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ICD-10 Guide
ICD-10 CodesS61.312

S61.312

Billable

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

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

Code Description

ICD-10 S61.312 is a billable code used to indicate a diagnosis of laceration without foreign body of right middle finger with damage to nail.

Key Diagnostic Point:

S61.312 refers to a specific type of injury characterized by a laceration of the right middle finger that does not involve any foreign body and includes damage to the nail. This injury can occur due to various mechanisms such as cuts from sharp objects, crush injuries, or accidents involving machinery. The clinical presentation may include bleeding, pain, swelling, and visible damage to the nail bed. The laceration may also affect the surrounding soft tissues, including tendons and nerves, which can lead to functional impairment of the finger. Proper assessment is crucial to determine the extent of the injury, including any potential fractures or tendon injuries that may accompany the laceration. Treatment typically involves cleaning the wound, suturing if necessary, and possibly surgical intervention if deeper structures are involved. Follow-up care is essential to monitor for infection and ensure proper healing of both the laceration and the nail damage.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between laceration types and associated injuries
  • Assessing the extent of nail damage and potential underlying structures
  • Documenting the mechanism of injury accurately
  • Understanding the implications of associated tendon or nerve injuries

Audit Risk Factors

  • Inadequate documentation of the mechanism of injury
  • Failure to document associated injuries (e.g., tendon or nerve damage)
  • Misclassification of the type of laceration
  • Inconsistent coding of follow-up visits

Specialty Focus

Medical Specialties

Orthopedic Surgery

Documentation Requirements

Detailed notes on the injury mechanism, extent of damage, and surgical interventions performed.

Common Clinical Scenarios

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

Billing Considerations

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

Emergency Medicine

Documentation Requirements

Thorough assessment of the injury, including vital signs, pain levels, and immediate treatment provided.

Common Clinical Scenarios

Acute lacerations requiring suturing, assessment for fractures, and management of pain.

Billing Considerations

Document the mechanism of injury and any immediate interventions to support coding.

Coding Guidelines

Inclusion Criteria

Use S61.312 When
  • According to ICD
  • 10 coding guidelines, S61
  • 312 should be used when the laceration is confirmed to be without foreign body involvement and includes nail damage
  • Coders must ensure that the documentation supports the diagnosis and that any associated injuries are also coded appropriately

Exclusion Criteria

Do NOT use S61.312 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, axillae, genitalia, trunk, and extremities

Clinical Scenario

Used when the laceration requires suturing in an outpatient setting.

Documentation Requirements

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

Specialty Considerations

Orthopedic surgeons may perform more complex repairs if deeper structures are involved.

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 those involving lacerations with nail damage. This specificity aids in better tracking of injury types and outcomes, improving patient care and resource allocation.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of injuries, including those involving lacerations with nail damage. This specificity aids in better tracking of injury types and outcomes, improving patient care and resource allocation.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of injuries, including those involving lacerations with nail damage. This specificity aids in better tracking of injury types and outcomes, improving patient care and resource allocation.

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 difference between S61.312 and S61.311?

S61.312 includes damage to the nail, while S61.311 refers to a laceration of the right middle finger without any nail damage.