ICD 10 CM S61.346 | Description & Clinical Information

ICD 10 S61.346 describes a specific type of injury to the right little finger, characterized by a puncture wound that results from the penetration of a foreign object through the skin and nail, and which is typically caused by an accident involving a sharp and pointed object such as needles, glass, nails, or wood splinters, with the foreign object remaining lodged in the finger.

Official Description Of S61.346

The ICD 10 CM book defines ICD 10 code S61.346 as:

Puncture wound with foreign body of right little finger with damage to nail
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 S61.346

The diagnosis describes by the ICD-10 CM S61.346 code refers to a specific type of injury that involves a puncture wound with a foreign body in the little finger of the right hand, accompanied by nail damage.

This type of injury occurs when a foreign object, such as a piece of glass or a splinter, enters and remains in the wound. It can cause pain, tenderness, swelling, bleeding, infection, and inflammation. If left untreated, it can lead to restricted motion, nerve damage, bone infections, or even sepsis. Therefore, it is essential to seek medical attention as soon as possible to avoid any complications.

Health care providers diagnose this condition by examining the patient’s history and performing a physical examination to determine the depth and severity of the wound. They often assess the nerves, blood vessels, and bones to identify any potential damage. In more severe cases, imaging techniques such as x-rays, computed tomography, or magnetic resonance imaging may be necessary.

Treatment options for a puncture wound with a foreign body of the right little finger with nail damage may include controlling any bleeding, structurally cleaning the wound, and immediately removing any foreign objects, followed by repairing the wound. Healthcare providers may also prescribe analgesics or nonsteroidal anti-inflammatory drugs to alleviate pain and swelling. Additionally, antibiotics may be necessary to prevent or treat infections, and tetanus prophylaxis may be required.

Patients with this type of injury should follow the provider’s instructions closely to monitor the wound’s healing and avoid any complications. They should keep the area clean, ensure that dressing or bandages are frequently changed, and avoid strenuous activities that may put pressure on the hand.

Although this type of injury might seem minor, it is essential to understand the potential risks and seek treatment promptly. By seeking medical attention immediately and following the provider’s recommendations, patients can recover fully and avoid any long-term complications that could occur.

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