ICD 10 CM S61.230 | Description & Clinical Information

ICD 10 S61.230 describes a specific type of injury to the right index finger, which involves a puncture wound caused by a sharp object, such as needles, glass, nails, animal teeth, or wood splinters, without any foreign body remaining in the wound, and without any damage to the nail or nail bed, resulting from an accidental piercing of the skin or tissue.

Official Description Of S61.230

The ICD 10 CM book defines ICD 10 code S61.230 as:

Puncture wound without foreign body of right index 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 S61.230

The diagnosis describes by the International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM), code S61.230, relates to a puncture wound without a foreign body of the right index finger without damage to the nail. This specific injury can occur in various situations, including accidental cuts from sharp objects, animal bites, or even from medical procedures. Its severity depends on the depth of the wound, the location of the injury, and the extent of the damage to the surrounding nerves, bones, and blood vessels.

Patients with a puncture wound without a foreign body of the right index finger without damage to the nail may experience pain, bleeding, redness, and swelling at the affected site. They may also suffer from numbness and tingling due to potential nerve and blood vessel damage. Prompt diagnosis and treatment are necessary to prevent further complications, such as infection, immobility, or chronic pain.

Medical professionals use a combination of methods to diagnose patients with a puncture wound without a foreign body of the right index finger without damage to the nail. The medical history of the patient and a physical examination are essential aspects of this diagnostic process. The healthcare provider will evaluate the extent of the wound, assess the patient’s pain level, and test for nerve and blood vessel damage. If necessary, the healthcare provider may order additional tests, such as X-rays or ultrasounds, to rule out any foreign objects or further damage.

Once diagnosed, healthcare providers can implement various treatment options to address a puncture wound without a foreign body of the right index finger without damage to the nail effectively. Controlling any bleeding is the first step in wound management. Proper and prompt cleaning of the injury is critical to reduce the risk of infection. If necessary, the provider may need to surgically remove any damaged or infected tissue and repair the wound. Applying appropriate topical medications and dressings can also promote proper healing and prevent further damage. The provider may also prescribe analgesics and nonsteroidal anti-inflammatory medications for pain management and antibiotics to prevent or manage any infections that may arise. In some cases, healthcare providers may also recommend tetanus prophylaxis to prevent any bacterial infections caused by Tetanus.

In conclusion, the diagnosis described by the ICD-10-CM code S61.230 is a puncture wound without a foreign body to the right index finger without damage to the nail. Early diagnosis and treatment are essential to prevent further complications and ensure a full recovery. Healthcare providers may use a combination of medical history, physical examination, and imaging techniques to provide the most efficient treatment for puncture wounds without a foreign body of the right index finger without damage to the nail. With thorough wound management, including proper cleaning and medication, patients can recover fully and reduce the risk of long-term complications.

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