S66.128
Laceration of flexor muscle, fascia and tendon of other finger at wrist and hand level
Clinical Classification Guidelines
Inclusion Terms
- Laceration of flexor muscle, fascia and tendon of specified finger with unspecified laterality at wrist and hand level
Medical Intelligence & Overview
A laceration of the flexor muscles, fascia, and tendons of the fingers involves a cut or tear in the structures that allow you to bend your fingers. This type of injury typically occurs at the wrist or hand level and can impact finger movement and strength. The ICD-10 code S66.128 specifically addresses these injuries when they affect a finger without specifying which one and at the wrist or hand.
Causes & Symptoms
Clinical Causes: Sharp objects like knives or glass causing cuts to the fingers Crushing injuries from machinery or heavy objects Accidental cuts during activities like cooking or woodworking Falls that result in direct trauma to the hand or fingers Animal bites involving the hand or fingers
Key Symptoms: Pain and tenderness around the affected finger Swelling and bruising at the injury site Difficulty bending or straightening the finger Visible cut or tear in the finger’s surface Weakness or loss of grip strength Possible bleeding from the wound Signs of infection if not properly treated, such as redness, warmth, or pus
Diagnostic & Treatment
Diagnosis Path: Healthcare providers will evaluate the injury through a physical examination, checking for depth, extent, and functionality of the finger. Imaging tests like X-rays may be necessary to rule out fractures or to assess the damage to tendons and bones. The doctor will also assess the risk of infection and blood vessel involvement to determine the best course of treatment.
Treatment Protocols: Cleaning the wound thoroughly to prevent infection Control of bleeding through pressure or suturing Suturing or repairing the torn tendons, fascia, or muscles Application of a sterile dressing and immobilization of the finger Possible use of antibiotics to prevent or treat infection Tetanus prophylaxis if indicated Physical therapy or hand therapy to regain function and strength after healing Surgical intervention may be necessary for deep or complex injuries
Clinical Advice & FAQs
Billing Guidance
Is S66.128 a billable ICD-10 code?
Yes, S66.128 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.
Documentation
How do I report S66.128?
Clinical documentation must specify the nature of Laceration of flexor muscle, fascia and tendon of other finger at wrist and hand level and any associated comorbidities for accurate reporting.
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