ICD 10 CM S61.22 | Description & Clinical Information

ICD 10 S61.22 describes a specific type of injury to the finger, characterized by a laceration or tear in the skin without any damage to the nail or nail bed, accompanied by the presence of a foreign object that has been retained in the wound, resulting from blunt or penetrating trauma caused by various factors such as a cut with a sharp object or an assault.

Official Description Of S61.22

The ICD 10 CM book defines ICD 10 code S61.22 as:

Laceration with foreign body of finger without damage to nail
Parent Code Notes: S61.2

Excludes1: open wound of finger involving nail (matrix) (S61.3-)

Excludes2: open wound of thumb without damage to nail (S61.0-)

Parent Code Notes: S61

Excludes1: open fracture of wrist, hand and finger (S62.- with 7th character B)
traumatic amputation of wrist and hand (S68.-)

Code also: any associated wound infection

When To Use S61.22

The diagnosis describes by the ICD 10 CM code S61.22 refers to a specific injury to the finger. This particular injury involves a laceration with a foreign body and does not cause any damage to the nail. An injury of this nature can have a range of symptoms including pain, bleeding, tenderness, swelling, bruising, infection, inflammation, and even numbness and tingling sensations, all of which can be attributed to possible injury to nerves and blood vessels.

Medical providers diagnose this condition by taking a thorough patient history and conducting a physical examination. They pay particular attention to assess the nerves, bones, and blood vessels, depending on the depth and severity of the wound. Additionally, imaging techniques such as X-rays may be used to determine the extent of damage and to evaluate for foreign bodies.

Treatment modalities for a laceration with a foreign body of the finger without damage to the nail vary depending on the severity of the wound. Providers first control any bleeding and immediately clean the wound thoroughly to prevent an infection from developing. In some cases, surgical removal of damaged or infected tissue and foreign body may also be necessary, and the wound may need repair. Providers may also apply appropriate topical medication and dressing, analgesics and nonsteroidal anti-inflammatory drugs for pain, and antibiotics to prevent or treat infection. Tetanus prophylaxis should also be provided when necessary.

It is essential to note that a laceration with a foreign body of the finger without damage to the nail can have serious complications if left untreated. For instance, an infection can spread to the blood and lymphatic systems, causing sepsis, a life-threatening condition. Additionally, nerve damage can lead to long-term numbness and tingling sensations in the fingers, which can reduce a patient’s quality of life.

Therefore, it is essential to seek medical attention promptly if you develop any symptoms related to this specific injury. A medical provider can diagnose the problem and develop an appropriate treatment plan to prevent complications and encourage proper healing. Furthermore, following proper wound care instructions can help reduce the risk of infection and support healing.

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