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ICD-10 Guide
ICD-10 CodesS61.310

S61.310

Billable

Laceration without foreign body of right index finger with damage to nail

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

Code Description

ICD-10 S61.310 is a billable code used to indicate a diagnosis of laceration without foreign body of right index finger with damage to nail.

Key Diagnostic Point:

S61.310 refers to a laceration of the right index finger that does not involve a foreign body and includes damage to the nail. This type of injury is common in various settings, particularly in occupational and recreational activities. The laceration may vary in depth and severity, potentially affecting not only the skin but also underlying structures such as tendons, nerves, and blood vessels. Damage to the nail can lead to complications such as nail deformity or loss, which may require further intervention. Proper assessment is crucial to determine the extent of the injury, including any associated fractures or tendon injuries. Treatment may involve wound cleaning, suturing, and possibly surgical intervention if deeper structures are involved. Accurate coding is essential for appropriate reimbursement and to reflect the complexity of the injury in the patient's medical record.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Assessment of injury depth and extent
  • Potential involvement of underlying structures (tendons, nerves)
  • Documentation of nail damage and its implications
  • Differentiation from similar codes (e.g., fractures, foreign body presence)

Audit Risk Factors

  • Inadequate documentation of injury specifics
  • Failure to note associated injuries (e.g., tendon or nerve damage)
  • Incorrect coding of nail damage severity
  • Lack of clarity in treatment provided

Specialty Focus

Medical Specialties

Orthopedic Surgery

Documentation Requirements

Detailed notes on the extent of injury, any surgical interventions performed, and follow-up care.

Common Clinical Scenarios

Fractures associated with lacerations, tendon repairs, and nail bed injuries.

Billing Considerations

Ensure documentation reflects the complexity of the injury and any surgical procedures performed.

Emergency Medicine

Documentation Requirements

Comprehensive assessment of the injury, including mechanism of injury and initial treatment provided.

Common Clinical Scenarios

Acute lacerations from accidents, sports injuries, and workplace incidents.

Billing Considerations

Accurate documentation of the injury's mechanism and any immediate interventions is crucial for coding.

Coding Guidelines

Inclusion Criteria

Use S61.310 When
  • According to ICD
  • 10 coding guidelines, S61
  • 310 should be used when the laceration is confirmed to be without foreign body involvement and includes nail damage
  • Coders must ensure that documentation supports the diagnosis and that any associated injuries are also coded appropriately

Exclusion Criteria

Do NOT use S61.310 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, hands, feet, and genitalia

Clinical Scenario

Used when the laceration requires suturing without extensive tissue manipulation.

Documentation Requirements

Document the size of the laceration and the technique used for repair.

Specialty Considerations

Orthopedic surgeons may need to document any additional procedures if tendon repair is also 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, such as lacerations, which improves the accuracy of medical records and reimbursement processes. S61.310 provides a clear distinction for lacerations involving nail damage, which was less specific in ICD-9.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of injuries, such as lacerations, which improves the accuracy of medical records and reimbursement processes. S61.310 provides a clear distinction for lacerations involving nail damage, which was less specific in ICD-9.

Reimbursement & Billing Impact

reimbursement processes. S61.310 provides a clear distinction for lacerations involving nail damage, which was less specific in ICD-9.

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 is the significance of nail damage in coding S61.310?

Nail damage indicates a more complex injury that may require additional treatment, making it essential for accurate coding and documentation.