Find information on left middle finger laceration diagnosis, including clinical documentation tips, ICD-10 codes (S61), CPT codes for repair (e.g., 12001-12057), and appropriate medical billing guidelines. Learn about wound care, treatment options, and potential complications for accurate healthcare coding and optimal patient care. Explore resources for proper medical record documentation and coding related to left middle finger lacerations.
Also known as
Open wound finger without damage nail
Laceration of left middle finger without nail involvement.
Open wound finger with damage nail
Laceration of left middle finger with nail involvement.
Open wound wrist hand and finger
Unspecified open wound of the left hand, including possible finger laceration.
Follow this step-by-step guide to choose the correct ICD-10 code.
Is the laceration open?
When to use each related code
| Description |
|---|
| Left Middle Finger Laceration |
| Left Middle Finger Open Wound |
| Left Middle Finger Tendon Injury |
Incorrect coding if the laceration involves the fingertip, requiring specific S-codes like S21.111A instead of general finger laceration codes.
Missing documentation of laceration depth (e.g., full thickness, subcutaneous) and repair type (e.g., sutures, staples) can impact code selection.
Lack of clear documentation of left vs. right and dominant hand status can lead to inaccurate coding and potential billing errors, impacting reimbursement.
Patient presents with a laceration to the left middle finger. The patient reports an injury mechanism of [insert mechanism of injury, e.g., accidental knife cut while preparing food, sharp object injury]. Time of injury is estimated to be approximately [insert time of injury]. The location of the laceration is on the [insert location, e.g., volar aspect, dorsal aspect, distal phalanx] of the left middle finger. The wound measures [insert length] cm in length and [insert depth] cm in depth. Wound edges appear [insert description, e.g., sharp, jagged, well-approximated]. There is [insert amount] bleeding noted. Neurovascular assessment of the left middle finger reveals [insert findings, e.g., intact sensation and capillary refill, diminished sensation to tip, absent distal pulse]. Tendon function appears [insert findings, e.g., intact, impaired]. The wound was cleansed with [insert cleansing solution] and irrigated with normal saline. [Insert details regarding wound closure, e.g., The wound was closed with [number] [type] sutures. Steri-strips were applied. Wound left open to heal by secondary intention]. A sterile dressing was applied. Patient tolerated the procedure well. The patient was instructed on wound care, signs of infection, and follow-up. Patient education provided regarding proper hand hygiene, pain management, and activity modification. The patient understands the instructions and verbalized understanding. Diagnosis: Left middle finger laceration. Aftercare instructions provided. Follow-up appointment scheduled in [duration] days. Possible complications discussed, including infection, delayed wound healing, and nerve damage. Medical coding considered includes ICD-10 code [insert appropriate ICD-10 code, e.g., S61.122A] for open wound of left middle finger.