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ICD-10 Guide
ICD-10 CodesS61.342

S61.342

Billable

Puncture wound with foreign body of right middle finger with damage to nail

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

Code Description

ICD-10 S61.342 is a billable code used to indicate a diagnosis of puncture wound with foreign body of right middle finger with damage to nail.

Key Diagnostic Point:

A puncture wound with a foreign body in the right middle finger is a specific type of injury that occurs when a sharp object penetrates the skin and underlying tissues, potentially introducing foreign materials 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 to remove the object and repair any associated damage. The nail damage can manifest as discoloration, detachment, or deformity, necessitating careful assessment and management. Treatment typically involves thorough cleaning of the wound, possible imaging to locate the foreign body, and surgical procedures if necessary to ensure proper healing and function of the finger. The prognosis depends on the extent of the injury and the timeliness of treatment.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Presence of foreign body complicates diagnosis and treatment.
  • Potential for associated injuries to tendons and nerves.
  • Need for surgical intervention may increase coding complexity.
  • Documentation must clearly specify the nature of the injury and any procedures performed.

Audit Risk Factors

  • Inadequate documentation of the foreign body and its removal.
  • Failure to document associated injuries to tendons or nerves.
  • Misclassification of the injury type or location.
  • Lack of clarity in the treatment plan and follow-up care.

Specialty Focus

Medical Specialties

Orthopedic Surgery

Documentation Requirements

Detailed operative notes describing the injury, foreign body removal, and any repairs to tendons or nerves.

Common Clinical Scenarios

Injuries from sharp objects, such as glass or metal, requiring surgical intervention.

Billing Considerations

Ensure documentation reflects the complexity of the injury and any associated procedures.

Emergency Medicine

Documentation Requirements

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

Common Clinical Scenarios

Patients presenting with puncture wounds from various sources, including industrial accidents or household injuries.

Billing Considerations

Accurate coding requires clear documentation of the injury's nature and any immediate interventions.

Coding Guidelines

Inclusion Criteria

Use S61.342 When
  • According to ICD
  • 10 coding guidelines, this code should be used when the documentation specifies a puncture wound with a foreign body and damage to the nail
  • It is essential to ensure that the documentation supports the complexity of the injury and any associated procedures

Exclusion Criteria

Do NOT use S61.342 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

12001CPT Code

Simple repair of superficial wounds

Clinical Scenario

Used when the wound requires closure after foreign body removal.

Documentation Requirements

Operative notes detailing the procedure and any complications.

Specialty Considerations

Orthopedic surgeons should document any tendon or nerve repairs performed.

10120CPT Code

Incision and removal of foreign body

Clinical Scenario

When a foreign body is surgically removed from the finger.

Documentation Requirements

Detailed notes on the foreign body location and removal technique.

Specialty Considerations

Emergency medicine specialists should document the mechanism of injury.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of injuries, such as puncture wounds with foreign bodies, improving data accuracy and enhancing patient care tracking.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of injuries, such as puncture wounds with foreign bodies, improving data accuracy and enhancing patient care tracking.

Reimbursement & Billing Impact

reimbursement.

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 be documented for a puncture wound with a foreign body?

Documentation should include the mechanism of injury, details of the foreign body, any associated injuries, treatment provided, and follow-up care.