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Home/Diagnosis/ICD-10 Coding for Buttocks Wound

ICD-10 Coding for Buttocks Wound

L89.313
S31.83XA
T81.31XA

Complete ICD-10-CM coding and documentation guide for icd-10 coding for buttocks wound includes clinical validation requirements, medical necessity guidelines, and coding policies.

Also Known as:
Gluteal Wound
Buttock Ulcer
Buttock Pressure Injury
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Key Information: ICD-10 Coding for Buttocks Wound

Essential facts and insights about ICD-10 Coding for Buttocks Wound

Use ICD-10 code L89.313 for pressure ulcer of right buttock, stage 3, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Pressure ulcer of right buttock, stage 3

Billable Code
L89.313
Billable

Diagnostic Criteria

clinical:
  • • Presence of full-thickness skin loss with visible fat
documentation:
  • • Detailed wound assessment including size, depth, and tissue type

Applicable To

  • • Stage 3 pressure ulcer of right buttock

Important Notes

  • • Ensure accurate documentation of ulcer stage and underlying conditions.

Puncture wound without foreign body of buttock, initial encounter

Non-Billable
S31.83XA
Non-Billable

Diagnostic Criteria

clinical:
  • • Documented mechanism of injury (e.g., fall onto sharp object)
  • • Absence of foreign body

Applicable To

  • • Traumatic puncture wound of buttock

Important Notes

  • • Ensure documentation includes the mechanism of injury and foreign body status.

Disruption of external operation (surgical) wound, not elsewhere classified, initial encounter

Billable Code
T81.31XA
Billable

Diagnostic Criteria

clinical:
  • • Visible separation of surgical wound edges
documentation:
  • • Documentation of surgical history

Applicable To

  • • Dehiscence of surgical wound on buttock

Important Notes

  • • Ensure surgical history and wound status are clearly documented.
Ancillary Codes

Additional codes that may be used with this diagnosis

Z48.0

Encounter for attention to dressings, sutures, and drains

Use for follow-up visits focused on wound care management.

Frequently Asked Questions

What is the ICD-10 code for a buttocks wound?

The ICD-10 code for a buttocks wound varies by type: L89.313 for a stage 3 pressure ulcer, S31.83XA for a traumatic puncture wound, and T81.31XA for a dehisced surgical wound.

How do you document a buttocks pressure ulcer?

Document the ulcer's location, size, stage, tissue type, and any underlying conditions like diabetes. Include detailed wound assessment and patient mobility status.

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