Puncture wound without foreign body of finger with damage to nail
ICD-10 S61.33 is a billable code used to indicate a diagnosis of puncture wound without foreign body of finger with damage to nail.
A puncture wound of the finger is a type of injury characterized by a small, deep wound caused by a sharp object penetrating the skin. In the case of S61.33, the wound does not involve a foreign body, which simplifies the clinical management. The injury often results in damage to the nail, which may include nail bed laceration or hematoma formation beneath the nail. Clinically, these injuries can lead to complications such as infection, nail deformity, or even loss of the nail if not properly treated. The management of such wounds typically involves thorough cleaning, possible suturing, and monitoring for signs of infection. In some cases, surgical intervention may be necessary to repair the nail bed or to address any underlying tendon or nerve injuries that may occur due to the depth of the puncture. Accurate coding is essential for proper reimbursement and to reflect the complexity of care provided, especially in cases where additional procedures are performed to address complications arising from the initial injury.
Detailed notes on the extent of injury, treatment provided, and any surgical interventions performed.
Management of complex finger injuries, including repair of nail beds and associated structures.
Ensure that all associated injuries are documented to support coding for additional procedures.
Comprehensive assessment of the wound, including depth, presence of foreign bodies, and initial treatment provided.
Initial evaluation and treatment of puncture wounds in the emergency department.
Documenting the mechanism of injury and any immediate complications is crucial for accurate coding.
Used when the puncture wound requires suturing.
Document the size of the wound and the method of repair.
Orthopedic surgeons may need to document any associated tendon repairs.
S61.33 is used for puncture wounds without foreign bodies, while S61.32 is for those with foreign bodies present. Accurate documentation is crucial to determine which code to use.
