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ICD-10 Guide
ICD-10 CodesS61.345

S61.345

Billable

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

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

Code Description

ICD-10 S61.345 is a billable code used to indicate a diagnosis of puncture wound with foreign body of left ring finger with damage to nail.

Key Diagnostic Point:

A puncture wound with a foreign body in the left ring finger is a specific type of injury that occurs when a sharp object penetrates the skin, potentially introducing foreign material into the wound. This injury can lead to complications such as infection, damage to underlying structures, and nail bed injury. The presence of a foreign body complicates the healing process and may require surgical intervention for removal. Damage to the nail can result in deformity or loss of the nail, impacting both function and aesthetics. Clinicians must assess for associated injuries, including fractures of the phalanges, tendon injuries, or nerve damage, which may necessitate further treatment. Proper documentation of the injury's specifics, including the nature of the foreign body and any associated injuries, is crucial for accurate coding and reimbursement.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Presence of foreign body complicates treatment and coding.
  • Potential for associated injuries (fractures, tendon damage).
  • Need for detailed documentation of the injury and treatment.
  • Variability in clinical presentation and treatment approaches.

Audit Risk Factors

  • Inadequate documentation of the foreign body.
  • Failure to document associated injuries.
  • Incorrect coding of the nail damage.
  • Lack of clarity on the treatment provided.

Specialty Focus

Medical Specialties

Orthopedic Surgery

Documentation Requirements

Detailed notes on the mechanism of injury, imaging results, and any surgical interventions performed.

Common Clinical Scenarios

Management of puncture wounds with foreign bodies, fractures, and tendon repairs.

Billing Considerations

Ensure documentation reflects the complexity of the injury and any surgical procedures performed.

Hand Surgery

Documentation Requirements

Comprehensive documentation of the injury, including the extent of nail damage and any nerve or tendon involvement.

Common Clinical Scenarios

Repair of nail bed injuries, removal of foreign bodies, and reconstruction of damaged tendons.

Billing Considerations

Accurate coding requires thorough documentation of all structures involved and the surgical approach taken.

Coding Guidelines

Inclusion Criteria

Use S61.345 When
  • Follow the official ICD
  • CM coding guidelines, ensuring that the code accurately reflects the specific nature of the injury, including the presence of a foreign body and any associated damage
  • Ensure compliance with documentation standards for the specific healthcare setting

Exclusion Criteria

Do NOT use S61.345 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

12001CPT Code

Simple repair of superficial wounds

Clinical Scenario

Used when the puncture wound requires simple closure without extensive repair.

Documentation Requirements

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

Specialty Considerations

Orthopedic and hand surgeons should ensure that the repair method aligns with the complexity of the injury.

10120CPT Code

Incision and drainage of abscess

Clinical Scenario

Used if the puncture wound leads to an abscess requiring drainage.

Documentation Requirements

Document the size and location of the abscess and the procedure performed.

Specialty Considerations

Ensure that the procedure is justified based on clinical findings.

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. This specificity aids in better tracking of injury types and treatment outcomes, improving patient care and reimbursement processes.

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. This specificity aids in better tracking of injury types and treatment outcomes, improving patient care and reimbursement processes.

Reimbursement & Billing Impact

reimbursement processes.

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 S61.345 accurately?

Accurate coding of S61.345 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 improving patient care.