(2022) How To Code Pressure Ulcer ICD 10 – List With Codes & Guidelines

This article will outline the causes, symptoms, diagnosis, treatment and a full list of ICD 10 CM codes for Pressure Ulcer.

Pressure Ulcer ICD 10 Causes

The three most important factors that contribute to bedsores are:

• Pressure: Ulcers are caused by pressure on the skin limiting blood flow to the skin. Constant pressure on any part of the body reduces blood flow to the tissues.
• Limited exercise: Lack of blood flow makes the skin more susceptible to damage that leads to the development of bedsores. Blood flow is crucial for supplying the tissue with oxygen and other nutrients. Without these nutrients, the skin and nearby tissues can be damaged and die.
• Friction: Friction occurs when the skin rubs against clothing or bed linen. Friction makes sensitive skin more susceptible to injury, especially when the skin is moist. Shearing occurs when two surfaces move in opposite directions. In people with reduced mobility, this type of pressure tends to occur in non-padded areas such as muscles, fat and low-lying bones such as the spine, coccyx, shoulder blades, hips, heels and elbows. For example, if the bed is lifted, the patient’s head slips onto the bed. When the tailbone moves, the skin around it stays in place but is pulled in the opposite direction. They are most common in bony parts of the body such as heels, elbows, hips and the base of the spine. They usually develop and form within a few hours.

Pressure Ulcer ICD 10 Symptoms

Early symptoms of a pressure ulcer ICD 10 include discoloration of skin. People with pale skin tend to have red spots and people with darker skin tend to have purple or blue spots.

Category 1 Pressure Ulcer ICD 10: Discolored stains may or may not turn white when pressed. The skin can feel warm and spongy. Pain or itching may occur in the affected area. Doctors and nurses refer to pressure ulcer ICD 10 at this stage as category 1 pressure ulcer ICD 10.

Category 2 Pressure Ulcer ICD 10: If the skin does not collapse, but the ulcer worsens, it may form an open wound or blister.

Category 3 Pressure Ulcer ICD 10: When the deep wound reaches deep into the skin layers.

Category 4 Pressure Ulcer ICD 10: When it reaches the muscles and bones.

Pressure Ulcer ICD 10 Diagnosis

When admitted to an acute or chronic hospital, patients must undergo a thorough skin examination to determine whether they have developed apressure ulcer ICD 10 and whether they have symptoms of previouspressure ulcer ICD 10 [1-4]. The assessment of the skin can be done with various tools, but the most common is the use of the Braden scale. This assessment includes the presence of previous ulcers and an assessment of the risk of developingpressure ulcer ICD 10.

The scale checks the following sensory parameters:

• sensation of the skin
• moisture on the skin
• activity of the patient
• degree of mobility of the patient (mobility is evaluated when the patient changes control of posture and position)
• nutritional evaluation
• assessment of friction forces
• shear forces on the affected skin

The Braden scale is rated by a factor of 1 to 4, with the exception of frictional shear, which has three points on its scale. Points are added up to get a score.

The highest possible Braden score is 23. A patient with a score of 18 or less is considered at risk forpressure ulcer ICD 10. The general health and nutritional status of the patients are also assessed. Particular care is required to prevent pressure-related skin changes and risks. If the patient has apressure ulcer ICD 10, it should be an ulcer that can be documented with photographic evidence.

Mobility, previous pressure damage, state of consciousness and psychological factors are taken into consideration when diagnosingpressure ulcer ICD 10. Nutrition is evaluated by testing serum albumin and hemoglobin for anemia. The patient undergoes routine blood tests to detect infections, high blood glucose, diabetes and high cholesterol, as well as blood cultures to determine the presence of infection. Blood cultures are prescribed for signs of severe blood poisoning (fever, increased white blood cells, tightness, sweating and delirium). Routine chest X-rays are performed and surgical treatment chosen.

The location of the ulcer is evaluated and the pressure spot is examined. The dimensions of each ulcer are marked with a calibrated ruler with photographic evidence. The amount and type of discharge (pus) is noted. This is examined for signs of infection. The ulcers are evaluated to determine the cause of ulcer disease, diabetes, kidney disease or anemia.

The presence of pus from the fistula or paranasal sinus is noted. Swaps are used to take samples of pus and exudate, and the pus is placed on a glass slide. The pus is stained with a suitable dye and examined under a microscope for the presence of microorganisms. The sample of pus or exudate is then used for laboratory testing of sensitivity to various antibiotics used in therapy.

Pressure Ulcer ICD 10 Treatment

Treatingpressure ulcer ICD 10 include:

• reducing the pressure on affected skin
• caring for the wound
• controlling pain
• preventing infection
• keeping a good diet is needed

Members of the care team are a GP who supervises the treatment plan, a nurse who specialises in wound care, a nurse who provides care and training, and someone who administers the wound. Physicians specialized in skin diseases (dermatologists, neurosurgeons, vascular surgeons, orthopaedic surgeons and plastic surgeons) may also be involved. The nursing team may also include a social worker to help the patient and his family access resources and address emotional concerns related to long-term recovery, a physiotherapist to help improve mobility, an occupational therapist to ensure adequate seating and a nutritionist to monitor the patient’s nutritional needs and recommend good nutrition.

The following list contains numerous ways to treat and manage pressure ulcer ICD 10:

• The patient should be repositioned depending on their condition and the quality of the surface they are on. The bedridden patient can be turned or the position can be changed.
• A special anti-pressure sore mattress and pillows can be used to help the patient sit or lie down so that the sensitive skin is protected. The treatment of pressure ulcer ICD 10 depends on how deep the wound is.
• The wound should be cleaned and dressed, including subsequent cleaning.
• Clean open wounds with water (salt water or saline solution) at every dressing change. If the affected skin is not yet degraded, wash it with a gentle cleanser and dab it dry.
• Bandages form a barrier against infection and keep the skin under the bandage dry. They also speed up healing by keeping the wound moist. Patients may also need a combination bandage. Foil, gauze, gel or foam-treated coverings are available.
• In order to heal, the wound must be cleared of damaged, dead or infected tissue.
• A doctor or nurse can remove damaged tissue by rinsing the wound with water or removing the damaged tissue.
• Other interventions may include pain control drugs. Nonsteroidal anti-inflammatories such as ibuprofen (Advil, Motrin IB and others) and naproxen sodium (Aleve) can relieve pain.
• Topical pain medications can be helpful in wound care. A good diet can promote wound healing. This can be particularly helpful when repositioning the wound during treatment.
• Large wounds may not fully heal and require surgery. One way of surgical repair is to use a cushion of muscle, skin or other tissue to cover the wound and cushion the affected bone valves during surgery.

ICD 10 Code For Pressure Ulcer

ICD 10 CM L89 Pressure ulcer

Related ICD 10 CM Codes:

•  L89.0 Pressure ulcer of elbow
  •  L89.00 Pressure ulcer of unspecified elbow
    •  L89.000 …… unstageable
    •  L89.001 …… stage 1
    •  L89.002 …… stage 2
    •  L89.003 …… stage 3
    •  L89.004 …… stage 4
    •  L89.006 Pressure-induced deep tissue damage of unspecified elbow
    •  L89.009 …… unspecified stage
  •  L89.01 Pressure ulcer of right elbow
    •  L89.010 …… unstageable
    •  L89.011 …… stage 1
    •  L89.012 …… stage 2
    •  L89.013 …… stage 3
    •  L89.014 …… stage 4
    •  L89.016 Pressure-induced deep tissue damage of right elbow
    •  L89.019 …… unspecified stage
  •  L89.02 Pressure ulcer of left elbow
    •  L89.020 …… unstageable
    •  L89.021 …… stage 1
    •  L89.022 …… stage 2
    •  L89.023 …… stage 3
    •  L89.024 …… stage 4
    •  L89.026 Pressure-induced deep tissue damage of left elbow
    •  L89.029 …… unspecified stage
•  L89.1 Pressure ulcer of back
  •  L89.10 Pressure ulcer of unspecified part of back
    •  L89.100 …… unstageable
    •  L89.101 …… stage 1
    •  L89.102 …… stage 2
    •  L89.103 …… stage 3
    •  L89.104 …… stage 4
    •  L89.106 Pressure-induced deep tissue damage of unspecified part of back
    •  L89.109 …… unspecified stage
  •  L89.11 Pressure ulcer of right upper back
    •  L89.110 …… unstageable
    •  L89.111 …… stage 1
    •  L89.112 …… stage 2
    •  L89.113 …… stage 3
    •  L89.114 …… stage 4
    •  L89.116 Pressure-induced deep tissue damage of right upper back
    •  L89.119 …… unspecified stage
  •  L89.12 Pressure ulcer of left upper back
    •  L89.120 …… unstageable
    •  L89.121 …… stage 1
    •  L89.122 …… stage 2
    •  L89.123 …… stage 3
    •  L89.124 …… stage 4
    •  L89.126 Pressure-induced deep tissue damage of left upper back
    •  L89.129 …… unspecified stage
  •  L89.13 Pressure ulcer of right lower back
    •  L89.130 …… unstageable
    •  L89.131 …… stage 1
    •  L89.132 …… stage 2
    •  L89.133 …… stage 3
    •  L89.134 …… stage 4
    •  L89.136 Pressure-induced deep tissue damage of right lower back
    •  L89.139 …… unspecified stage
  •  L89.14 Pressure ulcer of left lower back
    •  L89.140 …… unstageable
    •  L89.141 …… stage 1
    •  L89.142 …… stage 2
    •  L89.143 …… stage 3
    •  L89.144 …… stage 4
    •  L89.146 Pressure-induced deep tissue damage of left lower back
    •  L89.149 …… unspecified stage
  •  L89.15 Pressure ulcer of sacral region
    •  L89.150 …… unstageable
    •  L89.151 …… stage 1
    •  L89.152 …… stage 2
    •  L89.153 …… stage 3
    •  L89.154 …… stage 4
    •  L89.156 Pressure-induced deep tissue damage of sacral region
    •  L89.159 …… unspecified stage
•  L89.2 Pressure ulcer of hip
  •  L89.20 Pressure ulcer of unspecified hip
    •  L89.200 …… unstageable
    •  L89.201 …… stage 1
    •  L89.202 …… stage 2
    •  L89.203 …… stage 3
    •  L89.204 …… stage 4
    •  L89.206 Pressure-induced deep tissue damage of unspecified hip
    •  L89.209 …… unspecified stage
  •  L89.21 Pressure ulcer of right hip
    •  L89.210 …… unstageable
    •  L89.211 …… stage 1
    •  L89.212 …… stage 2
    •  L89.213 …… stage 3
    •  L89.214 …… stage 4
    •  L89.216 Pressure-induced deep tissue damage of right hip
    •  L89.219 …… unspecified stage
  •  L89.22 Pressure ulcer of left hip
    •  L89.220 …… unstageable
    •  L89.221 …… stage 1
    •  L89.222 …… stage 2
    •  L89.223 …… stage 3
    •  L89.224 …… stage 4
    •  L89.226 Pressure-induced deep tissue damage of left hip
    •  L89.229 …… unspecified stage
•  L89.3 Pressure ulcer of buttock
  •  L89.30 Pressure ulcer of unspecified buttock
    •  L89.300 …… unstageable
    •  L89.301 …… stage 1
    •  L89.302 …… stage 2
    •  L89.303 …… stage 3
    •  L89.304 …… stage 4
    •  L89.306 Pressure-induced deep tissue damage of unspecified buttock
    •  L89.309 …… unspecified stage
  •  L89.31 Pressure ulcer of right buttock
    •  L89.310 …… unstageable
    •  L89.311 …… stage 1
    •  L89.312 …… stage 2
    •  L89.313 …… stage 3
    •  L89.314 …… stage 4
    •  L89.316 Pressure-induced deep tissue damage of right buttock
    •  L89.319 …… unspecified stage
  •  L89.32 Pressure ulcer of left buttock
    •  L89.320 …… unstageable
    •  L89.321 …… stage 1
    •  L89.322 …… stage 2
    •  L89.323 …… stage 3
    •  L89.324 …… stage 4
    •  L89.326 Pressure-induced deep tissue damage of left buttock
    •  L89.329 …… unspecified stage
•  L89.4 Pressure ulcer of contiguous site of back buttock and hip
  •  L89.40 …… unspecified stage
  •  L89.41 …… stage 1
  •  L89.42 …… stage 2
  •  L89.43 …… stage 3
  •  L89.44 …… stage 4
  •  L89.45 …… unstageable
  •  L89.46 Pressure-induced deep tissue damage of contiguous site of back, buttock and hip
•  L89.5 Pressure ulcer of ankle
  •  L89.50 Pressure ulcer of unspecified ankle
    •  L89.500 …… unstageable
    •  L89.501 …… stage 1
    •  L89.502 …… stage 2
    •  L89.503 …… stage 3
    •  L89.504 …… stage 4
    •  L89.506 Pressure-induced deep tissue damage of unspecified ankle
    •  L89.509 …… unspecified stage
  •  L89.51 Pressure ulcer of right ankle
    •  L89.510 …… unstageable
    •  L89.511 …… stage 1
    •  L89.512 …… stage 2
    •  L89.513 …… stage 3
    •  L89.514 …… stage 4
    •  L89.516 Pressure-induced deep tissue damage of right ankle
    •  L89.519 …… unspecified stage
  •  L89.52 Pressure ulcer of left ankle
    •  L89.520 …… unstageable
    •  L89.521 …… stage 1
    •  L89.522 …… stage 2
    •  L89.523 …… stage 3
    •  L89.524 …… stage 4
    •  L89.526 Pressure-induced deep tissue damage of left ankle
    •  L89.529 …… unspecified stage
•  L89.6 Pressure ulcer of heel
  •  L89.60 Pressure ulcer of unspecified heel
    •  L89.600 …… unstageable
    •  L89.601 …… stage 1
    •  L89.602 …… stage 2
    •  L89.603 …… stage 3
    •  L89.604 …… stage 4
    •  L89.606 Pressure-induced deep tissue damage of unspecified heel
    •  L89.609 …… unspecified stage
  •  L89.61 Pressure ulcer of right heel
    •  L89.610 …… unstageable
    •  L89.611 …… stage 1
    •  L89.612 …… stage 2
    •  L89.613 …… stage 3
    •  L89.614 …… stage 4
    •  L89.616 Pressure-induced deep tissue damage of right heel
    •  L89.619 …… unspecified stage
  •  L89.62 Pressure ulcer of left heel
    •  L89.620 …… unstageable
    •  L89.621 …… stage 1
    •  L89.622 …… stage 2
    •  L89.623 …… stage 3
    •  L89.624 …… stage 4
    •  L89.626 Pressure-induced deep tissue damage of left heel
    •  L89.629 …… unspecified stage
•  L89.8 Pressure ulcer of other site
  •  L89.81 Pressure ulcer of head
    •  L89.810 …… unstageable
    •  L89.811 …… stage 1
    •  L89.812 …… stage 2
    •  L89.813 …… stage 3
    •  L89.814 …… stage 4
    •  L89.816 Pressure-induced deep tissue damage of head
    •  L89.819 …… unspecified stage
  •  L89.89 Pressure ulcer of other site
    •  L89.890 …… unstageable
    •  L89.891 …… stage 1
    •  L89.892 …… stage 2
    •  L89.893 …… stage 3
    •  L89.894 …… stage 4
    •  L89.896 Pressure-induced deep tissue damage of other site
    •  L89.899 …… unspecified stage
•  L89.9 Pressure ulcer of unspecified site
  •  L89.90 …… unspecified stage
  •  L89.91 …… stage 1
  •  L89.92 …… stage 2
  •  L89.93 …… stage 3
  •  L89.94 …… stage 4
  •  L89.95 …… unstageable
  •  L89.96 Pressure-induced deep tissue damage of unspecified site