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ICD-10 Guide
ICD-10 CodesL89.306

L89.306

Billable

Pressure-induced deep tissue damage of unspecified buttock

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/06/2025

Code Description

ICD-10 L89.306 is a billable code used to indicate a diagnosis of pressure-induced deep tissue damage of unspecified buttock.

Key Diagnostic Point:

Pressure-induced deep tissue damage of the unspecified buttock is a condition characterized by localized damage to the skin and underlying soft tissue due to prolonged pressure, often occurring in individuals with limited mobility. Clinically, it presents as a non-blanchable erythema or a deeper tissue injury that may not be immediately visible. The anatomy involved includes the skin layers (epidermis, dermis) and subcutaneous tissues, which can become compromised due to ischemia from sustained pressure. Disease progression can lead to more severe injuries, including full-thickness skin loss and potential infection if not properly managed. Diagnostic considerations include a thorough patient history, physical examination, and assessment of risk factors such as immobility, nutritional status, and comorbid conditions like diabetes or vascular disease. Early identification and intervention are crucial to prevent further tissue damage and complications.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Diagnostic complexity
  • Treatment complexity
  • Documentation requirements
  • Coding specificity

Audit Risk Factors

  • Common coding errors include misclassification of the injury stage.
  • Documentation gaps may arise from insufficient detail on patient mobility and risk factors.
  • Billing challenges often stem from inadequate clinical evidence supporting the diagnosis.

Specialty Focus

Medical Specialties

Primary medical specialty: Dermatology

Documentation Requirements

Standard ICD-10-CM documentation requirements apply

Common Clinical Scenarios

Various clinical presentations within this specialty area

Billing Considerations

Follow specialty-specific billing guidelines

Secondary specialty: Wound care management

Documentation Requirements

Standard ICD-10-CM documentation requirements apply

Common Clinical Scenarios

Various clinical presentations within this specialty area

Billing Considerations

Follow specialty-specific billing guidelines

Related ICD-10 Codes

Related CPT Codes

CPT Code

Clinical Scenario

Documentation Requirements

CPT Code

Clinical Scenario

Documentation Requirements

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

Pressure-induced deep tissue damage significantly impacts patient quality of life and healthcare utilization, leading to increased hospital stays and treatment costs. It is a prevalent issue in populations with limited mobility, such as the elderly or those with chronic illnesses. Addressing this condition through preventive measures and effective management can improve health outcomes and reduce the burden on healthcare systems.

ICD-9 vs ICD-10

Pressure-induced deep tissue damage significantly impacts patient quality of life and healthcare utilization, leading to increased hospital stays and treatment costs. It is a prevalent issue in populations with limited mobility, such as the elderly or those with chronic illnesses. Addressing this condition through preventive measures and effective management can improve health outcomes and reduce the burden on healthcare systems.

Reimbursement & Billing Impact

Reimbursement considerations include the severity of the injury and the complexity of care required. Common denials may arise from insufficient documentation or lack of evidence supporting the necessity of treatment. Best practices include ensuring that all clinical notes reflect the patient's condition accurately and that all relevant codes are used to capture the full scope of care provided.

Resources

Clinical References

  • •
    ICD-10 Official Guidelines for L00-L99
  • •
    Clinical Documentation Requirements

Coding & Billing References

  • •
    ICD-10 Official Guidelines for L00-L99
  • •
    Clinical Documentation Requirements

Frequently Asked Questions

What specific conditions are covered by L89.306?

L89.306 specifically covers pressure-induced deep tissue damage that does not have a defined stage or specific site other than the buttock. It is essential to differentiate this from other pressure injuries that may have more specific coding requirements.

When should L89.306 be used instead of related codes?

L89.306 should be used when the deep tissue damage is localized to the buttock and does not fit the criteria for other specific codes. It is important to assess the depth and extent of the injury to select the most accurate code.

What documentation supports L89.306?

Documentation should include a detailed assessment of the injury, including its size, depth, and any associated symptoms. Additionally, the patient's mobility status, nutritional assessment, and any comorbidities should be documented to support the diagnosis.