Pressure ulcer of unspecified part of back, stage 1
ICD-10 L89.101 is a billable code used to indicate a diagnosis of pressure ulcer of unspecified part of back, stage 1.
L89.101 refers to a pressure ulcer of unspecified part of the back, classified as stage 1. This stage is characterized by non-blanchable erythema of intact skin, indicating localized redness that does not fade when pressure is applied. The skin may feel warmer, cooler, firmer, or softer compared to adjacent tissue. The anatomical areas involved typically include the sacral region, lumbar area, or other parts of the back where pressure is commonly exerted, particularly in individuals with limited mobility. Disease progression can lead to more severe stages of pressure ulcers if not properly managed, potentially resulting in skin breakdown and deeper tissue damage. Diagnostic considerations include a thorough skin assessment, patient history, and risk factor evaluation, such as immobility, nutritional status, and comorbid conditions like diabetes or vascular disease. Early identification and intervention are crucial to prevent progression to more severe stages 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
L89.101 specifically covers stage 1 pressure ulcers, which are characterized by non-blanchable erythema of intact skin. It does not cover ulcers that have progressed to stage 2 or higher, which involve partial or full-thickness skin loss.
L89.101 should be used when documenting a stage 1 pressure ulcer specifically located on the back. If the ulcer is at a different stage or located on another part of the body, the appropriate code for that condition should be selected.
Documentation should include a detailed skin assessment noting the presence of non-blanchable erythema, the location of the ulcer, risk factors for pressure ulcer development, and any preventive measures taken. Regular monitoring and updates on the condition are also essential.