Puncture wound without foreign body of left index finger with damage to nail
ICD-10 S61.331 is a billable code used to indicate a diagnosis of puncture wound without foreign body of left index finger with damage to nail.
A puncture wound of the left index finger occurs when a sharp object penetrates the skin, causing a wound that does not involve a foreign body. This type of injury can lead to damage to the nail bed, resulting in potential complications such as nail deformity or loss. The injury may also affect the underlying structures, including tendons, nerves, and blood vessels. In cases where the puncture is deep, there is a risk of infection, which can complicate healing and may require surgical intervention. Treatment typically involves cleaning the wound, assessing for any damage to the nail and surrounding structures, and monitoring for signs of infection. If tendon or nerve damage is suspected, further evaluation and possibly surgical repair may be necessary. Proper documentation of the injury's extent, associated symptoms, and treatment provided is crucial for accurate coding and billing.
Detailed notes on the extent of injury, imaging results, and surgical interventions performed.
Management of complex hand injuries, including fractures and tendon repairs.
Documentation must clearly outline the surgical approach and any complications encountered.
Thorough assessment of the wound, including depth, signs of infection, and any immediate interventions.
Initial evaluation and treatment of puncture wounds, including tetanus prophylaxis.
Accurate recording of the mechanism of injury and any associated injuries is critical.
Used when the puncture wound requires simple closure.
Document the size of the wound and the method of closure.
Orthopedic surgeons may need to document any associated tendon repairs.
S61.331 specifies a puncture wound of the left index finger with nail damage, while S61.330 is for unspecified fingers without detailing the nail involvement.
