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ICD-10 Guide
ICD-10 CodesS61.341

S61.341

Billable

Puncture wound with foreign body of left index finger with damage to nail

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

Code Description

ICD-10 S61.341 is a billable code used to indicate a diagnosis of puncture wound with foreign body of left index finger with damage to nail.

Key Diagnostic Point:

A puncture wound with a foreign body in the left index finger is a specific type of injury that occurs when a sharp object penetrates the skin and underlying tissues, potentially introducing foreign material into the wound. This injury can lead to complications such as infection, damage to the nail bed, and injury to the underlying structures, including tendons and nerves. The presence of a foreign body complicates the healing process and may require surgical intervention for removal. Damage to the nail can result in nail deformities or loss, necessitating careful monitoring and treatment. Clinicians must assess the extent of the injury, including any associated fractures or tendon injuries, to determine the appropriate management plan. Treatment may involve cleaning the wound, removing the foreign body, and repairing any damaged structures, which may include suturing the nail bed or performing a tendon repair if necessary. Proper documentation of the injury's specifics, including the mechanism of injury, the type of foreign body, and any associated injuries, is crucial for accurate coding and billing.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Presence of foreign body complicates treatment and coding.
  • Potential for associated injuries (tendons, nerves, fractures).
  • Need for detailed documentation of the injury and treatment.
  • Variability in treatment approaches based on injury severity.

Audit Risk Factors

  • Inadequate documentation of the foreign body type and location.
  • Failure to document associated injuries (e.g., tendon or nerve damage).
  • Incorrect coding of the procedure performed (e.g., foreign body removal).
  • Lack of clarity on the mechanism of injury.

Specialty Focus

Medical Specialties

Orthopedic Surgery

Documentation Requirements

Detailed operative notes, including the type of foreign body, extent of injury, and surgical procedures performed.

Common Clinical Scenarios

Management of puncture wounds with foreign bodies, tendon repairs, and nail bed injuries.

Billing Considerations

Ensure accurate coding of any surgical interventions and associated injuries.

Emergency Medicine

Documentation Requirements

Comprehensive assessment notes, including mechanism of injury, foreign body details, and initial treatment provided.

Common Clinical Scenarios

Initial evaluation and management of puncture wounds, foreign body removal, and wound care.

Billing Considerations

Document all findings and treatments to support coding for potential surgical referrals.

Coding Guidelines

Inclusion Criteria

Use S61.341 When
  • Follow official ICD
  • 10 coding guidelines, ensuring accurate documentation of the injury's specifics, including the presence of a foreign body and any associated injuries
  • Use additional codes as necessary to capture all aspects of the patient's condition

Exclusion Criteria

Do NOT use S61.341 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

10120CPT Code

Incision and removal of foreign body, subcutaneous tissue

Clinical Scenario

Used when a foreign body is surgically removed from the left index finger.

Documentation Requirements

Operative report detailing the procedure and findings.

Specialty Considerations

Orthopedic surgeons should document the extent of the injury and any repairs performed.

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 those with foreign bodies. This specificity aids in better tracking of injury types and treatment outcomes.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of injuries, including those with foreign bodies. This specificity aids in better tracking of injury types and treatment outcomes.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of injuries, including those with foreign bodies. This specificity aids in better tracking of injury types and treatment outcomes.

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 significance of coding S61.341 accurately?

Accurate coding of S61.341 is crucial for proper reimbursement, tracking of injury types, and ensuring appropriate treatment protocols are followed. It also helps in identifying trends in hand injuries and the need for preventive measures.