Find information on right index finger laceration diagnosis, including clinical documentation, ICD-10 codes (S61), medical coding guidelines, treatment protocols, and wound care procedures. Learn about proper healthcare documentation for insurance reimbursement and accurate medical record keeping related to finger injuries and lacerations. Explore resources for physicians, clinicians, and healthcare professionals regarding right index finger laceration repair, aftercare, and potential complications.
Also known as
Open wound of finger(s)
Covers open wounds, including lacerations, of fingers.
Injuries to hand and wrist
Includes various injuries like fractures, dislocations, and open wounds.
Injuries, poisoning, and other consequences
Broad category encompassing a wide range of external cause injuries.
Follow this step-by-step guide to choose the correct ICD-10 code.
Involve tendon/muscle/bone?
When to use each related code
| Description |
|---|
| Right index finger laceration |
| Right index finger avulsion |
| Right index finger puncture wound |
Coding lacks specificity for laceration depth (e.g., superficial, full-thickness) impacting reimbursement and quality metrics.
Failure to code the repair of the laceration separately can lead to lost revenue and inaccurate reporting.
Incorrect laterality documentation (right vs. left) can lead to coding errors and affect patient safety.
Patient presents with a right index finger laceration. The chief complaint is a cut to the right index finger sustained while (mechanism of injury, e.g., chopping vegetables, working with machinery). On examination, a laceration is noted on the (volar, dorsal, lateral) aspect of the right index finger, measuring (length in centimeters) cm in length and (depth in millimeters) mm in depth. The wound edges are (sharp, ragged, irregular). There is (minimal, moderate, significant) bleeding. Neurovascular assessment of the right index finger reveals (intact, diminished, absent) sensation and (strong, weak, absent) capillary refill. Tendon function appears (intact, impaired). Surrounding skin is (warm, cool), (dry, moist), and (normal color, erythematous, cyanotic). The wound was cleansed with normal saline irrigation. Treatment included (sutures, staples, steri-strips, adhesive closure) and a sterile dressing. The patient tolerated the procedure well. Tetanus status was updated. Wound care instructions were provided, including signs and symptoms of infection to monitor for. Follow-up appointment scheduled in (number) days. Diagnosis: Right index finger laceration. ICD-10 code: (appropriate ICD-10 code, e.g., S21.111A). CPT code: (appropriate CPT code, e.g., 12001).