Pressure-induced deep tissue damage of right buttock
ICD-10 L89.316 is a billable code used to indicate a diagnosis of pressure-induced deep tissue damage of right buttock.
Pressure-induced deep tissue damage of the right buttock, classified under ICD-10 code L89.316, refers to localized damage to the skin and underlying soft tissue resulting from prolonged pressure. This condition typically occurs in individuals with limited mobility, such as those confined to bed or wheelchair users. Clinically, it presents as a persistent non-blanchable redness or a more severe injury that may involve deeper tissues, including muscle and fascia. The right buttock is specifically affected, indicating the need for targeted assessment and intervention. Disease progression can lead to serious complications, including infection and systemic illness if not properly managed. Diagnostic considerations include a thorough patient history, physical examination, and possibly imaging studies to assess the extent of tissue damage. Healthcare providers must be vigilant in identifying at-risk patients and implementing preventive measures, such as repositioning and skin care protocols, to mitigate the risk of pressure ulcers.
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
L89.316 specifically covers deep tissue damage in the right buttock due to pressure, which may include stages of pressure ulcers that have progressed beyond superficial skin changes to involve deeper tissues.
L89.316 should be used when there is confirmed deep tissue damage localized to the right buttock, differentiating it from other codes that may describe superficial or non-specific pressure injuries.
Documentation should include a detailed assessment of the wound, patient mobility status, interventions implemented, and ongoing monitoring of the injury's progression or healing.
