Pressure ulcer of right buttock, stage 1
ICD-10 L89.311 is a billable code used to indicate a diagnosis of pressure ulcer of right buttock, stage 1.
L89.311 refers to a stage 1 pressure ulcer located on the right buttock. Clinically, a stage 1 pressure ulcer is characterized by non-blanchable erythema of intact skin, indicating localized inflammation and potential tissue damage. The right buttock is anatomically significant as it is a common site for pressure ulcers due to prolonged pressure, particularly in individuals with limited mobility. The disease progression can lead to more severe stages of pressure ulcers if not properly managed, potentially resulting in deeper tissue damage, infection, and complications. Diagnostic considerations include a thorough skin assessment, patient history, and risk factor evaluation, such as immobility, nutritional status, and comorbidities. Early identification and intervention are crucial to prevent progression to higher stages of pressure ulcers, which require more intensive treatment and management strategies.
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
L89.311 specifically covers stage 1 pressure ulcers on the right buttock, which are characterized by intact skin with non-blanchable redness. It does not cover ulcers at other stages or locations.
L89.311 should be used when documenting a stage 1 pressure ulcer specifically located on the right buttock. It is important to differentiate it from other stages (L89.312 for stage 2, etc.) and from ulcers located on different body parts.
Documentation should include a detailed description of the ulcer's characteristics, the patient's risk factors, and any interventions taken. Photographic evidence and regular assessments can also support the diagnosis.
