L89.214
BillablePressure ulcer of right hip, stage 4
HCC Category Mapping
V28HCC 379 — Pressure Ulcer of Skin with Full Thickness Skin Loss
0.662V24HCC 157 — Pressure Ulcer of Skin with Necrosis Through to Muscle, Tendon, or Bone
1.071ESRDHCC 157 — Pressure Ulcer of Skin with Necrosis Through to Muscle, Tendon, or Bone
0.000What This Code Means
A stage 4 pressure ulcer on the right hip with full-thickness tissue loss extending through skin, subcutaneous tissue, and into muscle, bone, or supporting structures.
Coding Tips
- •Stage 4 is the most severe; document exposure of bone, tendon, cartilage, or muscle in clinical notes
- •This stage often requires surgical intervention; coordinate coding with procedure codes for wound care or debridement
Clinical Significance
Stage 4 pressure ulcers of the right hip represent the most severe wound classification with exposed bone, tendon, or muscle. The greater trochanter is a particularly vulnerable site where stage 4 wounds can involve the hip joint capsule or femoral head. These carry extreme morbidity risk including osteomyelitis of the femur and septic arthritis, often requiring surgical intervention such as myocutaneous flap procedures.
Documentation Requirements
- ✓Anatomical location specified as right hip
- ✓Stage explicitly documented as stage 4
- ✓Specific exposed structures (bone, muscle, tendon, joint capsule)
- ✓Complete wound measurements
- ✓Undermining and tunneling documentation
- ✓Imaging results for osteomyelitis evaluation
- ✓Wound and bone cultures if applicable
- ✓Nutritional labs
- ✓Surgical consultation
- ✓Comprehensive wound management plan
Commonly Confused Codes
Code Hierarchy
└L89Pressure ulcer└L89.2Pressure ulcer of hip└L89.21Pressure ulcer of right hip└L89.214Pressure ulcer of right hip, stage 4
└L89.214Pressure ulcer of right hip, stage 4