Pressure ulcer of right buttock, unstageable
ICD-10 L89.310 is a billable code used to indicate a diagnosis of pressure ulcer of right buttock, unstageable.
L89.310 refers to an unstageable pressure ulcer located on the right buttock. Pressure ulcers, also known as bedsores or decubitus ulcers, occur when sustained pressure on the skin restricts blood flow to the area, leading to tissue damage. The right buttock is anatomically significant as it is a common site for pressure ulcers, particularly in individuals with limited mobility or those who are bedridden. The unstageable designation indicates that the ulcer's depth cannot be determined due to the presence of necrotic tissue or eschar, making it challenging to assess the extent of tissue damage. Clinically, these ulcers may present with varying degrees of pain, redness, and swelling, and can progress to deeper tissue layers if not properly managed. Diagnostic considerations include a thorough patient history, physical examination, and potentially imaging studies to evaluate underlying structures. Effective management requires a multidisciplinary approach, including wound care, nutritional support, and pressure-relieving strategies to prevent further deterioration.
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
L89.310 covers unstageable pressure ulcers specifically located on the right buttock. This includes ulcers that cannot be staged due to the presence of slough or eschar, which obscures the wound bed.
L89.310 should be used when the pressure ulcer is specifically located on the right buttock and is unstageable. If the ulcer is on a different anatomical site or is stageable, other codes should be selected.
Documentation should include a detailed description of the ulcer's location, appearance, and any associated symptoms. Clinical notes should also reflect the assessment of the ulcer's depth and any treatment plans implemented.
