Laceration without foreign body of hand
ICD-10 S61.41 is a billable code used to indicate a diagnosis of laceration without foreign body of hand.
S61.41 refers to a laceration of the hand that does not involve any foreign body. This type of injury can occur due to various incidents such as cuts from sharp objects, falls, or accidents involving machinery. The hand is a complex structure composed of bones, tendons, nerves, and blood vessels, making it susceptible to various types of injuries. Lacerations can range from superficial cuts affecting only the skin to deeper wounds that may involve tendons, nerves, or even fractures of the underlying bones. Proper assessment is crucial, as deeper lacerations may require surgical intervention to repair damaged structures. In cases where tendons are involved, the patient may experience loss of function or strength in the affected fingers. Nerve damage can lead to sensory deficits or motor impairment, necessitating a thorough examination and possibly imaging studies to evaluate the extent of the injury. Treatment may include wound cleaning, suturing, and in some cases, surgical repair of tendons or nerves. Rehabilitation may also be necessary to restore function and strength in the hand following the injury.
Detailed descriptions of the laceration, any associated fractures, and surgical interventions performed.
Repair of lacerated tendons or nerves, treatment of fractures associated with lacerations.
Ensure that all surgical procedures are documented, including any complications or additional procedures performed.
Thorough assessment of the laceration, including depth, location, and any immediate interventions.
Initial evaluation and treatment of hand lacerations, including suturing and referral for further care.
Document any imaging studies performed to assess for underlying injuries.
Used for lacerations requiring simple closure without deeper structure involvement.
Document the size of the wound and the method of closure.
Orthopedic surgeons may need to document any additional procedures performed.
Used when a laceration involves tendon repair.
Detailed description of the tendon involved and the repair technique used.
Ensure that the surgical report includes specifics about the tendon anatomy.
S61.41 is used for lacerations of the hand without foreign bodies, while S61.40 is for unspecified lacerations. The specificity in S61.41 requires detailed documentation of the injury.
