Puncture wound without foreign body of left middle finger with damage to nail
ICD-10 S61.333 is a billable code used to indicate a diagnosis of puncture wound without foreign body of left middle finger with damage to nail.
A puncture wound of the left middle 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, which may result in nail deformity or loss. The clinical presentation often includes localized pain, swelling, and tenderness at the site of injury. The absence of a foreign body is significant as it reduces the risk of infection and complications associated with retained objects. Treatment typically involves cleaning the wound, assessing for any underlying tendon or nerve damage, and possibly performing a nail avulsion if the nail is severely damaged. Proper documentation of the injury's extent, including any associated soft tissue damage, is crucial for accurate coding and reimbursement. The management of such injuries may also involve referral to a hand specialist if there is concern for deeper structures or if surgical intervention is required.
Detailed notes on the mechanism of injury, examination findings, and treatment plan.
Management of puncture wounds with potential tendon or nerve involvement.
Documentation of any surgical interventions performed, including repair of tendons or nerves.
Comprehensive assessment of the hand's anatomy, including vascular and nerve status.
Surgical repair of nail bed injuries or reconstruction after severe trauma.
Consideration of long-term outcomes and rehabilitation needs.
Used when the puncture wound requires suturing or closure.
Document the size of the wound and the method of closure.
Orthopedic or hand surgeons may need to provide additional details regarding the repair.
A puncture wound is caused by a sharp object penetrating the skin, while a laceration is a tear or cut in the skin. Puncture wounds are typically deeper and may not bleed as much as lacerations.
