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ICD-10 Guide
ICD-10 CodesS61.349

S61.349

Billable

Puncture wound with foreign body of unspecified finger with damage to nail

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

Code Description

ICD-10 S61.349 is a billable code used to indicate a diagnosis of puncture wound with foreign body of unspecified finger with damage to nail.

Key Diagnostic Point:

A puncture wound with a foreign body in the finger is a common injury that occurs when a sharp object penetrates the skin, potentially introducing foreign materials into the wound. This type of injury can lead to complications such as infection, damage to underlying structures, and nail bed injury. The unspecified finger designation indicates that the injury could occur on any finger, making it essential for healthcare providers to assess the specific finger involved during treatment. Damage to the nail may manifest as a fracture of the nail plate, separation of the nail from the nail bed, or other deformities. Proper management often involves thorough cleaning of the wound, removal of the foreign body, and possibly surgical intervention if deeper structures are involved. In cases where the nail is significantly damaged, surgical repair or nail avulsion may be necessary. The prognosis generally depends on the extent of the injury and the timeliness of treatment.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Determining the specific finger involved can be challenging.
  • Assessment of foreign body type and depth of penetration.
  • Potential for associated injuries to tendons, nerves, or bones.
  • Need for detailed documentation of the injury and treatment.

Audit Risk Factors

  • Inadequate documentation of the foreign body type.
  • Failure to specify the finger involved.
  • Lack of detail regarding nail damage.
  • Inconsistent coding of associated injuries.

Specialty Focus

Medical Specialties

Orthopedic Surgery

Documentation Requirements

Detailed notes on the extent of injury, foreign body removal, and any surgical procedures performed.

Common Clinical Scenarios

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

Billing Considerations

Ensure all associated injuries are documented to support coding.

Emergency Medicine

Documentation Requirements

Comprehensive assessment of the wound, including foreign body identification and initial treatment provided.

Common Clinical Scenarios

Immediate care of puncture wounds and foreign body removal.

Billing Considerations

Timely documentation is crucial for accurate coding and billing.

Coding Guidelines

Inclusion Criteria

Use S61.349 When
  • Follow official ICD
  • 10 coding guidelines, ensuring accurate documentation of the injury's specifics, including the presence of a foreign body and any associated damage

Exclusion Criteria

Do NOT use S61.349 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 and location of the wound, as well as the method of closure.

Specialty Considerations

Orthopedic surgeons may need to provide additional details on the repair technique.

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 the ability to specify the finger involved and the presence of foreign bodies, which enhances the accuracy of medical records and billing.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of injuries, including the ability to specify the finger involved and the presence of foreign bodies, which enhances the accuracy of medical records and billing.

Reimbursement & Billing Impact

billing.

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 specifying the finger involved?

Specifying the finger involved is crucial for accurate coding and treatment planning, as it can affect the management and potential complications of the injury.