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ICD-10 Guide
ICD-10 CodesS61.327

S61.327

Billable

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

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

Code Description

ICD-10 S61.327 is a billable code used to indicate a diagnosis of laceration with foreign body of left little finger with damage to nail.

Key Diagnostic Point:

S61.327 refers to a specific type of injury characterized by a laceration of the left little finger that includes the presence of a foreign body and damage to the nail. This injury can occur due to various mechanisms, such as accidents involving sharp objects, machinery, or falls. The presence of a foreign body complicates the injury, as it may require additional surgical intervention to remove the object and repair the damaged tissue. The laceration may involve not only the skin but also deeper structures such as tendons, nerves, and blood vessels, potentially leading to functional impairment of the finger. Damage to the nail can result in cosmetic concerns and may require further treatment to ensure proper nail regrowth. Accurate coding of this condition is crucial for appropriate treatment planning and reimbursement, as it reflects the complexity and severity of the injury.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Presence of a foreign body complicates the injury management.
  • Potential involvement of multiple anatomical structures (skin, nail, tendon).
  • Need for detailed documentation of the injury mechanism.
  • Variability in treatment approaches based on injury severity.

Audit Risk Factors

  • Inadequate documentation of the foreign body type and location.
  • Failure to specify the extent of nail damage.
  • Lack of clarity on the mechanism of injury.
  • Improper coding of associated injuries (e.g., tendon or nerve damage).

Specialty Focus

Medical Specialties

Orthopedic Surgery

Documentation Requirements

Detailed operative notes describing the extent of the laceration, foreign body removal, and any repairs performed.

Common Clinical Scenarios

Management of lacerations with foreign bodies, tendon repairs, and nail bed injuries.

Billing Considerations

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

Plastic Surgery

Documentation Requirements

Comprehensive documentation of the surgical approach, including any reconstructive techniques used.

Common Clinical Scenarios

Reconstruction of nail bed injuries and repair of complex lacerations.

Billing Considerations

Document cosmetic outcomes and any follow-up care required for nail regrowth.

Coding Guidelines

Inclusion Criteria

Use S61.327 When
  • Follow official ICD
  • 10 coding guidelines, ensuring accurate documentation of the injury type, location, and any associated conditions
  • Include details about the foreign body and nail damage to support the use of S61

Exclusion Criteria

Do NOT use S61.327 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 significant tissue loss.

Documentation Requirements

Document the size and location of the laceration, and any foreign body removal.

Specialty Considerations

Orthopedic or plastic surgery specialties may require additional details on the repair technique.

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 technique used for removal.

Specialty Considerations

Ensure that the surgical notes detail the extent of the injury and any repairs 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, 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 is the significance of coding S61.327 accurately?

Accurate coding of S61.327 is crucial for appropriate treatment planning, reimbursement, and tracking of injury outcomes. It reflects the complexity of the injury and ensures that all necessary interventions are documented.