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ICD-10 Coding for Laceration of Left Thumb(S61.012A)

Complete ICD-10-CM coding and documentation guide for Laceration of Left Thumb. Includes clinical validation requirements, documentation requirements, and coding pitfalls.

Also known as:

Cut on Left ThumbLeft Thumb Wound

Related ICD-10 Code Ranges

Complete code families applicable to Laceration of Left Thumb

S61.01-S61.12Primary Range

Open wound of wrist, hand, and fingers

This range includes codes for lacerations and open wounds of the hand and fingers, including the left thumb.

Key Information: ICD-10 code for laceration left thumb

Essential facts and insights about Laceration of Left Thumb

The ICD-10 code for a laceration of the left thumb without foreign body or nail damage is S61.012A.

Primary ICD-10-CM Code for laceration left thumb

Laceration without foreign body of left thumb without damage to nail, initial encounter
Billable Code

Decision Criteria

clinical Criteria

  • Confirmed laceration without foreign body or nail damage

documentation Criteria

  • Detailed description of laceration including location, depth, and absence of foreign body

Applicable To

  • Simple laceration of left thumb

Excludes

  • Laceration with foreign body (S61.112A)
  • Laceration with nail damage (S61.022A)

Clinical Validation Requirements

  • Physical examination confirming laceration without foreign body
  • No nail bed involvement

Code-Specific Risks

  • Incorrectly coding as unspecified if laterality is documented
  • Missing documentation of foreign body status

Coding Notes

  • Ensure documentation specifies absence of foreign body and nail involvement.

Ancillary Codes

Additional codes that should be used in conjunction with the main diagnosis codes when applicable.

Laceration of flexor tendon of left thumb

S66.021A
Use when tendon involvement is confirmed.

Differential Codes

Alternative codes to consider when ruling out similar conditions to the primary diagnosis.

Laceration with foreign body of left thumb

S61.112A
Presence of a foreign body confirmed via imaging or physical exam.

Laceration with nail damage of left thumb

S61.022A
Involvement of the nail bed or plate.

Documentation & Coding Risks

Avoid these common documentation and coding issues when documenting Laceration of Left Thumb to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code S61.012A.

Impact

Clinical: May lead to inappropriate treatment., Regulatory: Non-compliance with documentation standards., Financial: Potential for denied claims or audits.

Mitigation Strategy

Always assess and document nail status., Use templates to ensure comprehensive documentation.

Impact

Reimbursement: Incorrect coding can lead to denied claims., Compliance: Non-compliance with coding guidelines., Data Quality: Decreases accuracy of health records.

Mitigation Strategy

Always use specific codes like S61.012A when laterality is known.

Impact

Using unspecified codes when laterality is documented.

Mitigation Strategy

Implement checks to ensure laterality is always specified in documentation.

Documentation errors, coding pitfalls, and audit risks are interconnected aspects of medical coding and billing. Addressing all three areas helps ensure accurate coding, optimal reimbursement, and regulatory compliance.

Frequently Asked Questions

Common questions about ICD-10 coding for Laceration of Left Thumb, with expert answers to help guide accurate code selection and documentation.

Documentation Templates for Laceration of Left Thumb

Use these documentation templates to ensure complete and accurate documentation for Laceration of Left Thumb. These templates include all required elements for proper coding and billing.

Emergency Department Note for Left Thumb Laceration

Specialty: Emergency Medicine

Required Elements

  • Location and size of laceration
  • Depth and structures involved
  • Foreign body presence
  • Repair method
  • Tetanus status

Example Documentation

LOCATION: 2.4 cm transverse laceration, volar surface left thumb distal phalanx. DEPTH: Full-thickness skin, subcutaneous tissue exposed. STRUCTURES: Tendons: Flexor pollicis longus intact. FOREIGN BODY: None (confirmed via X-ray). REPAIR: Simple closure with 4-0 nylon, 3 interrupted sutures. TETANUS: Up to date.

Examples: Poor vs. Good Documentation

Poor Documentation Example
Left thumb cut.
Good Documentation Example
3 cm volar laceration left thumb with active bleeding, exposed subcutaneous tissue, intact flexor pollicis longus tendon, no foreign body.
Explanation
The good example provides detailed information necessary for accurate coding and billing.

Need help with ICD-10 coding for Laceration of Left Thumb? Ask your questions below.

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