L89.312
Pressure ulcer of right buttock, stage 2
Clinical Classification Guidelines
Inclusion Terms
- Healing pressure ulcer of right buttock, stage 2
- Pressure ulcer with abrasion, blister, partial thickness skin loss involving epidermis and/or dermis, right buttock
Medical Intelligence & Overview
A pressure ulcer, commonly referred to as a bed sore or decubitus ulcer, develops when sustained pressure cuts off blood flow to the skin and underlying tissues. The specific ICD-10 code L89.312 indicates a stage 2 pressure ulcer located on the right buttock. This stage involves partial thickness skin loss, which may appear as a blister or an abrasion, affecting the outer and inner layers of skin. Recognizing the characteristics and causes of this condition is crucial for effective management and healing.
Causes & Symptoms
Clinical Causes: Prolonged pressure on the right buttock due to immobility or limited movement Friction and shear forces from repositioning or moving in bed Inadequate cushioning or support from bed or wheelchair surfaces Moisture from sweating, incontinence, or wound exudate weakening skin integrity Poor nutritional status impairing skin repair and resilience
Key Symptoms: Red or discolored patch on the right buttock Presence of a blister, abrasion, or partial skin loss involving the epidermis and possibly the dermis Tenderness or pain at the affected site Swelling or inflammation surrounding the wound Possible serous or stained drainage from the wound
Diagnostic & Treatment
Diagnosis Path: Diagnosis is typically made through physical examination of the affected area, noting the stage of the ulcer and measuring wound size. Healthcare providers assess for signs of infection and tissue damage. Occasionally, additional imaging or wound cultures may be conducted to evaluate underlying tissue involvement or infection, though these are more common in advanced stages.
Treatment Protocols: Managing a stage 2 pressure ulcer involves multiple strategies aimed at promoting healing and preventing further deterioration:
Clinical Advice & FAQs
Billing Guidance
Is L89.312 a billable ICD-10 code?
Yes, L89.312 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.
Documentation
How do I report L89.312?
Clinical documentation must specify the nature of Pressure ulcer of right buttock, stage 2 and any associated comorbidities for accurate reporting.
Cite this Clinical Reference