Pressure ulcer of right lower back, stage 4
ICD-10 L89.134 is a billable code used to indicate a diagnosis of pressure ulcer of right lower back, stage 4.
L89.134 refers to a stage 4 pressure ulcer located on the right lower back. This condition is characterized by full-thickness skin loss, which may involve damage to the underlying fascia, muscle, bone, or supporting structures. Clinically, stage 4 pressure ulcers present as deep wounds with necrotic tissue and may exhibit tunneling or undermining. The right lower back, anatomically, is a critical area prone to pressure ulcers due to prolonged immobility, particularly in patients with limited mobility or those who are bedridden. Disease progression can lead to severe complications, including systemic infections, sepsis, and increased morbidity. Diagnostic considerations include a thorough clinical assessment of the ulcer's depth, size, and surrounding tissue condition, as well as the patient's overall health status and risk factors, such as nutritional deficiencies or comorbidities. Proper staging is essential for effective treatment planning and to prevent further deterioration of the ulcer and associated 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
L89.134 specifically covers stage 4 pressure ulcers located on the right lower back, characterized by full-thickness skin loss and potential involvement of underlying structures. It is essential to differentiate it from other stages of pressure ulcers and other skin lesions.
L89.134 should be used when documenting a stage 4 pressure ulcer on the right lower back, particularly when the ulcer exhibits full-thickness skin loss and significant tissue damage. It is crucial to use this code instead of lower stage codes when the clinical assessment confirms the severity.
Documentation for L89.134 should include a detailed description of the ulcer's characteristics, staging, treatment plan, and any relevant patient history. Photographic evidence and regular assessments can also support the coding.
