Pressure ulcer of contiguous site of back, buttock and hip
ICD-10 L89.4 is a used to indicate a diagnosis of pressure ulcer of contiguous site of back, buttock and hip.
L89.4 refers to pressure ulcers located on contiguous sites of the back, buttock, and hip. These ulcers, also known as decubitus ulcers or bedsores, occur due to prolonged pressure on the skin, typically in patients with limited mobility. The anatomy involved includes the skin and subcutaneous tissue, where the pressure leads to ischemia and subsequent tissue necrosis. Clinically, these ulcers can present as localized areas of skin breakdown, which may progress through stages from non-blanchable erythema to full-thickness skin loss. The disease progression can be influenced by factors such as moisture, friction, and shear forces, along with the patient's overall health status, including comorbidities like diabetes or vascular disease. Diagnostic considerations include a thorough patient history, physical examination, and possibly imaging studies to assess the extent of tissue damage. Proper identification and staging of pressure ulcers are crucial for effective management and treatment planning.
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
L89.4 covers pressure ulcers that occur specifically on the back, buttock, and hip areas. These ulcers are typically classified by their depth and severity, ranging from stage I (non-blanchable erythema) to stage IV (full-thickness tissue loss).
L89.4 should be used when documenting pressure ulcers specifically located on contiguous sites of the back, buttock, and hip. It is important to differentiate from other codes that may refer to ulcers in different locations or of different etiologies.
Documentation should include a detailed description of the ulcer's location, stage, size, and any associated symptoms. Clinical assessments, treatment plans, and progress notes are essential to substantiate the diagnosis and support the use of L89.4.
