Laceration with foreign body of right hand
ICD-10 S61.421 is a billable code used to indicate a diagnosis of laceration with foreign body of right hand.
S61.421 refers to a laceration of the right hand that is complicated by the presence of a foreign body. This condition typically arises from traumatic incidents such as cuts or punctures caused by sharp objects, tools, or machinery. The presence of a foreign body can complicate the healing process, increase the risk of infection, and necessitate surgical intervention to remove the object and repair the laceration. Clinicians must assess the extent of the injury, which may involve damage to the skin, underlying tissues, tendons, and nerves. Proper evaluation is crucial as lacerations can lead to functional impairments, especially if tendons or nerves are involved. Treatment may include wound cleaning, foreign body removal, and suturing, with potential referrals to hand specialists for complex cases. Accurate documentation of the injury's specifics, including the type of foreign body and any associated injuries, is essential for appropriate coding and reimbursement.
Detailed operative notes, imaging studies, and post-operative care plans.
Repair of lacerations involving tendons or nerves, foreign body removal.
Ensure documentation reflects the complexity of the injury and any surgical interventions performed.
Comprehensive assessment notes, including mechanism of injury and immediate treatment provided.
Initial evaluation and management of hand lacerations with foreign bodies.
Accurate documentation of the injury's specifics and any referrals made for further treatment.
Used for simple laceration repairs without foreign bodies.
Document the size and location of the laceration.
Orthopedic surgeons may need to document additional details for complex repairs.
Used when a foreign body is removed from a laceration.
Document the type of foreign body and the method of removal.
Ensure that the surgical notes detail the procedure performed.
S61.421 is used when there is a laceration with a foreign body present, while S61.420 is for lacerations without any foreign body. Accurate documentation of the presence of a foreign body is crucial for correct coding.
