S61.328
Laceration with foreign body of other finger with damage to nail
Clinical Classification Guidelines
Inclusion Terms
- Laceration with foreign body of specified finger with unspecified laterality with damage to nail
Medical Intelligence & Overview
ICD-10 code S61.328 describes a specific type of finger injury involving a laceration that includes a foreign object embedded in the finger along with damage to the nail. This injury often results from accidents such as falls, crush injuries, or sharp object encounters, and it requires prompt attention to prevent infection and further tissue damage. Managing such injuries involves careful assessment and appropriate treatment to promote healing and restore finger function.
Causes & Symptoms
Clinical Causes: Accidental contact with sharp objects like glass, metal, or wood Crush injuries from machinery or heavy objects falling onto the finger Pinching or trapping the finger in doors, drawers, or machinery Impaling injuries from stabs or penetrations involving foreign materials Bites or splashes that introduce foreign debris into the finger tissue
Key Symptoms: Severe pain at the injury site Bleeding from the finger laceration Visible foreign object embedded in the finger tissue Swelling and tenderness around the wound Damage to the nail, such as cracks, tears, or complete detachment Redness and warmth indicating possible infection Limited movement or difficulty moving the affected finger
Diagnostic & Treatment
Diagnosis Path: Palpate the area to locate foreign object and evaluate tissue damage Use imaging studies like X-rays to identify buried or radiopaque foreign bodies Inspect the wound thoroughly to assess nail integrity and additional soft tissue injuries Possible ultrasound if foreign material is suspected but not visible on X-rays
Treatment Protocols: Cleaning the wound thoroughly to remove dirt, debris, and bacteria Removal of foreign body in the emergency or surgical setting, if visible or accessible Debridement of any dead tissue to promote healthy healing Repair of the laceration using sutures or other closure techniques Immobilization of the finger to reduce movement and facilitate healing Protective dressing or bandaging to prevent infection Assessment and repair of nail damage, which may involve nail bed repair or nail replacement Administration of tetanus prophylaxis if indicated Prescriptions for antibiotics if infection risk is high or if infection is evident Follow-up care to monitor healing, prevent infection, and manage any complications
Clinical Advice & FAQs
Billing Guidance
Is S61.328 a billable ICD-10 code?
Yes, S61.328 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.
Documentation
How do I report S61.328?
Clinical documentation must specify the nature of Laceration with foreign body of other finger with damage to nail and any associated comorbidities for accurate reporting.
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