Find information on right index finger laceration diagnosis, including clinical documentation tips, ICD-10 codes (S21.0), medical coding guidelines, and healthcare best practices for wound care. Learn about treatment options, aftercare instructions, and proper documentation for insurance reimbursement. Explore resources for physicians, coders, and other healthcare professionals regarding laceration repair, wound management, and finger injury coding.
Also known as
Open wound of finger(s)
Covers open wounds, including lacerations, of the finger(s).
Injuries to the wrist and hand
Includes various injuries like fractures, dislocations, and open wounds to the hand and wrist.
Injury, poisoning, and certain other consequences of external causes
Encompasses a broad range of injuries, poisonings, and external cause-related conditions.
Follow this step-by-step guide to choose the correct ICD-10 code.
Is the laceration involving the nail?
Yes
Is the nailbed involved?
No
Which part of the finger?
When to use each related code
Description |
---|
Right index finger laceration |
Right index finger avulsion |
Open wound, right index finger |
Incorrectly coding left instead of right finger or unspecified laterality, leading to inaccurate data and potential billing errors.
Lack of documentation clarifying laceration depth (e.g., skin, tendon involvement) impacting code selection and reimbursement.
Failure to distinguish between initial and subsequent repair of the laceration, affecting proper coding and payment for services.
Patient presents with a laceration to the right index finger. The patient reports an injury sustained while (mechanism of injury, e.g., cutting vegetables with a knife, working with machinery). On examination, a (depth, e.g., superficial, deep) laceration is noted on the (location, e.g., volar aspect, distal phalanx) of the right index finger. The wound measures approximately (length) cm in length. (Describe wound characteristics, e.g., clean edges, jagged edges, presence of foreign body). Bleeding was (minimal, moderate, profuse) and has been (controlled, continues). Neurovascular assessment of the right index finger reveals (intact sensation and capillary refill, diminished sensation, absent sensation, etc.). Tendons appear (intact, partially severed, severed) based on (describe assessment method, e.g., active range of motion, tendon testing). Surrounding skin demonstrates (erythema, edema, ecchymosis). The wound was cleansed with (cleansing solution) and irrigated with (irrigation solution). Treatment included (suture repair with (suture type and size), wound closure with adhesive strips, application of dressing). Tetanus status was updated. Patient tolerated the procedure well. Post-procedure instructions provided regarding wound care, signs of infection, pain management, and follow-up. Diagnosis: Laceration, right index finger. ICD-10 code: (appropriate ICD-10 code, e.g., S61.111A - Open wound of right index finger, distal phalanx, initial encounter). CPT code: (appropriate CPT code depending on repair type and complexity, e.g., 12001 - Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and extremities including hands and feet; 1.1 cm or less).