Pressure ulcer of left ankle, stage 3
ICD-10 L89.523 is a billable code used to indicate a diagnosis of pressure ulcer of left ankle, stage 3.
L89.523 refers to a stage 3 pressure ulcer located on the left ankle. Pressure ulcers, also known as bedsores or decubitus ulcers, occur when sustained pressure on the skin impairs blood flow, leading to tissue damage. The left ankle is anatomically significant as it encompasses the skin, subcutaneous tissue, and underlying structures such as muscles and tendons. 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. Clinically, these ulcers may present with a deep crater and may have necrotic tissue. Disease progression can occur if pressure is not relieved, leading to further tissue damage and possible infection. Diagnostic considerations include a thorough assessment of the ulcer's depth, size, and surrounding skin condition, as well as patient history, particularly regarding mobility and nutritional status. Proper staging is crucial for effective treatment planning and monitoring.
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
L89.523 specifically covers stage 3 pressure ulcers located on the left ankle. This includes ulcers that have progressed to full-thickness skin loss with potential exposure of subcutaneous tissue, but without involvement of underlying fascia, muscle, or bone.
L89.523 should be used when documenting a stage 3 pressure ulcer specifically at the left ankle. It is important to differentiate from other stages (L89.521 for stage 1, L89.522 for stage 2) and other locations to ensure accurate coding and appropriate treatment.
Documentation should include a detailed description of the ulcer's characteristics, including size, depth, and any necrotic tissue present. Additionally, patient history regarding mobility, nutritional status, and any interventions taken should be clearly recorded to support the diagnosis.
