2025 ICD-10-CM code S61.102S
Unspecified open wound of left thumb with damage to the nail, sequela.
Medical necessity should be established by documenting the ongoing symptoms, functional deficits, or complications resulting from the original injury and how the provided treatment or therapy addresses these issues.
The clinical responsibility for this code includes evaluating the extent of the wound, assessing nerves, bones, and blood vessels, and determining appropriate treatment. This may involve cleaning and repairing the wound, pain management, infection prevention, and tetanus prophylaxis.
- Injury, poisoning and certain other consequences of external causes (S00-T88)
- Injuries to the wrist, hand and fingers (S60-S69)
In simple words: This code indicates a long-term condition resulting from an unspecified open wound to your left thumb that also injured the nail. This could be due to a cut, puncture, or bite that broke the skin and damaged the tissues underneath.
This code describes a late effect (sequela) of an unspecified open wound to the left thumb, involving damage to the nail.It includes various types of open wounds like lacerations, punctures, or bites that break the skin and expose underlying tissues.The specific type of open wound isn't specified.
Example 1: A patient presents with chronic pain and stiffness in their left thumb following a laceration that involved the nail several months prior. The wound has healed, but the sequelae persist., A patient experiences permanent nail deformity and reduced range of motion in their left thumb as a result of a previous puncture wound with nail damage., A patient develops a persistent infection in their left thumb following an animal bite that damaged the nail, leading to long-term complications.
Documentation should include details of the initial injury, the type of wound, the extent of nail damage, any treatments provided, and the current presenting symptoms and functional limitations.It is also essential to document the causal relationship between the current condition and the prior injury.
** This code is specifically for the late effects of the injury.For the initial encounter, use codes S61.102A, S61.102D.
- Specialties:Hand surgery, Orthopedic surgery, Emergency medicine, Family medicine, General surgery, Plastic surgery
- Place of Service:Office, Home, Inpatient Hospital, On Campus-Outpatient Hospital, Emergency Room - Hospital, Outpatient Hospital,Ambulatory Surgical Center, Other Place of Service