Puncture wound without foreign body of right little finger with damage to nail
ICD-10 S61.336 is a billable code used to indicate a diagnosis of puncture wound without foreign body of right little finger with damage to nail.
A puncture wound of the right little 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. In some cases, there may be associated bleeding or bruising. The absence of a foreign body is significant as it reduces the risk of infection and complications related to retained objects. Treatment typically involves cleaning the wound, assessing for any underlying damage to tendons or nerves, and possibly suturing if the wound is deep. The prognosis is generally good with appropriate care, although nail growth may be affected. Coders must ensure accurate documentation of the injury's specifics, including the mechanism of injury and any associated complications, to support the use of this code.
Detailed notes on the injury mechanism, treatment provided, and any surgical interventions.
Management of puncture wounds with potential tendon involvement or nail bed repair.
Ensure to document any surgical procedures performed, including repair of the nail bed or tendon if applicable.
Comprehensive assessment of the wound, including size, depth, and any signs of infection.
Initial evaluation and treatment of puncture wounds in the emergency department.
Document any imaging or additional procedures performed to rule out deeper injuries.
Used when the puncture wound requires suturing.
Document the size of the wound and the method of closure.
Orthopedic surgeons may need to document any tendon repair if applicable.
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.
