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L89.322

Billable

Pressure ulcer of left 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 stage 2 pressure sore on the left buttock involving partial thickness skin loss, appearing as a blister, abrasion, or shallow open wound.

Coding Tips

  • Stage 2 involves partial-thickness skin loss affecting the epidermis and/or dermis; document the appearance (blister, abrasion, or shallow crater)
  • Ensure documentation distinguishes stage 2 from stage 1 (which has intact skin) and stage 3 (which involves deeper tissue)

Clinical Significance

Stage 2 pressure ulcers of the left buttock represent partial-thickness skin loss at a primary weight-bearing surface. These early-stage wounds signal inadequate pressure prevention and require prompt intervention to halt progression. In wheelchair-dependent patients, left buttock ulcers may indicate asymmetric sitting or inadequate cushioning.

Documentation Requirements

  • Anatomical location specified as left buttock
  • Stage explicitly documented as stage 2
  • Wound appearance and clinical presentation
  • Wound measurements
  • Surrounding skin assessment
  • Seating and positioning evaluation
  • Incontinence management if applicable
  • Prevention and treatment plan

Commonly Confused Codes

Code Hierarchy

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