ICD-10 Coding for Laceration of the Right Index Finger(S61.210A)
Complete ICD-10-CM coding and documentation guide for Laceration of the Right Index Finger. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Laceration of the Right Index Finger
S61.2Primary Range
Open wound of finger(s) without damage to nail
This range includes codes for lacerations of fingers, specifying laterality and presence of foreign bodies.
Key Information: ICD-10 code for laceration right index finger
Essential facts and insights about Laceration of the Right Index Finger
Primary ICD-10-CM Code for laceration right index finger
Decision Criteria
clinical Criteria
- Presence of a superficial laceration without foreign body
documentation Criteria
- Clear documentation of wound location and absence of foreign body
Applicable To
- Superficial laceration of right index finger
Excludes
- Laceration with foreign body
- Laceration with nail damage
Clinical Validation Requirements
- Physical examination confirming superficial laceration
- No foreign body present on imaging
Code-Specific Risks
- Incorrectly coding for left finger
- Missing documentation of laterality
Coding Notes
- Ensure laterality is documented as right index finger to avoid coding errors.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Retained foreign body
Z18.-Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Laceration without foreign body of left index finger, initial encounter
S61.211ADocumentation & Coding Risks
Avoid these common documentation and coding issues when documenting Laceration of the Right Index Finger to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code S61.210A.
Impact
Clinical: Inadequate treatment planning, Regulatory: Non-compliance with coding standards, Financial: Potential claim denials
Mitigation Strategy
Always measure and document wound length, Include wound details in the procedure note
Impact
Reimbursement: May lead to denied claims or incorrect payment., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate patient records and statistics.
Mitigation Strategy
Verify and document the correct finger and side before coding.
Impact
Coding errors due to incorrect documentation of laterality.
Mitigation Strategy
Implement double-check procedures for laterality 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 the Right Index Finger, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Laceration of the Right Index Finger
Use these documentation templates to ensure complete and accurate documentation for Laceration of the Right Index Finger. These templates include all required elements for proper coding and billing.
Emergency Department Visit for Laceration
Specialty: Emergency MedicineRequired Elements
- Patient history
- Physical examination findings
- Procedure details
- Follow-up care instructions
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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