Pressure ulcer of left buttock, stage 3
ICD-10 L89.323 is a billable code used to indicate a diagnosis of pressure ulcer of left buttock, stage 3.
L89.323 refers to a stage 3 pressure ulcer located on the left 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, where the ulcer extends through the dermis and into the subcutaneous tissue, potentially exposing fat. The clinical presentation may include a deep, crater-like sore that may have necrotic tissue and drainage. The left buttock is a common site for these ulcers due to prolonged immobility, particularly in patients with limited mobility or those who are bedridden. Disease progression can lead to more severe stages, including infection and systemic complications if not properly managed. Diagnostic considerations include a thorough assessment of the ulcer's depth, size, and any signs of infection. Healthcare providers must also evaluate the patient's overall health status, mobility, and nutritional needs to effectively manage and prevent further ulceration.
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
L89.323 specifically covers stage 3 pressure ulcers located on the left buttock. It includes ulcers that have full-thickness skin loss with damage to the subcutaneous tissue, but without exposure of bone, tendon, or muscle.
L89.323 should be used when documenting a stage 3 pressure ulcer on the left buttock. It is important to differentiate it from stage 1 and stage 2 ulcers, which have less tissue damage, and from stage 4 ulcers, which involve deeper structures.
Documentation should include a detailed assessment of the ulcer's size, depth, and characteristics, as well as the patient's overall health status, mobility, and any treatments provided. Photographic evidence and regular assessments can also support the diagnosis.
