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ICD-10 Guide
ICD-10 CodesS61.315

S61.315

Billable

Laceration without foreign body of left ring finger with damage to nail

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

Code Description

ICD-10 S61.315 is a billable code used to indicate a diagnosis of laceration without foreign body of left ring finger with damage to nail.

Key Diagnostic Point:

S61.315 refers to a specific type of injury characterized by a laceration of the left ring 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, accidents during manual labor, or sports injuries. The clinical presentation may include bleeding, pain, and swelling around the affected area. The damage to the nail can range from minor abrasions to complete avulsion, which may require surgical intervention. Proper assessment of the laceration is crucial to determine the extent of tissue damage, which may involve not only the skin but also underlying structures such as tendons and nerves. In cases where the laceration is deep, there may be a risk of infection or complications that could affect the function of the finger. Treatment typically involves cleaning the wound, suturing if necessary, and possibly referral to a hand specialist for further evaluation and management, especially if there is significant damage to the nail bed or surrounding structures.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Need for precise documentation of the injury's location and extent
  • Differentiation between superficial and deep lacerations
  • Assessment of associated injuries (e.g., tendon or nerve damage)
  • Potential for surgical intervention and its documentation

Audit Risk Factors

  • Inadequate documentation of the injury's severity
  • Failure to document associated injuries (e.g., tendon or nerve involvement)
  • Incorrect coding of the laceration depth
  • Lack of clarity on treatment provided

Specialty Focus

Medical Specialties

Orthopedic Surgery

Documentation Requirements

Detailed notes on the mechanism of injury, extent of laceration, and any surgical procedures performed.

Common Clinical Scenarios

Lacerations requiring surgical repair, tendon repairs, or nail bed reconstruction.

Billing Considerations

Ensure all associated injuries are documented to support the complexity of the case.

Emergency Medicine

Documentation Requirements

Thorough assessment of the injury, including vital signs, pain level, and initial treatment provided.

Common Clinical Scenarios

Patients presenting with acute lacerations requiring immediate care.

Billing Considerations

Document the mechanism of injury and any immediate interventions performed.

Coding Guidelines

Inclusion Criteria

Use S61.315 When
  • According to ICD
  • 10 guidelines, S61
  • 315 should be used when the laceration is specifically of the left ring finger and does not involve a foreign body
  • Documentation must clearly indicate the nature of the injury and any associated damage

Exclusion Criteria

Do NOT use S61.315 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

12001CPT Code

Simple repair of superficial wounds

Clinical Scenario

Used for lacerations requiring suturing without extensive tissue damage.

Documentation Requirements

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

Specialty Considerations

Orthopedic surgeons may need to document any associated tendon repairs.

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 detailed descriptions of lacerations, which aids in better tracking of injury types and treatment outcomes.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of injuries, including detailed descriptions of lacerations, which aids in better tracking of injury types and treatment outcomes.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of injuries, including detailed descriptions of lacerations, which aids in better tracking of injury types and treatment outcomes.

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 S61.315 and S61.316?

S61.315 is used for lacerations without foreign bodies, while S61.316 is for lacerations that involve a foreign body. Accurate documentation is essential to determine which code to use.