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2025 ICD-10-CM code S61

Open wound of the wrist, hand, or fingers.

Follow the official ICD-10-CM coding guidelines.Use additional codes as necessary to fully capture the injury’s complexity and associated conditions.Correct 7th character codes (A, D, S) for initial encounter, subsequent encounter, or sequela should be appended.

Modifiers may be applicable depending on the circumstances of service. Consult the official modifier guidelines.

Medical necessity is established by the presence of an open wound requiring cleaning, repair, and/or treatment to prevent complications such as infection.The severity of the wound dictates the level of medical intervention needed.

The clinical responsibility includes diagnosing the wound's severity (through history, physical examination, and potentially imaging), controlling bleeding, cleaning the wound, debriding damaged or infected tissue, repairing the wound (suturing, etc.), administering medications (antibiotics, analgesics), providing tetanus prophylaxis, and monitoring for complications.

IMPORTANT:Additional codes may be necessary to specify the location (thumb, other finger, hand, wrist), the presence of nail damage, multiple wounds, or associated infections.A secondary code from Chapter 20 (External causes of morbidity) should be used to indicate the cause of the injury.If a foreign body is retained, code Z18.- should also be used.

In simple words: This code describes an open wound (a cut, puncture, or bite) on your wrist, hand, or fingers that breaks the skin.It could be a small cut or a more serious injury. Doctors will clean and treat the wound, and may need to stitch it up.They'll also check for infections.

This code encompasses open wounds, including lacerations, punctures, or open bites, affecting the wrist, hand, and fingers.These injuries break the skin, exposing underlying tissues.The severity can range from superficial to deep, potentially involving nerves, bones, and blood vessels.Associated complications might include bleeding, infection, inflammation, and restricted movement.Diagnosis relies on patient history, physical examination, and potentially imaging studies (like X-rays) to assess the extent of damage and identify foreign bodies. Treatment typically involves wound cleaning, debridement (removal of damaged tissue), repair, medication (antibiotics, analgesics), and tetanus prophylaxis.

Example 1: A patient presents with a deep laceration to their dominant hand's index finger sustained during a kitchen accident. The laceration requires suturing and antibiotic prophylaxis., A construction worker suffers a puncture wound to his wrist from a nail. The wound is cleaned, debrided, and the patient is given tetanus prophylaxis and antibiotics., A child falls and sustains multiple superficial lacerations to their hand requiring wound cleaning and dressing changes.

Complete documentation should include a detailed description of the wound (location, size, depth, contamination), the mechanism of injury, treatment provided (wound cleaning, debridement, repair, medications), and any complications. Imaging reports, if performed, should also be included.

** Consider using additional codes to specify the affected anatomical site more precisely and detail any associated injuries.

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iFrame™ AI's knowledge is aligned with and limited to the materials uploaded by users and should not be interpreted as medical, legal, or any other form of advice by iFrame™.