Pressure ulcer of left buttock, stage 2
ICD-10 L89.322 is a billable code used to indicate a diagnosis of pressure ulcer of left buttock, stage 2.
L89.322 refers to a stage 2 pressure ulcer located on the left buttock. Clinically, a stage 2 pressure ulcer is characterized by partial-thickness loss of skin, which may present as a shallow open ulcer with a red-pink wound bed, without slough. The ulcer may also present as an intact or ruptured serum-filled blister. The anatomy involved includes the skin and subcutaneous tissue, particularly over bony prominences where pressure is applied. Disease progression can occur if the pressure is not relieved, potentially advancing to stage 3 or 4 ulcers, which involve deeper tissue damage. Diagnostic considerations include a thorough assessment of the ulcer's characteristics, patient history, and risk factors such as immobility, malnutrition, and moisture exposure. Proper identification and staging are crucial for effective treatment and management of pressure ulcers, as they can lead to significant morbidity if left untreated.
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
L89.322 specifically covers stage 2 pressure ulcers on the left buttock, which are characterized by partial-thickness skin loss. Conditions such as immobility, diabetes, and vascular diseases may contribute to the development of these ulcers.
L89.322 should be used when documenting a stage 2 pressure ulcer on the left buttock. It is important to differentiate from stage 1 (L89.321) and more severe stages (L89.323 for stage 3 and L89.324 for stage 4) based on the depth of tissue damage.
Documentation should include a detailed description of the ulcer's characteristics, staging, treatment plan, and any relevant patient history that contributes to the ulcer's development. Regular assessments and updates on healing progress are also necessary.
