Pressure ulcer of left ankle, stage 4
ICD-10 L89.524 is a billable code used to indicate a diagnosis of pressure ulcer of left ankle, stage 4.
L89.524 refers to a stage 4 pressure ulcer located at the left ankle, a severe form of skin and subcutaneous tissue damage. Clinically, a stage 4 pressure ulcer is characterized by full-thickness tissue loss, exposing underlying muscle, bone, or supporting structures. The ulcer may present with necrotic tissue, slough, or eschar, and can be associated with significant pain and risk of infection. The left ankle's anatomy includes the skin, subcutaneous tissue, muscles, tendons, and bones, all of which can be affected in advanced cases. Disease progression typically involves prolonged pressure on the skin, often due to immobility, resulting in ischemia and tissue breakdown. Diagnostic considerations include a thorough clinical examination, assessment of the ulcer's depth, and evaluation for signs of infection or systemic complications. Proper staging is crucial for treatment planning and prognosis, as stage 4 ulcers require advanced wound care management and may necessitate surgical intervention.
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
L89.524 specifically covers stage 4 pressure ulcers at the left ankle, which are characterized by full-thickness tissue loss and may involve exposure of muscle, bone, or supporting structures. It is crucial to differentiate this from other stages of pressure ulcers and other skin conditions.
L89.524 should be used when documenting a stage 4 pressure ulcer at the left ankle. It is important to use this code when the ulcer has progressed to full-thickness tissue loss, distinguishing it from stage 3 ulcers or ulcers located in different anatomical sites.
Documentation should include a detailed description of the ulcer's characteristics, including size, depth, and any necrotic tissue present. Clinical assessments, treatment plans, and progress notes should also be included to support the diagnosis and coding.
