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ICD-10 Guide
ICD-10 CodesS61.301

S61.301

Billable

Unspecified open wound of left index finger with damage to nail

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

Code Description

ICD-10 S61.301 is a billable code used to indicate a diagnosis of unspecified open wound of left index finger with damage to nail.

Key Diagnostic Point:

An unspecified open wound of the left index finger with damage to the nail indicates a traumatic injury that has penetrated the skin, potentially exposing underlying structures. This type of injury can result from various incidents, including cuts, lacerations, or punctures. The damage to the nail may involve partial or complete loss of the nail plate, which can complicate healing and may require surgical intervention. The open wound can lead to infection, necessitating careful monitoring and management. Treatment often involves cleaning the wound, possibly suturing, and addressing any associated injuries such as fractures, tendon injuries, or nerve damage. The index finger is crucial for hand function, and injuries here can significantly impact a patient's ability to perform daily activities. Proper documentation of the injury's specifics, including the mechanism of injury, extent of damage, and any associated conditions, is essential for accurate coding and reimbursement.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in the extent of the wound and associated injuries
  • Need for detailed documentation of the injury mechanism
  • Potential for co-existing conditions (e.g., fractures, tendon injuries)
  • Variability in treatment approaches and surgical interventions

Audit Risk Factors

  • Inadequate documentation of the injury mechanism
  • Failure to specify the extent of nail damage
  • Lack of clarity on associated injuries (e.g., fractures, tendon damage)
  • Inconsistent coding practices across providers

Specialty Focus

Medical Specialties

Orthopedic Surgery

Documentation Requirements

Detailed notes on the nature of the injury, surgical procedures performed, and post-operative care.

Common Clinical Scenarios

Fractures associated with open wounds, tendon repairs, and nail bed injuries.

Billing Considerations

Ensure that all surgical interventions are documented, including any complications or follow-up care.

Emergency Medicine

Documentation Requirements

Comprehensive assessment of the wound, including size, depth, and any foreign bodies.

Common Clinical Scenarios

Acute trauma cases presenting with open wounds and potential infections.

Billing Considerations

Document the mechanism of injury and any immediate treatments provided.

Coding Guidelines

Inclusion Criteria

Use S61.301 When
  • Follow official ICD
  • 10 coding guidelines, ensuring that the code accurately reflects the injury's specifics
  • Include any relevant details about the wound's nature and associated injuries

Exclusion Criteria

Do NOT use S61.301 When
  • Exclude codes for closed wounds or injuries not involving the nail

Related ICD-10 Codes

Related CPT Codes

12001CPT Code

Simple repair of superficial wounds

Clinical Scenario

Used when the open wound requires suturing.

Documentation Requirements

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

Specialty Considerations

Orthopedic surgeons may need to document additional details regarding the repair.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of injuries, improving the ability to capture the complexity of hand injuries and their treatment needs.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of injuries, improving the ability to capture the complexity of hand injuries and their treatment needs.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of injuries, improving the ability to capture the complexity of hand injuries and their treatment needs.

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 an open wound of the left index finger?

Document the mechanism of injury, the extent of the wound, any associated injuries, and the treatment provided.