Pressure ulcer of right hip, stage 4
ICD-10 L89.214 is a billable code used to indicate a diagnosis of pressure ulcer of right hip, stage 4.
L89.214 refers to a stage 4 pressure ulcer located on the right hip, characterized by full-thickness tissue loss, which may involve muscle, bone, or supporting structures. Clinically, these ulcers present as deep wounds with necrotic tissue and may exhibit tunneling or undermining. The right hip, being a common site for pressure ulcers, is particularly vulnerable due to prolonged pressure, especially in individuals with limited mobility or those who are bedridden. Disease progression can lead to severe complications, including infections, osteomyelitis, and systemic sepsis if not properly managed. Diagnostic considerations include a thorough clinical assessment, staging of the ulcer, and evaluation of the patient's overall health status, including nutritional deficiencies and comorbidities that may impede healing. Effective management requires a multidisciplinary approach, including wound care specialists, nutritionists, and physical therapists to promote healing and prevent recurrence.
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
L89.214 specifically covers stage 4 pressure ulcers on the right hip, which are defined by full-thickness skin loss and may involve underlying structures such as muscle and bone. It is crucial to document the extent of tissue damage and any associated complications.
L89.214 should be used when the pressure ulcer is classified as stage 4, indicating severe tissue loss. If the ulcer is stage 3 or less, codes L89.213 or L89.212 should be selected instead. Accurate staging is essential for appropriate coding.
Documentation must include a detailed description of the ulcer's size, depth, and any necrotic tissue present. Additionally, the patient's overall health status, mobility limitations, and any interventions undertaken should be documented to support the use of this code.
