S66.528
Laceration of intrinsic muscle, fascia and tendon of other finger at wrist and hand level
Clinical Classification Guidelines
Inclusion Terms
- Laceration of intrinsic muscle, fascia and tendon of specified finger with unspecified laterality at wrist and hand level
Medical Intelligence & Overview
A laceration of the intrinsic muscles, fascia, and tendons of the finger at the wrist and hand level is a type of injury involving deep cuts that penetrate the skin and affect important structures responsible for finger movement and stability. Such injuries can impair hand function, causing pain, weakness, and limited mobility. Recognizing the nature of these injuries helps in understanding their potential impact and the importance of appropriate medical evaluation and treatment.
Causes & Symptoms
Clinical Causes: Accidental cuts from knives or sharp tools during daily activities or work. Falls onto sharp objects or blunt trauma causing a deep wound. Crushing injuries that result in tearing of hand tissues. Sport-related injuries involving contact with sharp or pointed equipment. Incidents involving machinery or construction equipment with moving parts.
Key Symptoms: Pain localized at the injury site, often sharp and persistent. Swelling around the affected finger or hand. Deformity or abnormal positioning of the finger if tendons or muscles are severely damaged. Limited or restricted movement of the finger, especially in actively flexing or extending it. Bruising or discoloration around the laceration. Numbness or tingling if nerve fibers are involved. Visible wound with possible bleeding and tissue exposure.
Diagnostic & Treatment
Diagnosis Path: Visual inspection of the injury site to evaluate the wound and surrounding tissue. Assessment of finger movement and muscle function to identify possible tendon or muscle damage. Imaging studies such as X-rays to check for associated fractures or foreign bodies. Ultrasound or MRI in some cases to evaluate soft tissue damage more precisely.
Treatment Protocols: Clean the wound thoroughly to remove debris and reduce infection risk. Suturing or stitches to close the skin and protect underlying structures. Immobilization of the finger with splints or bandages to promote healing. Tendon repair surgery if the tendons are severely torn or ruptured. Physical therapy to regain strength, flexibility, and movement post-healing. Antibiotics may be prescribed to prevent or treat infection. Pain management strategies, including medications and cold therapy.
Clinical Advice & FAQs
Billing Guidance
Is S66.528 a billable ICD-10 code?
Yes, S66.528 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.
Documentation
How do I report S66.528?
Clinical documentation must specify the nature of Laceration of intrinsic muscle, fascia and tendon of other finger at wrist and hand level and any associated comorbidities for accurate reporting.
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