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2025 ICD-10-CM code S61.335A

Puncture wound without foreign body of left ring finger with damage to the nail, initial encounter.

Use secondary code(s) from Chapter 20, External causes of morbidity, to indicate cause of injury. Use additional code to identify any retained foreign body, if applicable (Z18.-).

Medical necessity is established by the presence of a puncture wound requiring medical evaluation and treatment.

Diagnosis is based on patient history and physical examination, including assessment of nerves, bones, and blood vessels. Imaging techniques like X-rays, CT, and MRI may be used. Treatment includes controlling bleeding, cleaning the wound, wound repair, topical medication, dressings, analgesics, NSAIDs, antibiotics, and tetanus prophylaxis.

In simple words: A piercing injury to the left ring finger that has punctured the skin and damaged the nail. There is no object stuck in the wound. This code is used for the first doctor's visit for this injury.

A puncture wound of the left ring finger without a foreign body, but with damage to the nail.This code applies to the initial encounter for the injury.

Example 1: A patient accidentally punctures their left ring finger with a needle, damaging the nail. This is their first visit for this injury., A patient steps on a nail, resulting in a puncture wound to their left ring finger with nail damage. They seek medical attention for the first time for this injury., A patient sustains a puncture wound to their left ring finger with associated nail damage while working with wood.They present to the ER for initial treatment.

Documentation should include the details of the injury mechanism, the presence of nail damage, and the absence of a foreign body.The depth and severity of the wound should also be noted.

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