Pressure ulcer of right upper back, stage 4
ICD-10 L89.114 is a billable code used to indicate a diagnosis of pressure ulcer of right upper back, stage 4.
L89.114 refers to a stage 4 pressure ulcer located on the right upper back, characterized by full-thickness tissue loss, which may involve muscle, bone, or supporting structures. Clinically, these ulcers present as deep wounds with necrotic tissue and may exhibit tunneling or undermining. The right upper back is anatomically significant due to its proximity to critical structures such as the spine and shoulder girdle. Disease progression typically occurs in patients with limited mobility, poor nutrition, or underlying health conditions such as diabetes or vascular disease. Diagnostic considerations include a thorough assessment of the ulcer's depth, size, and surrounding tissue condition, often requiring a multidisciplinary approach for management. Regular monitoring and documentation of the ulcer's status are essential for effective treatment planning and reimbursement purposes.
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
L89.114 specifically covers stage 4 pressure ulcers on the right upper back, which may involve extensive tissue damage and require specialized treatment protocols.
L89.114 should be used when documenting a stage 4 pressure ulcer on the right upper back, distinguishing it from lower-stage ulcers or ulcers located in other anatomical areas.
Documentation should include detailed descriptions of the ulcer's characteristics, staging assessments, treatment plans, and any relevant patient history that contributes to the ulcer's development.