Pressure ulcer of left buttock, stage 4
ICD-10 L89.324 is a billable code used to indicate a diagnosis of pressure ulcer of left buttock, stage 4.
L89.324 refers to a stage 4 pressure ulcer located on the left buttock. Clinically, a stage 4 pressure ulcer is characterized by full-thickness tissue loss, which may involve muscle, bone, or supporting structures such as fascia. The ulcer may present with necrotic tissue and eschar, and there may be tunneling or undermining present. The left buttock is a common site for pressure ulcers due to prolonged pressure, particularly in patients with limited mobility or those who are bedridden. The progression of a pressure ulcer can be influenced by factors such as moisture, nutrition, and overall health status. Diagnosis typically involves a thorough physical examination and assessment of the ulcer's characteristics, including size, depth, and the presence of infection. Diagnostic considerations also include evaluating the patient's risk factors, such as immobility, incontinence, and comorbid conditions like diabetes or vascular disease. Effective management requires a multidisciplinary approach, including wound care, nutritional support, and pressure relief strategies.
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
L89.324 specifically covers stage 4 pressure ulcers on the left buttock, which are defined by full-thickness skin loss and may involve underlying tissues. It is critical to differentiate this from stage 1, 2, or 3 ulcers, which have different characteristics and treatment protocols.
L89.324 should be used when documenting a stage 4 pressure ulcer on the left buttock. It is important to use this specific code when the ulcer has progressed to this stage, as it requires more intensive management and has different implications for patient care compared to lower-stage ulcers.
Documentation for L89.324 should include a detailed description of the ulcer's characteristics, including size, depth, and any necrotic tissue. Additionally, the patient's risk factors, treatment plans, and progress notes should be included to support the diagnosis and justify the complexity of care.
