Pressure ulcer of contiguous site of back, buttock and hip, stage 2
ICD-10 L89.42 is a billable code used to indicate a diagnosis of pressure ulcer of contiguous site of back, buttock and hip, stage 2.
L89.42 refers to a stage 2 pressure ulcer located on contiguous sites of the back, buttock, and hip. Clinically, a stage 2 pressure ulcer is characterized by partial-thickness loss of skin, which may present as an abrasion, blister, or shallow crater. The ulcer may involve the epidermis and part of the dermis but does not extend through the full thickness of the skin. The anatomical areas involved—back, buttock, and hip—are common sites for pressure ulcers due to prolonged pressure, particularly in individuals with limited mobility or those who are bedridden. Disease progression can lead to deeper tissue damage if not managed properly, potentially advancing to stage 3 or 4 ulcers, which involve full-thickness skin loss and may expose underlying muscle, bone, or tendons. 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
L89.42 specifically covers stage 2 pressure ulcers located on contiguous sites of the back, buttock, and hip. This includes ulcers that present with partial-thickness skin loss, such as abrasions or blisters, in these anatomical areas.
L89.42 should be used when documenting a stage 2 pressure ulcer specifically located on the back, buttock, and hip. It is important to differentiate from stage 1 (L89.41) and stage 3 (L89.43) ulcers based on the depth of tissue involvement.
Documentation should include a detailed description of the ulcer's characteristics, including size, depth, and appearance, as well as patient history, risk factors, and treatment plans. Regular assessments and updates on the ulcer's status are also necessary.
