Puncture wound with foreign body of right ring finger with damage to nail
ICD-10 S61.344 is a billable code used to indicate a diagnosis of puncture wound with foreign body of right ring finger with damage to nail.
S61.344 describes a puncture wound that occurs on the right ring finger, which is characterized by the penetration of a sharp object that may introduce a foreign body into the tissue. This injury often results in damage to the nail, which can complicate healing and may require surgical intervention. Puncture wounds can lead to various complications, including infection, tendon injury, and damage to underlying structures such as nerves and blood vessels. The presence of a foreign body increases the risk of infection and may necessitate removal through surgical procedures. Accurate assessment of the injury is crucial, as it can affect treatment options and outcomes. The management of such injuries typically involves thorough cleaning, possible imaging to assess for foreign bodies, and evaluation of the nail bed and surrounding structures to determine the extent of damage. In some cases, repair of the nail bed or surrounding soft tissue may be required to restore function and appearance.
Detailed operative notes, imaging results, and post-operative care plans.
Management of puncture wounds with foreign bodies, repair of nail bed injuries, and tendon repairs.
Ensure documentation reflects the complexity of the injury and any surgical interventions performed.
Thorough assessment notes, including mechanism of injury and initial treatment provided.
Initial evaluation and management of puncture wounds, foreign body removal, and infection assessment.
Document the patient's history, physical exam findings, and any imaging performed to support coding.
Used when the wound requires closure after foreign body removal.
Operative report detailing the procedure and extent of repair.
Orthopedic surgeons should document any associated tendon repairs.
If the puncture wound becomes infected, this procedure may be necessary.
Document signs of infection and the need for drainage.
Emergency medicine providers should note the patient's response to treatment.
Documentation should include the mechanism of injury, details about the foreign body, extent of nail damage, any associated injuries, and treatment provided, including surgical interventions.
