Pressure ulcer of unspecified buttock, stage 2
ICD-10 L89.302 is a billable code used to indicate a diagnosis of pressure ulcer of unspecified buttock, stage 2.
L89.302 refers to a stage 2 pressure ulcer located on an unspecified buttock. Pressure ulcers, also known as bedsores or decubitus ulcers, are localized injuries to the skin and underlying tissue that occur due to prolonged pressure, often in patients with limited mobility. Stage 2 pressure ulcers are characterized by partial thickness loss of skin, presenting as a shallow open ulcer with a red or pink wound bed, without slough. The anatomy involved includes the epidermis and part of the dermis, which may expose underlying fat but not deeper tissues. Disease progression can lead to more severe stages if not properly managed, potentially resulting in deeper tissue damage and complications such as infections. Diagnostic considerations include a thorough assessment of the ulcer's characteristics, patient history, and risk factors such as immobility, nutritional status, and comorbid conditions. Proper identification and coding of pressure ulcers are crucial for effective treatment planning and reimbursement.
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
L89.302 specifically covers stage 2 pressure ulcers on the buttock, which may result from prolonged pressure in patients with limited mobility. It does not cover ulcers of other stages or locations.
L89.302 should be used when documenting a stage 2 pressure ulcer on the buttock. It is important to differentiate it from stage 1 or stage 3 ulcers, as well as ulcers located on other body parts.
Documentation should include a detailed description of the ulcer's characteristics, staging, location, and any relevant patient history, including risk factors and treatment plans.
