Pressure ulcer of left lower back, stage 4
ICD-10 L89.144 is a billable code used to indicate a diagnosis of pressure ulcer of left lower back, stage 4.
L89.144 refers to a stage 4 pressure ulcer located on the left lower back. This condition is characterized by full-thickness skin loss, which may involve damage to the underlying soft tissue, muscle, or bone. Clinically, stage 4 pressure ulcers present as deep wounds that expose underlying structures, often accompanied by necrotic tissue and potential infection. The left lower back, anatomically, is a region that can be particularly susceptible to pressure ulcers due to prolonged pressure, friction, or shear forces, especially in patients with limited mobility or those who are bedridden. Disease progression can lead to serious complications, including systemic infections, sepsis, and significant morbidity. Diagnostic considerations include a thorough clinical examination, assessment of the ulcer's depth, and evaluation of surrounding tissue integrity. Proper staging and documentation are critical 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
L89.144 specifically covers stage 4 pressure ulcers located on the left lower back, characterized by full-thickness skin loss and potential exposure of underlying structures.
L89.144 should be used when the pressure ulcer is confirmed as stage 4, indicating severe tissue damage, as opposed to lower stages which denote less severe conditions.
Documentation should include a detailed assessment of the ulcer's size, depth, stage, and any associated complications, along with treatment plans and progress notes.