Pressure-induced deep tissue damage of contiguous site of back, buttock and hip
ICD-10 L89.46 is a billable code used to indicate a diagnosis of pressure-induced deep tissue damage of contiguous site of back, buttock and hip.
Pressure-induced deep tissue damage of contiguous site of back, buttock and hip refers to localized injury to the skin and underlying tissue resulting from prolonged pressure, often occurring in patients with limited mobility. Clinically, this condition presents as a persistent non-blanchable redness or discoloration of the skin, which may progress to blistering, ulceration, or even necrosis if not addressed promptly. The anatomy involved primarily includes the skin, subcutaneous tissue, and underlying muscle layers, particularly over bony prominences such as the sacrum, coccyx, and hips. Disease progression can vary; initially, it may appear as a stage 1 pressure ulcer and can advance to stage 4 if not managed effectively. Diagnostic considerations include a thorough patient history, physical examination, and assessment of risk factors such as immobility, malnutrition, and moisture exposure. Early identification and intervention are crucial to prevent complications and promote healing.
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
L89.46 covers pressure-induced deep tissue damage specifically affecting the back, buttock, and hip areas. This includes conditions such as stage 1 to stage 4 pressure ulcers that develop due to sustained pressure, particularly in patients with limited mobility or those who are bedridden.
L89.46 should be used when documenting deep tissue damage that affects contiguous sites of the back, buttock, and hip. It is important to differentiate this from other codes that may pertain to isolated areas or different stages of pressure ulcers.
Documentation should include a detailed assessment of the affected areas, including the stage of the pressure injury, patient mobility status, nutritional assessment, and any interventions taken. Photographic evidence and regular monitoring notes can also support the diagnosis.
