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L89.512

Billable

Pressure ulcer of right ankle, 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 right ankle involving partial thickness skin loss, appearing as a blister, abrasion, or shallow open wound.

Coding Tips

  • Stage 2 involves the epidermis and/or dermis but does not extend to subcutaneous tissue
  • Document whether the ulcer is intact or ruptured, as this affects treatment and prognosis

Clinical Significance

Stage 2 pressure ulcers of the right ankle represent partial-thickness skin loss at a bony prominence with minimal soft tissue protection. The right ankle is susceptible to pressure from bed frames, footboards, casts, and splints. Early detection and intervention are critical because the thin tissue at the malleolus means rapid progression to deeper stages is a significant risk.

Documentation Requirements

  • Anatomical location specified as right ankle
  • Stage explicitly documented as stage 2
  • Wound appearance (blister, abrasion, shallow wound)
  • Wound measurements
  • Contributing pressure source identified (device, bed frame, positioning)
  • Surrounding skin condition
  • Offloading and prevention measures
  • Treatment plan

Commonly Confused Codes

Code Hierarchy

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