2025 ICD-10-CM code L89
Pressure ulcer. Code first any associated gangrene (I96).
Medical necessity for pressure ulcer treatment is established by documenting the presence of a pressure ulcer and the need for interventions to promote healing, prevent complications, and improve the patient's quality of life.
Diagnosis and treatment of pressure ulcers typically fall under the responsibility of physicians, nurses, and wound care specialists.Responsibilities include assessment of the ulcer's stage and size,identifying underlying causes, implementing preventive measures, and developing a treatment plan that may involve wound dressings, debridement, pain management, and nutritional support.
- 12 Diseases of the skin and subcutaneous tissue (L00-L99)
- Other disorders of the skin and subcutaneous tissue (L80-L99)
In simple words: A pressure ulcer, also known as a bedsore or pressure sore, is an injury to the skin and underlying tissue caused by prolonged pressure on the skin.
Pressure ulcer. Includes: bed sore, decubitus ulcer, plaster ulcer, pressure area, pressure sore. Excludes2: decubitus (trophic) ulcer of cervix (uteri) (N86), diabetic ulcers (E08.621, E08.622, E09.621, E09.622, E10.621, E10.622, E11.621, E11.622, E13.621, E13.622), non-pressure chronic ulcer of skin (L97.-), skin infections (L00-L08), varicose ulcer (I83.0, I83.2)
Example 1: A bedridden patient develops a pressure ulcer on their sacrum., A wheelchair-bound patient with spinal cord injury develops a pressure ulcer on their ischium., A patient with a cast develops a pressure ulcer under the cast.
Documentation should include the location, size, stage, and any associated complications of the pressure ulcer, such as infection or necrosis.It's also essential to document the patient's overall condition, any contributing factors, and the treatment plan.
- Specialties:Dermatology, General Surgery, Internal Medicine, Family Medicine, Geriatrics, Physical Medicine and Rehabilitation, Wound Care, Nursing
- Place of Service:Inpatient Hospital, Skilled Nursing Facility, Nursing Facility, Home Health, Outpatient Hospital