Pressure ulcer of unspecified heel, stage 2
ICD-10 L89.602 is a billable code used to indicate a diagnosis of pressure ulcer of unspecified heel, stage 2.
Pressure ulcers, also known as bedsores or decubitus ulcers, are localized injuries to the skin and underlying tissue, primarily caused by prolonged pressure, often over bony prominences. The heel is a common site for these ulcers due to its anatomical structure and the pressure exerted when a patient is immobile. Stage 2 pressure ulcers are characterized by partial thickness loss of skin, presenting as a shallow open ulcer with a red-pink wound bed, without slough. Clinically, these ulcers may exhibit blistering or a shiny appearance, indicating damage to the epidermis and possibly the dermis. Disease progression can lead to deeper tissue damage if not managed properly, potentially advancing to stage 3 or 4 ulcers. Diagnostic considerations include a thorough assessment of the ulcer's characteristics, patient history, and risk factors such as immobility, malnutrition, and comorbid conditions. Regular monitoring and documentation of the ulcer's status are crucial for effective treatment planning and to prevent complications.
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
L89.602 specifically covers stage 2 pressure ulcers located on the heel. It includes ulcers that show partial thickness skin loss and may present as a blister or shallow open sore. It does not cover ulcers at other anatomical sites or those that are deeper than stage 2.
L89.602 should be used when documenting a stage 2 pressure ulcer specifically located on the heel. If the ulcer is on a different body part or is of a different stage, the appropriate code should be selected based on the specific characteristics and location of the ulcer.
Documentation must include a detailed description of the ulcer's characteristics, including its stage, location, size, and any associated symptoms. Additionally, the patient's risk factors and treatment plan should be documented to support the diagnosis.
