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ICD-10 Guide
ICD-10 CodesS61.343

S61.343

Billable

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

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

Code Description

ICD-10 S61.343 is a billable code used to indicate a diagnosis of puncture wound with foreign body of left middle finger with damage to nail.

Key Diagnostic Point:

A puncture wound with a foreign body in the left middle finger is a specific type of injury that occurs when a sharp object penetrates the skin and underlying tissues, potentially introducing foreign materials such as dirt, metal, or glass. 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 may be damaged, leading to potential long-term cosmetic issues or nail deformities. Proper assessment and treatment are crucial to prevent complications, including chronic pain or functional impairment of the finger. Treatment may involve cleaning the wound, removing the foreign body, and possibly suturing the nail bed or surrounding tissues. Follow-up care is essential to monitor for signs of infection and ensure proper healing.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Presence of foreign body complicates the injury.
  • Potential for associated tendon or nerve damage.
  • Need for surgical intervention may vary.
  • Documentation must specify the extent of nail damage.

Audit Risk Factors

  • Inadequate documentation of the foreign body.
  • Failure to document the extent of nail damage.
  • Lack of clarity on associated injuries (tendons/nerves).
  • Improper coding of follow-up care or complications.

Specialty Focus

Medical Specialties

Orthopedic Surgery

Documentation Requirements

Detailed operative notes, imaging studies, and post-operative care plans.

Common Clinical Scenarios

Management of complex hand injuries, including fractures and tendon repairs.

Billing Considerations

Ensure documentation reflects the surgical approach and any complications encountered.

Emergency Medicine

Documentation Requirements

Thorough assessment notes, including mechanism of injury and initial treatment provided.

Common Clinical Scenarios

Immediate care of puncture wounds and foreign body removal.

Billing Considerations

Document all interventions and patient responses to treatment.

Coding Guidelines

Inclusion Criteria

Use S61.343 When
  • Follow ICD
  • CM guidelines for coding injuries, ensuring specificity in documentation regarding the location and nature of the injury
  • Include details about the foreign body and any associated injuries to tendons or nerves

Exclusion Criteria

Do NOT use S61.343 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 suturing after foreign body removal.

Documentation Requirements

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

Specialty Considerations

Orthopedic surgeons may need to document additional details regarding the repair.

10120CPT Code

Incision and removal of foreign body

Clinical Scenario

Used when a foreign body is embedded in the nail bed.

Documentation Requirements

Document the location and size of the foreign body.

Specialty Considerations

Emergency physicians 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, including those with foreign bodies. This specificity aids in better tracking of injury types and outcomes, improving patient care and resource allocation.

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 outcomes, improving patient care and resource allocation.

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 outcomes, improving 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 importance of documenting the foreign body?

Documenting the foreign body is crucial for accurate coding and billing, as it affects the complexity of the injury and the treatment required.

How do I differentiate between a puncture wound and an open fracture?

A puncture wound is characterized by a small entry point with potential foreign body involvement, while an open fracture involves a break in the bone with exposure to the external environment.