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ICD-10 Guide
ICD-10 CodesS61.346

S61.346

Billable

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

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

Code Description

ICD-10 S61.346 is a billable code used to indicate a diagnosis of puncture wound with foreign body of right little finger with damage to nail.

Key Diagnostic Point:

A puncture wound with a foreign body in the right little 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 surrounding structures including tendons, nerves, and blood vessels. 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, necessitating careful management to ensure proper healing and restoration of function. Clinicians must assess the extent of the injury, including any associated fractures or tendon injuries, and determine the appropriate treatment plan, which may involve wound care, foreign body removal, and possibly surgical repair of damaged structures. Accurate coding is essential for proper reimbursement and tracking of treatment outcomes.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Presence of foreign body complicates the injury.
  • Potential for associated injuries (tendon, nerve, fracture).
  • Need for detailed documentation of the injury's extent.
  • Variability in treatment approaches based on injury severity.

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 extent of injury, imaging results, and surgical findings.

Common Clinical Scenarios

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

Billing Considerations

Ensure documentation reflects the need for surgical intervention and any complications.

Emergency Medicine

Documentation Requirements

Thorough assessment of the wound, foreign body identification, and immediate treatment provided.

Common Clinical Scenarios

Initial evaluation and management of puncture wounds with foreign bodies.

Billing Considerations

Document the mechanism of injury and any immediate interventions performed.

Coding Guidelines

Inclusion Criteria

Use S61.346 When
  • Follow ICD
  • CM guidelines for coding injuries, ensuring specificity in documentation
  • Include details about the foreign body, extent of damage, and any associated injuries
  • Use additional codes as necessary to capture all aspects of the injury

Exclusion Criteria

Do NOT use S61.346 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

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

Specialty Considerations

Orthopedic surgeons may need to document additional details regarding tendon or nerve repair.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 allows for more specific coding of injuries, improving the accuracy of data collection and reimbursement processes. S61.346 provides detailed information about the nature of the injury, which is crucial for treatment planning and outcome tracking.

ICD-9 vs ICD-10

The transition to ICD-10 allows for more specific coding of injuries, improving the accuracy of data collection and reimbursement processes. S61.346 provides detailed information about the nature of the injury, which is crucial for treatment planning and outcome tracking.

Reimbursement & Billing Impact

reimbursement processes. S61.346 provides detailed information about the nature of the injury, which is crucial for treatment planning and outcome tracking.

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 I document for a puncture wound with a foreign body?

Document the mechanism of injury, the type of foreign body, the extent of damage to the nail and surrounding structures, and any treatment provided.