Pressure ulcer of unspecified hip, stage 4
ICD-10 L89.204 is a billable code used to indicate a diagnosis of pressure ulcer of unspecified hip, stage 4.
L89.204 refers to a stage 4 pressure ulcer located on the unspecified hip. Pressure ulcers, also known as bedsores or decubitus ulcers, occur due to prolonged pressure on the skin, typically in patients with limited mobility. The skin and subcutaneous tissue undergo progressive damage, leading to full-thickness tissue loss. In stage 4 ulcers, there is extensive destruction, tissue necrosis, and damage to muscle, bone, or supporting structures. Clinically, these ulcers may present with exposed bone or tendon and are often associated with significant pain and risk of infection. The hip region is particularly susceptible due to its bony prominence and the pressure exerted when patients are immobile. Diagnosis involves a thorough clinical examination, assessment of the ulcer's depth, and evaluation of surrounding tissue integrity. Diagnostic imaging may be warranted to assess for underlying osteomyelitis or other complications. Effective management requires a multidisciplinary approach, including wound care, nutritional support, and addressing underlying conditions contributing to immobility.
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
L89.204 specifically covers stage 4 pressure ulcers on the hip, characterized by full-thickness tissue loss and exposure of underlying structures. It does not include ulcers at other sites or those of lesser stages.
L89.204 should be used when documenting a stage 4 pressure ulcer on the hip, particularly when there is evidence of extensive tissue damage. It is crucial to differentiate from stage 3 ulcers (L89.203) based on the depth of tissue loss.
Documentation must include a detailed assessment of the ulcer's stage, location, size, and any signs of infection or complications. Regular updates on the healing process and treatment interventions are also essential.
