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ICD-10 Guide
ICD-10 CodesS61.350

S61.350

Billable

Open bite of right index finger with damage to nail

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

Code Description

ICD-10 S61.350 is a billable code used to indicate a diagnosis of open bite of right index finger with damage to nail.

Key Diagnostic Point:

An open bite of the right index finger with damage to the nail is a specific type of injury characterized by a break in the skin and underlying tissues, typically resulting from a human or animal bite. This injury can lead to significant trauma to the finger, including potential fractures of the phalanges, damage to the nail bed, and injury to the surrounding soft tissues. The open nature of the bite increases the risk of infection, necessitating careful assessment and management. Clinically, patients may present with pain, swelling, and bleeding at the site of the injury. The nail may exhibit signs of trauma, such as discoloration or detachment. Treatment often involves cleaning the wound, possible suturing, and in some cases, surgical intervention to repair any underlying fractures or tendon injuries. The prognosis depends on the extent of the injury and the timeliness of treatment. Proper documentation of the injury's specifics, including the mechanism of injury and any associated complications, is crucial for accurate coding and billing.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Specificity of the injury location (right index finger)
  • Involvement of nail damage which may require additional coding
  • Potential for associated injuries (e.g., fractures, tendon damage)
  • Need for detailed documentation to support the diagnosis

Audit Risk Factors

  • Inadequate documentation of the mechanism of injury
  • Failure to note associated injuries (e.g., fractures, tendon damage)
  • Incorrect coding of the nail damage aspect
  • Lack of follow-up documentation on treatment outcomes

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Detailed account of the injury mechanism, treatment provided, and follow-up care.

Common Clinical Scenarios

Patients presenting with bite wounds, lacerations, or traumatic injuries requiring immediate care.

Billing Considerations

Ensure to document any signs of infection or complications that may arise from the bite.

Orthopedic Surgery

Documentation Requirements

Comprehensive assessment of any fractures or tendon injuries, including imaging results.

Common Clinical Scenarios

Surgical intervention for complex finger injuries, including repair of fractures or soft tissue reconstruction.

Billing Considerations

Accurate coding of any surgical procedures performed in conjunction with the injury.

Coding Guidelines

Inclusion Criteria

Use S61.350 When
  • Follow official ICD
  • 10 coding guidelines, ensuring to document the specific nature of the injury, including the location and type of damage

Exclusion Criteria

Do NOT use S61.350 When
  • Exclude codes for closed injuries or those not involving nail damage

Related ICD-10 Codes

Related CPT Codes

12001CPT Code

Simple repair of superficial wounds

Clinical Scenario

Used for suturing the open bite wound on the index finger.

Documentation Requirements

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

Specialty Considerations

Emergency medicine specialists should ensure proper coding for the complexity of the 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 claims and facilitating better patient care through detailed documentation.

ICD-9 vs ICD-10

The transition to ICD-10 allows for more specific coding of injuries, improving the accuracy of claims and facilitating better patient care through detailed documentation.

Reimbursement & Billing Impact

The transition to ICD-10 allows for more specific coding of injuries, improving the accuracy of claims and facilitating better patient care through detailed documentation.

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 S61.350 accurately?

Accurate coding of S61.350 is crucial for proper reimbursement, tracking of injury types, and ensuring appropriate treatment protocols are followed for open bite injuries.