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ICD-10 Coding for Right Index Finger Laceration(S61.210A)

Complete ICD-10-CM coding and documentation guide for Right Index Finger Laceration. Includes clinical validation requirements, documentation requirements, and coding pitfalls.

Also known as:

Cut on Right Index FingerRight Index Finger Wound

Related ICD-10 Code Ranges

Complete code families applicable to Right Index Finger Laceration

S61.21-S61.22Primary Range

Laceration without and with nail damage

This range covers lacerations of the right index finger, with or without nail involvement.

Key Information: ICD-10 code for right index finger laceration

Essential facts and insights about Right Index Finger Laceration

The ICD-10 code for a right index finger laceration without foreign body is S61.210A.

Primary ICD-10-CM Code for right index finger laceration

Laceration without foreign body of right index finger without damage to nail, initial encounter
Billable Code

Decision Criteria

clinical Criteria

  • Presence of a simple laceration without foreign body or nail damage

Applicable To

  • Superficial laceration of right index finger

Excludes

  • Laceration with foreign body (S61.231A)

Clinical Validation Requirements

  • Documentation of laceration location and absence of foreign body

Code-Specific Risks

  • Ensure laterality and encounter type are specified.

Coding Notes

  • Ensure documentation specifies the absence of foreign body and nail damage.

Ancillary Codes

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

Laceration with nail damage

S61.22XA
Use when the laceration involves damage to the nail matrix.

Differential Codes

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

Puncture wound with foreign body of right index finger

S61.231A
Use when a foreign body is present in the wound.

Documentation & Coding Risks

Avoid these common documentation and coding issues when documenting Right Index Finger Laceration to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code S61.210A.

Impact

Clinical: Inaccurate treatment records., Regulatory: Non-compliance with coding standards., Financial: Potential claim denials.

Mitigation Strategy

Always include encounter type in documentation.

Impact

Reimbursement: Claims may be denied or downcoded., Compliance: Non-compliance with ICD-10 specificity requirements., Data Quality: Inaccurate patient records.

Mitigation Strategy

Always specify 'right' for the index finger.

Impact

Risk of audits due to unspecified laterality or encounter type.

Mitigation Strategy

Implement checklist for documentation completeness.

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 Right Index Finger Laceration, with expert answers to help guide accurate code selection and documentation.

Documentation Templates for Right Index Finger Laceration

Use these documentation templates to ensure complete and accurate documentation for Right Index Finger Laceration. These templates include all required elements for proper coding and billing.

Emergency Department Visit

Specialty: Emergency Medicine

Required Elements

  • Patient demographics
  • Laceration description
  • Treatment provided

Example Documentation

35M presents with a 2 cm laceration on the right index finger. Wound cleaned and sutured with 3-0 nylon.

Examples: Poor vs. Good Documentation

Poor Documentation Example
Cut on finger.
Good Documentation Example
2 cm laceration on the volar surface of the right index finger, no foreign body, simple repair with 3-0 nylon.
Explanation
The good example provides specific details necessary for accurate coding and billing.

Need help with ICD-10 coding for Right Index Finger Laceration? Ask your questions below.

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