L89.512
BillablePressure ulcer of right ankle, stage 2
HCC Category Mapping
V28HCC 382 — Pressure Ulcer of Skin with Partial Thickness Skin Loss
0.000V24HCC 159 — Pressure Ulcer of Skin with Partial Thickness Skin Loss
0.000ESRDHCC 159 — Pressure Ulcer of Skin with Partial Thickness Skin Loss
0.000What 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
└L89Pressure ulcer└L89.5Pressure ulcer of ankle└L89.51Pressure ulcer of right ankle└L89.512Pressure ulcer of right ankle, stage 2
└L89.512Pressure ulcer of right ankle, stage 2