when performing a simple repair of the open wound on the right index finger.
Document the size of the wound and the method of repair.
Orthopedic surgeons may perform more complex repairs requiring additional documentation.
Document the mechanism of injury, the extent of the wound, any damage to the nail, and the treatment provided. Ensure that follow-up care is also noted.
