Pressure-induced deep tissue damage of left lower back
ICD-10 L89.146 is a billable code used to indicate a diagnosis of pressure-induced deep tissue damage of left lower back.
L89.146 refers to pressure-induced deep tissue damage specifically located in the left lower back. This condition arises from prolonged pressure on the skin and underlying tissues, leading to localized ischemia and subsequent tissue necrosis. Clinically, patients may present with varying degrees of skin integrity loss, ranging from non-blanchable erythema to full-thickness skin loss, often accompanied by pain and discomfort. The anatomy involved includes the skin layers (epidermis, dermis) and subcutaneous tissue, which can be severely affected if pressure is not relieved promptly. Disease progression can lead to serious complications, including infection and systemic involvement if left untreated. Diagnostic considerations involve a thorough clinical assessment, including patient history, physical examination, and possibly imaging studies to evaluate the extent of tissue damage. It is crucial to differentiate this condition from other skin disorders, such as ulcers or infections, to ensure appropriate management.
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
L89.146 specifically covers pressure-induced deep tissue damage in the left lower back, characterized by localized ischemia and tissue necrosis due to sustained pressure. It is essential to differentiate this condition from pressure ulcers and other skin lesions.
L89.146 should be used when there is confirmed deep tissue damage in the left lower back due to pressure. It is important to use this code when the clinical presentation aligns with the criteria for deep tissue injury rather than superficial skin injuries or ulcers.
Documentation for L89.146 should include a detailed clinical assessment noting the location, severity, and characteristics of the tissue damage. Progress notes should reflect ongoing treatment and response to care, along with any relevant imaging or diagnostic tests.
