2025 ICD-10-CM code S61.216S
Laceration without foreign body of right little finger without damage to nail, sequela.
Medical necessity for follow-up care is based on the severity of the initial injury, the patient's symptoms, and the need for ongoing treatment or monitoring for complications.
Assessment of nerves, bones, blood vessels; wound cleaning and repair; pain management; infection prevention and treatment; 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 describes a follow-up visit for a cut on the right pinky finger that didn't involve anything stuck in it or damage the nail. It's used to track the aftereffects of the injury.
A cut or tear on the right little finger that did not involve a foreign body or damage to the nail, and the code represents a sequela, meaning it is for a condition resulting from a previous injury.
Example 1: A patient presents for follow-up care after lacerating their right little finger with a knife. The wound has healed, but the patient experiences some residual numbness., A patient who previously cut their right little finger is seen for ongoing pain and stiffness in the finger., A patient is seen for a follow-up appointment after a laceration to their right little finger. The wound is healing well, but the patient has concerns about scarring.
Documentation should include the initial injury date, cause of the laceration, treatment provided, current symptoms, and any functional limitations.
- Specialties:Emergency Medicine, Hand Surgery, Primary Care, General Surgery
- Place of Service:Office, Inpatient Hospital, On Campus-Outpatient Hospital, Off Campus-Outpatient Hospital, Emergency Room - Hospital, Urgent Care Facility