ICD 10 CM S61.339A | Description & Clinical Information

ICD 10 S61.339A describes an injury caused by a sharp object, such as a needle, glass, nail, or wood splinter, that punctures the skin and nail of an unspecified finger without retaining a foreign object in the wound, resulting in damage to the nail, and the provider has not specified whether the injury affects the right or left hand finger during the initial encounter.

Official Description Of S61.339A

The ICD 10 CM book defines ICD 10 code S61.339A as:

Puncture wound without foreign body of unspecified finger with damage to nail, initial encounter
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

Clinical Information

The diagnosis describes by ICD 10 CM code S61.339A pertains to a specific type of finger injury – a puncture wound without any foreign objects, but with accompanying nail damage. This type of injury is quite common and can cause several symptoms, including pain, tenderness, swelling, bleeding, fever, restricted motion, inflammation, and infection. It can be quite distressing and potentially harmful if not treated properly.

Medical providers often diagnose the condition based on a patient’s history of the injury and a thorough physical examination. The injury’s depth and severity may also require imaging techniques such as X-rays, computed tomography, or CT, and magnetic resonance imaging, or MRI, to assess any nerve, bone, and blood vessel damage.

Treatment options for this type of injury depend on the severity of the wound. However, immediate control of any bleeding from the puncture wound is a priority. After that, thorough cleaning of the wound is necessary. Then, if the wound requires repair, this is typically done as soon as possible. The use of appropriate topical medication and dressing will aid in the wound’s healing process. Additionally, patients may receive medications like analgesics and nonsteroidal anti-inflammatory drugs, or NSAIDs, to help with pain and swelling. Antibiotics may also be prescribed to prevent or treat an infection. Finally, tetanus prophylaxis may be administered to prevent further harm.

It’s important to note that certain populations require special attention when it comes to diagnosis and treatment for puncture wounds. For example, people with diabetes have a higher risk of developing infections and other complications from wounds. In such cases, a medical provider may require more frequent follow-up visits to monitor the wound’s healing process. Similarly, individuals with weakened immune systems, such as those undergoing chemotherapy or with HIV, require a particular course of treatment to maintain overall health.

In conclusion, the ICD 10 CM code S61.339A describes an injury that can cause distressing symptoms, and it’s essential to receive prompt attention and appropriate treatment to prevent further damage. Medical providers will typically diagnose the condition based on a thorough physical examination and imaging procedures, as necessary. Treatment options may vary and need to be tailored to each patient’s needs. For those in vulnerable populations, additional precautions may be necessary to ensure a safe recovery.

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