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ICD-10 Guide
ICD-10 CodesS61.307

S61.307

Billable

Unspecified open wound of left little finger with damage to nail

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

Code Description

ICD-10 S61.307 is a billable code used to indicate a diagnosis of unspecified open wound of left little finger with damage to nail.

Key Diagnostic Point:

An unspecified open wound of the left little 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. The open nature of the wound increases the risk of infection, necessitating careful management and monitoring. Treatment may involve cleaning the wound, suturing if necessary, and addressing any associated injuries such as fractures, tendon damage, or nerve involvement. Proper documentation is crucial to capture the extent of the injury and any additional procedures performed, as this will influence coding and reimbursement. The clinical management of such injuries often requires a multidisciplinary approach, including hand surgeons, occupational therapists, and wound care specialists.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in the severity of the wound and associated injuries
  • Potential for co-existing conditions such as fractures or tendon injuries
  • Need for detailed documentation to support the diagnosis
  • Variations in treatment protocols based on the extent of the injury

Audit Risk Factors

  • Inadequate documentation of the injury's specifics
  • Failure to note associated injuries such as fractures or tendon damage
  • Inconsistent coding practices among providers
  • Lack of clarity in the treatment plan and follow-up care

Specialty Focus

Medical Specialties

Orthopedic Surgery

Documentation Requirements

Detailed descriptions of the injury, treatment provided, and any surgical interventions performed.

Common Clinical Scenarios

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

Billing Considerations

Ensure that all associated injuries are documented to support the coding of multiple conditions.

Hand Surgery

Documentation Requirements

Comprehensive notes on the extent of the wound, surgical procedures, and post-operative care.

Common Clinical Scenarios

Complex lacerations requiring reconstruction, nail bed repair, and management of soft tissue injuries.

Billing Considerations

Focus on the functional implications of the injury and the need for rehabilitation.

Coding Guidelines

Inclusion Criteria

Use S61.307 When
  • According to ICD
  • 10 guidelines, this code should be used when the specific nature of the open wound is not documented
  • Coders should ensure that the documentation supports the diagnosis and that any associated injuries are coded appropriately

Exclusion Criteria

Do NOT use S61.307 When
  • Exclusions include specific types of wounds that are more clearly defined

Related ICD-10 Codes

Related CPT Codes

12001CPT Code

Simple repair of superficial wounds

Clinical Scenario

Used when the open wound requires suturing without extensive tissue manipulation.

Documentation Requirements

Document the size and location of the wound, as well as the technique used.

Specialty Considerations

Orthopedic surgeons may need to provide additional details on the extent of the injury.

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 open wounds. This has improved the accuracy of claims and the ability to track outcomes related to specific injuries.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of injuries, including open wounds. This has improved the accuracy of claims and the ability to track outcomes related to specific injuries.

Reimbursement & Billing Impact

reimbursement process.

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 little finger?

Document the mechanism of injury, the extent of the wound, any associated injuries, treatment provided, and follow-up care. Ensure clarity in describing the damage to the nail and any surgical interventions performed.