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ICD-10 Guide
ICD-10 CodesS61.323

S61.323

Billable

Laceration with foreign body of left middle finger with damage to nail

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

Code Description

ICD-10 S61.323 is a billable code used to indicate a diagnosis of laceration with foreign body of left middle finger with damage to nail.

Key Diagnostic Point:

S61.323 refers to a specific type of injury characterized by a laceration of the left middle finger that includes the presence of a foreign body and damage to the nail. This type of injury often occurs in environments where sharp objects are prevalent, such as in construction or kitchen settings. The laceration may penetrate through the skin and into deeper structures, potentially affecting tendons, nerves, and blood vessels. The presence of a foreign body complicates the injury, as it may lead to infection or delayed healing if not properly addressed. Damage to the nail can result in nail bed injuries, which may require surgical intervention for repair. Accurate coding of this condition is crucial for appropriate treatment planning and reimbursement, as it reflects the complexity and severity of the injury. Proper documentation should include details about the mechanism of injury, the extent of the laceration, and any associated injuries to the underlying structures.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Presence of foreign body complicates treatment and documentation.
  • Potential for associated injuries (tendons, nerves, blood vessels).
  • Need for detailed documentation of injury extent and treatment.
  • Variability in surgical procedures required based on injury severity.

Audit Risk Factors

  • Inadequate documentation of the foreign body and its removal.
  • Failure to document associated injuries (e.g., tendon or nerve damage).
  • Misclassification of the injury severity.
  • Inconsistent coding of related procedures.

Specialty Focus

Medical Specialties

Orthopedic Surgery

Documentation Requirements

Detailed operative notes, imaging studies, and follow-up care documentation.

Common Clinical Scenarios

Repair of lacerations involving tendons or nerves, foreign body removal.

Billing Considerations

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

Hand Surgery

Documentation Requirements

Comprehensive assessment of hand function, detailed surgical reports, and post-operative care notes.

Common Clinical Scenarios

Management of complex lacerations, nail bed repairs, and foreign body extraction.

Billing Considerations

Document the functional implications of the injury and any rehabilitation plans.

Coding Guidelines

Inclusion Criteria

Use S61.323 When
  • Follow official ICD
  • CM guidelines for coding injuries, ensuring accurate documentation of the injury site, type, and any associated complications
  • Include details about the foreign body and any surgical procedures performed

Exclusion Criteria

Do NOT use S61.323 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

12001CPT Code

Simple repair of superficial wounds

Clinical Scenario

Used for simple laceration repairs without foreign body.

Documentation Requirements

Document the size and location of the laceration.

Specialty Considerations

Ensure to differentiate between simple and complex repairs.

10120CPT Code

Incision and removal of foreign body

Clinical Scenario

Used when a foreign body is embedded in the laceration.

Documentation Requirements

Document the type of foreign body and the method of removal.

Specialty Considerations

Detail the extent of the injury and any associated 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 those with foreign bodies. This specificity 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 those with foreign bodies. This specificity 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 those with foreign bodies. This specificity 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 should be documented for a laceration with a foreign body?

Document the mechanism of injury, the type and location of the foreign body, the extent of the laceration, and any associated injuries or treatments performed.