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ICD-10 Guide
ICD-10 CodesS61.328

S61.328

Billable

Laceration with foreign body of other finger with damage to nail

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

Code Description

ICD-10 S61.328 is a billable code used to indicate a diagnosis of laceration with foreign body of other finger with damage to nail.

Key Diagnostic Point:

S61.328 refers to a specific type of injury characterized by a laceration of a finger that includes the presence of a foreign body and damage to the nail. This condition typically arises from traumatic incidents such as cuts from sharp objects, punctures from nails or glass, or injuries sustained during industrial accidents. The presence of a foreign body complicates the injury, as it may lead to infection, delayed healing, or further tissue damage. Clinically, the patient may present with pain, swelling, and bleeding at the injury site, and there may be visible damage to the nail bed or surrounding soft tissue. Treatment often involves thorough cleaning of the wound, removal of the foreign body, and possibly surgical intervention to repair any tendon or nerve damage. The prognosis depends on the extent of the injury and the timeliness of treatment. Proper documentation is crucial to ensure accurate coding and reimbursement, as well as to facilitate appropriate follow-up care.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Presence of foreign body complicates the injury.
  • Potential for associated tendon or nerve damage.
  • Need for detailed documentation of the injury site and extent.
  • Variability in treatment approaches based on injury severity.

Audit Risk Factors

  • Inadequate documentation of the foreign body removal.
  • Failure to document the extent of nail damage.
  • Misclassification of the injury type.
  • Lack of clarity on associated procedures performed.

Specialty Focus

Medical Specialties

Orthopedic Surgery

Documentation Requirements

Detailed operative notes, imaging studies, and follow-up assessments.

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.

Emergency Medicine

Documentation Requirements

Comprehensive assessment notes, including mechanism of injury and immediate treatment provided.

Common Clinical Scenarios

Initial evaluation and management of traumatic finger injuries.

Billing Considerations

Accurate documentation of the injury mechanism and any foreign bodies present is critical for coding.

Coding Guidelines

Inclusion Criteria

Use S61.328 When
  • According to ICD
  • 10 coding guidelines, S61
  • 328 should be used when the laceration involves a foreign body and damage to the nail
  • Coders must ensure that the documentation supports the diagnosis and includes details about the foreign body and any associated injuries

Exclusion Criteria

Do NOT use S61.328 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

12001CPT Code

Simple repair of superficial wounds

Clinical Scenario

Used for repair of the laceration after foreign body removal.

Documentation Requirements

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

Specialty Considerations

Orthopedic surgeons may need to document additional details regarding tendon repair if applicable.

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 improves data accuracy and enhances the ability to track injury trends and 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 improves data accuracy and enhances the ability to track injury trends and outcomes.

Reimbursement & Billing Impact

reimbursement.

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 importance of documenting the foreign body?

Documenting the foreign body is crucial for accurate coding and billing, as it directly impacts the complexity of the injury and the treatment required.