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L89.312

Billable

Pressure ulcer of right buttock, stage 2

HCC Category Mapping

V28HCC 382Pressure Ulcer of Skin with Partial Thickness Skin Loss
0.000
V24HCC 159Pressure Ulcer of Skin with Partial Thickness Skin Loss
0.000
ESRDHCC 159Pressure Ulcer of Skin with Partial Thickness Skin Loss
0.000

What This Code Means

A moderate pressure ulcer on the right buttock involving partial-thickness skin loss, appearing as an open blister or shallow crater.

Coding Tips

  • Stage 2 involves loss of epidermis and/or dermis; document whether the wound bed is pink/red and moist
  • Distinguish from stage 1 by confirming partial-thickness loss rather than just skin discoloration

Clinical Significance

Stage 2 pressure ulcers of the right buttock represent partial-thickness skin loss at a primary weight-bearing surface. The right buttock is susceptible to pressure in patients with asymmetric sitting posture or those who favor one side. Early treatment at this stage is crucial to prevent progression, particularly in wheelchair-dependent populations.

Documentation Requirements

  • Anatomical location specified as right buttock
  • Stage explicitly documented as stage 2
  • Wound appearance (blister, abrasion, shallow wound)
  • Wound measurements
  • Surrounding skin condition
  • Seating and positioning assessment
  • Prevention and treatment interventions

Commonly Confused Codes

Code Hierarchy

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