ICD-10-CM Billable Code

S61.233

Puncture wound without foreign body of left middle finger without damage to nail

Clinical Classification Guidelines

Medical Intelligence & Overview

A puncture wound of the left middle finger describes a penetrating injury that goes into the skin but does not involve any foreign object lodged inside. This type of injury can happen during various activities, such as handling sharp objects or penetrating surfaces. The specific ICD-10 code, S61.233, identifies such injuries where there is no damage to the fingernail and no foreign body remains in the wound. Recognizing the nature of this injury is important for proper care and prevention of complications.

Causes & Symptoms

Clinical Causes: Accidental stepping on a sharp object like a nail or glass Handling tools or equipment with sharp edges Puncturing the finger while working with needles or pins Accidental puncture from metal or wooden splinters Injuries occurred during outdoor activities like gardening or hiking

Key Symptoms: Sharp pain at the site of injury Localized redness and swelling Possible bleeding from the puncture point Tenderness around the wound area Limited movement or stiffness if swelling is significant

Diagnostic & Treatment

Diagnosis Path: Diagnosis is primarily based on physical examination, where a healthcare provider assesses the puncture wound for depth, size, and signs of infection. Some cases may require imaging studies like X-rays to rule out the presence of any foreign bodies if there is suspicion, especially if a metallic object could be lodged. It's important to monitor for signs of infection or complications following the injury.

Treatment Protocols: Treatment for a puncture wound of the middle finger generally includes cleaning the wound thoroughly to remove any dirt or debris. Depending on the severity, healthcare providers may recommend:

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.

Clinical Advice & FAQs

Billing Guidance

Is S61.233 a billable ICD-10 code?
Yes, S61.233 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.

Documentation

How do I report S61.233?
Clinical documentation must specify the nature of Puncture wound without foreign body of left middle finger without damage to nail and any associated comorbidities for accurate reporting.

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