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ICD-10 Guide
ICD-10 CodesS61.339

S61.339

Billable

Puncture wound without foreign body of unspecified finger with damage to nail

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

Code Description

ICD-10 S61.339 is a billable code used to indicate a diagnosis of puncture wound without foreign body of unspecified finger with damage to nail.

Key Diagnostic Point:

A puncture wound of the finger occurs when a sharp object penetrates the skin, resulting in a wound that may involve damage to the nail. This type of injury is common in various settings, including workplaces, homes, and during recreational activities. The absence of a foreign body indicates that the wound is not complicated by retained debris, which can often complicate healing and increase the risk of infection. Clinically, these injuries can lead to pain, swelling, and potential complications such as infection or nail deformity. Proper assessment is crucial to determine the extent of the injury, including any underlying damage to tendons, nerves, or bones. Treatment may involve cleaning the wound, monitoring for signs of infection, and possibly surgical intervention if deeper structures are involved. Accurate coding is essential for appropriate management and reimbursement, as well as for tracking injury patterns and outcomes in clinical practice.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in documentation of injury specifics
  • Potential for associated injuries (tendons, nerves)
  • Differentiation from similar codes (e.g., with foreign body)
  • Need for precise anatomical location description

Audit Risk Factors

  • Inadequate documentation of injury specifics
  • Failure to note associated injuries
  • Misclassification of nail damage severity
  • Inconsistent use of anatomical terminology

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Detailed description of the injury mechanism, assessment of associated injuries, and treatment provided.

Common Clinical Scenarios

Patients presenting with puncture wounds from various objects, requiring immediate care.

Billing Considerations

Ensure thorough documentation of any nerve or tendon involvement to support coding.

Orthopedic Surgery

Documentation Requirements

Comprehensive evaluation of potential fractures or tendon injuries, including imaging results.

Common Clinical Scenarios

Surgical intervention for complex puncture wounds with underlying damage.

Billing Considerations

Document any surgical procedures performed and their relation to the injury.

Coding Guidelines

Inclusion Criteria

Use S61.339 When
  • Follow ICD
  • CM guidelines for coding injuries, ensuring specificity in the location and nature of the injury
  • Include any relevant external cause codes if applicable

Exclusion Criteria

Do NOT use S61.339 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

12001CPT Code

Simple repair of superficial wounds

Clinical Scenario

Used for repair of the puncture wound if suturing is required.

Documentation Requirements

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

Specialty Considerations

Orthopedic surgeons may perform repairs if tendon involvement is suspected.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for greater specificity in coding injuries, including puncture wounds. This has improved the ability to track injury patterns and outcomes, leading to better patient care and resource allocation.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for greater specificity in coding injuries, including puncture wounds. This has improved the ability to track injury patterns and outcomes, leading to better patient care and resource allocation.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for greater specificity in coding injuries, including puncture wounds. This has improved the ability to track injury patterns and outcomes, leading to better 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 should I document for a puncture wound to ensure accurate coding?

Document the mechanism of injury, the specific finger involved, any associated injuries, and the extent of nail damage. Include details about treatment provided and follow-up care.