Pressure ulcer of right lower back, stage 2
ICD-10 L89.132 is a billable code used to indicate a diagnosis of pressure ulcer of right lower back, stage 2.
L89.132 refers to a stage 2 pressure ulcer located on the right lower back. Clinically, a stage 2 pressure ulcer is characterized by partial thickness loss of skin, presenting as a shallow open ulcer with a red or pink wound bed, without slough. The anatomy involved includes the epidermis and part of the dermis, which may be affected due to prolonged pressure, friction, or shear forces, particularly in patients with limited mobility. Disease progression can lead to deeper tissue damage if not managed appropriately, potentially advancing to stage 3 or 4 ulcers. Diagnostic considerations include a thorough assessment of the ulcer's characteristics, patient history, and risk factors such as immobility, malnutrition, and comorbid conditions. Regular monitoring and documentation of the ulcer's status are essential for effective treatment planning and to prevent complications.
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
L89.132 specifically covers stage 2 pressure ulcers located on the right lower back, which may arise from immobility, friction, or shear forces. It is crucial to differentiate it from other skin lesions or ulcers that may not be pressure-related.
L89.132 should be used when documenting a stage 2 pressure ulcer specifically on the right lower back. It is important to use this code when the ulcer is confirmed to be stage 2, as using a different code may misrepresent the severity and location of the condition.
Documentation should include a detailed description of the ulcer's characteristics, stage, location, and any relevant patient history. Regular assessments, treatment plans, and progress notes are essential to substantiate the diagnosis and ensure appropriate coding.
