Pressure ulcer of unspecified buttock, stage 3
ICD-10 L89.303 is a billable code used to indicate a diagnosis of pressure ulcer of unspecified buttock, stage 3.
L89.303 refers to a stage 3 pressure ulcer located on the unspecified buttock. Pressure ulcers, also known as bedsores or decubitus ulcers, occur when sustained pressure on the skin reduces blood flow to the area, leading to tissue damage. Stage 3 pressure ulcers are characterized by full-thickness skin loss, which may extend into the subcutaneous tissue but does not involve underlying fascia, muscle, or bone. Clinically, these ulcers present as a deep crater with possible necrosis of surrounding tissue. The buttocks are a common site due to prolonged pressure from sitting or lying down, particularly in individuals with limited mobility. Disease progression can lead to more severe stages if not properly managed, potentially resulting in infections or systemic complications. Diagnostic considerations include a thorough clinical assessment of the ulcer's depth, size, and surrounding tissue condition, as well as evaluating the patient's overall health status and risk factors such as immobility, malnutrition, and comorbidities. Accurate staging is crucial for appropriate treatment and 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
L89.303 specifically covers stage 3 pressure ulcers on the unspecified buttock, characterized by full-thickness skin loss without involvement of underlying structures. It is crucial to differentiate it from other stages and types of ulcers.
L89.303 should be used when documenting a stage 3 pressure ulcer on the buttock. It is essential to use this code when the ulcer is confirmed to be at this stage and located on the specified site, as opposed to other stages or locations.
Documentation should include a detailed assessment of the ulcer's characteristics, including size, depth, and condition of surrounding tissue. Clinical notes should also reflect the patient's risk factors and treatment plan to support the diagnosis.
