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ICD-10 Guide
ICD-10 CodesS61.332

S61.332

Billable

Puncture wound without foreign body of right middle finger with damage to nail

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

Code Description

ICD-10 S61.332 is a billable code used to indicate a diagnosis of puncture wound without foreign body of right middle finger with damage to nail.

Key Diagnostic Point:

A puncture wound of the right middle finger occurs when a sharp object penetrates the skin, resulting in a wound that does not contain any foreign body. This type of injury can lead to damage of the nail bed, which may cause complications such as nail deformity or loss. The injury can also affect underlying structures, including tendons, nerves, and blood vessels, depending on the depth and location of the puncture. Proper assessment is crucial to determine the extent of the injury, as it may require surgical intervention if there is significant damage to the nail matrix or surrounding tissues. Treatment typically involves cleaning the wound, assessing for any signs of infection, and possibly suturing if the wound is deep. In cases where the nail is damaged, further evaluation may be necessary to ensure proper healing and function of the finger. Rehabilitation may also be required to restore full range of motion and strength.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Assessment of nail damage and potential complications
  • Differentiation from other types of finger injuries
  • Need for detailed documentation of the injury's extent
  • Potential for associated tendon or nerve injuries

Audit Risk Factors

  • Inadequate documentation of the injury's specifics
  • Failure to note associated injuries (e.g., tendon or nerve damage)
  • Misclassification of the wound type (puncture vs. laceration)
  • Lack of follow-up documentation regarding treatment outcomes

Specialty Focus

Medical Specialties

Orthopedic Surgery

Documentation Requirements

Detailed notes on the extent of injury, treatment provided, and follow-up care.

Common Clinical Scenarios

Puncture wounds from tools or machinery, sports injuries, or animal bites.

Billing Considerations

Consideration of potential surgical intervention if tendon or nerve damage is suspected.

Hand Surgery

Documentation Requirements

Comprehensive assessment of nail and soft tissue damage, imaging if necessary.

Common Clinical Scenarios

Complex injuries involving multiple structures of the hand.

Billing Considerations

Documentation of functional outcomes and rehabilitation needs.

Coding Guidelines

Inclusion Criteria

Use S61.332 When
  • Follow official ICD
  • 10 coding guidelines, ensuring accurate documentation of the injury's specifics
  • Include details on the mechanism of injury, treatment provided, and any associated injuries

Exclusion Criteria

Do NOT use S61.332 When
  • Exclude codes for puncture wounds with foreign bodies or other types of wounds

Related ICD-10 Codes

Related CPT Codes

12001CPT Code

Simple repair of superficial wounds

Clinical Scenario

Used when the puncture wound requires suturing.

Documentation Requirements

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

Specialty Considerations

Orthopedic or hand surgery specialties may have specific protocols for repair.

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 puncture wounds. This specificity aids in better tracking of injury types and treatment outcomes, ultimately improving patient care.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of injuries, including puncture wounds. This specificity aids in better tracking of injury types and treatment outcomes, ultimately improving patient care.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of injuries, including puncture wounds. This specificity aids in better tracking of injury types and treatment outcomes, ultimately improving patient care.

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 difference between S61.331 and S61.332?

S61.331 is used for puncture wounds with a foreign body present, while S61.332 is for wounds without a foreign body but with damage to the nail.