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ICD-10 Guide
ICD-10 CodesS61.334

S61.334

Billable

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

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

Code Description

ICD-10 S61.334 is a billable code used to indicate a diagnosis of puncture wound without foreign body of right ring finger with damage to nail.

Key Diagnostic Point:

A puncture wound of the right ring 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 injury may also affect the underlying structures, including tendons, nerves, and blood vessels, depending on the depth and location of the puncture. Clinical evaluation is essential to assess for any associated injuries, such as fractures or tendon lacerations, which may require surgical intervention. Treatment typically involves cleaning the wound, possible suturing, and monitoring for infection. In cases where the nail is damaged, further management may be necessary to ensure proper healing and cosmetic appearance. Understanding the implications of this injury is crucial for effective treatment and accurate coding.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between puncture wounds and other types of wounds.
  • Assessing the extent of nail damage and potential underlying injuries.
  • Documenting the absence of foreign bodies accurately.
  • Understanding the implications of associated injuries (e.g., tendon or nerve damage).

Audit Risk Factors

  • Inadequate documentation of the injury mechanism.
  • Failure to document associated injuries or complications.
  • Misclassification of the wound type (puncture vs. laceration).
  • Inconsistent coding of nail damage severity.

Specialty Focus

Medical Specialties

Orthopedic Surgery

Documentation Requirements

Detailed descriptions of the injury, treatment provided, and any surgical interventions performed.

Common Clinical Scenarios

Management of puncture wounds with potential tendon or nerve involvement, surgical repair of nail bed injuries.

Billing Considerations

Ensure clear documentation of any surgical procedures performed, including the extent of repair and follow-up care.

Emergency Medicine

Documentation Requirements

Thorough assessment of the wound, including depth, location, and any signs of infection.

Common Clinical Scenarios

Initial evaluation and treatment of puncture wounds, including wound cleaning and tetanus prophylaxis.

Billing Considerations

Document the mechanism of injury and any immediate interventions performed to support coding.

Coding Guidelines

Inclusion Criteria

Use S61.334 When
  • According to ICD
  • 10 coding guidelines, S61
  • 334 should be used when documenting a puncture wound without foreign body involvement
  • It is essential to include details about the injury's location, extent, and any associated complications

Exclusion Criteria

Do NOT use S61.334 When
  • Exclusions include wounds with foreign bodies or those that are infected

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 of the wound and the method of repair.

Specialty Considerations

Orthopedic surgeons may need to document any tendon repair performed.

20610CPT Code

Arthrocentesis, aspiration, and/or injection into a major joint or bursa

Clinical Scenario

If the puncture wound leads to joint involvement.

Documentation Requirements

Document the joint involved and the procedure performed.

Specialty Considerations

Ensure clear documentation of indications for the procedure.

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 outcomes, which can improve patient care and resource allocation.

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 outcomes, which can improve patient care and resource allocation.

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 outcomes, which can improve patient care and resource allocation.

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 S61.334 and S61.331?

S61.334 is used for puncture wounds without foreign bodies, while S61.331 is for puncture wounds that involve a foreign body. Accurate documentation of the presence or absence of foreign bodies is crucial for correct coding.