Pressure ulcer of unspecified hip, stage 1
ICD-10 L89.201 is a billable code used to indicate a diagnosis of pressure ulcer of unspecified hip, stage 1.
L89.201 refers to a pressure ulcer of the unspecified hip, classified as stage 1. Pressure ulcers, also known as bedsores or decubitus ulcers, occur when sustained pressure on the skin reduces blood flow to the area, leading to tissue damage. Stage 1 pressure ulcers are characterized by intact skin with non-blanchable redness over a localized area, typically over a bony prominence. The hip region is particularly susceptible due to its anatomical structure and the weight-bearing nature of the area. Clinically, patients may present with localized warmth, edema, and discomfort. The progression of pressure ulcers can lead to more severe stages, including partial-thickness skin loss (stage 2), full-thickness skin loss (stage 3), and extensive tissue damage (stage 4). Diagnostic considerations include a thorough skin assessment, patient history, and risk factor evaluation, such as immobility, malnutrition, and moisture exposure. Early identification and intervention are crucial to prevent progression and complications, making accurate coding essential for effective treatment planning and resource allocation.
Standard ICD-10-CM documentation requirements apply
Various clinical presentations within this specialty area
Follow specialty-specific billing guidelines
Standard ICD-10-CM documentation requirements apply
Various clinical presentations within this specialty area
Follow specialty-specific billing guidelines
L89.201 specifically covers stage 1 pressure ulcers located on the unspecified hip. It is important to note that this code does not apply to ulcers that have progressed to stage 2 or higher, nor does it cover ulcers located on other body parts.
L89.201 should be used when documenting a stage 1 pressure ulcer on the hip when the specific side is not identified. If the ulcer is on the right or left hip, L89.202 or L89.203 should be used, respectively.
Documentation should include a detailed skin assessment, noting the stage of the ulcer, its location, and any contributing factors such as immobility or nutritional status. Photographic evidence and regular monitoring notes can also support the diagnosis.
