2025 ICD-10-CM code S61.102A
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Injury - Injuries to the wrist, hand and fingers Injury, poisoning and certain other consequences of external causes (S00-T88) Feed
Unspecified open wound of the left thumb with nail damage, initial encounter.
Modifiers may be applicable depending on the circumstances of the service (e.g., place of service, anesthesia, or other special circumstances). Consult your local payer guidelines.
Medical necessity is established by the presence of an open wound requiring treatment to prevent infection, promote healing, and manage pain.The severity of the wound and the involvement of the nail will dictate the level of care required.
Diagnosis is based on patient history and physical examination, assessing nerves, bones, and blood vessels. Imaging (X-rays) may be used to check for foreign bodies. Treatment involves bleeding control, wound cleaning, surgical repair (if needed), medication (antibiotics, analgesics), and tetanus prophylaxis.
- Injury, poisoning and certain other consequences of external causes (S00-T88)
- S61-S69 (Injuries to the wrist, hand and fingers)
In simple words: This code describes an open wound on the left thumb that also damages the nail.The type of wound (cut, puncture, etc.) isn't specified. This is for the first time this injury is seen by a doctor.
This code classifies an unspecified open wound affecting the left thumb, including damage to the nail.The injury's specific nature (e.g., laceration, puncture) is not specified at the initial encounter. The code encompasses various open wounds that break the skin and expose underlying tissues, involving the nail.It excludes open fractures, traumatic amputations, burns, frostbite, and insect/venomous bites.
Example 1: A patient presents to the emergency room after a workplace accident involving a sharp object, resulting in a deep cut on their left thumb with nail damage.This is the first visit for this injury., A child falls and sustains an open wound on their left thumb, with the nail partially avulsed. This is the initial assessment of the injury., A patient suffers a deep puncture wound to their left thumb during a gardening accident, resulting in nail damage. This is their first medical evaluation of this injury.
Detailed description of the wound (size, depth, location), mechanism of injury, presence of foreign bodies, initial treatment provided, imaging reports (if applicable), and assessment of nerve/bone/vessel involvement.
** This code is used for the initial encounter only.Additional codes may be required for subsequent encounters, complications, or specific wound types.Always ensure documentation supports the code selected.
- Payment Status: Active
- Specialties:Emergency Medicine, General Surgery, Plastic Surgery, Family Medicine
- Place of Service:Emergency Room - Hospital, Office, Urgent Care Facility