Complete ICD-10-CM coding and documentation guide for icd-10 coding for stage 4 pressure ulcer includes clinical validation requirements, medical necessity guidelines, and coding policies.
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Essential facts and insights about ICD-10 Coding for Stage 4 Pressure Ulcer
Use ICD-10 code L89.624 for pressure ulcer of left heel, stage 4, ensuring proper documentation in clinical notes.
Additional codes that may be used with this diagnosis
Osteomyelitis of sacrum
Use when osteomyelitis is present in conjunction with a stage 4 ulcer.
The ICD-10 code for a stage 4 pressure ulcer on the left heel is L89.624, indicating full thickness tissue loss with exposed bone, tendon, or muscle.
Document a stage 4 pressure ulcer by noting the location, size, and depth of the ulcer, as well as any exposed bone, tendon, or muscle.