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Pressure ulcer of contiguous site of back, buttock and hip, stage 4

ICD10CM code

Name of the Condition

  • Pressure Ulcer of Contiguous Site of Back, Buttock, and Hip, Stage 4
  • Also known as advanced bedsore or decubitus ulcer.

Summary

  • This condition is a severe form of skin breakdown where extended pressure on the skin and underlying tissues leads to significant damage, often exposing muscle and bone.

Causes

  • The primary cause is prolonged pressure on the skin, often due to immobility. It compromises blood flow and leads to tissue necrosis.
  • Friction, shear, and moisture may exacerbate the situation.

Risk Factors

  • Physical immobility, such as being bedridden or wheelchair-bound.
  • Advanced age, poor nutrition, and dehydration.
  • Medical conditions affecting blood flow, like diabetes and vascular disease.
  • Incontinence leading to prolonged skin moisture.

Symptoms

  • Deep open wound with exposed tissue or bone.
  • Infection signs like odor, pus, and redness or warmth around the ulcer.
  • Pain or tenderness in the affected area.

Diagnosis

  • Primarily through a comprehensive physical examination.
  • Assessment of the wound's location, size, depth, and any signs of infection.

Treatment Options

  • Debridement: Removal of dead tissue to promote healing.
  • Wound Care: Use of dressings and pressure-relieving devices.
  • Antibiotics: To treat or prevent infection.
  • Surgery: Skin grafts or flap surgery for significant tissue damage.
  • Nutritional support to enhance recovery.

Prognosis and Follow-Up

  • Varies based on overall health, timely treatment, and adherence to care plan.
  • Regular follow-ups are crucial to monitor healing, manage infection, and adjust treatment.

Complications

  • Increased risk of infection like cellulitis or sepsis.
  • Prolonged healing time or permanent tissue damage if untreated.
  • Negative impact on quality of life and increased hospitalizations.

Lifestyle & Prevention

  • Frequent repositioning to alleviate pressure.
  • Use of support surfaces like specialized mattresses and cushions.
  • Maintain optimal nutrition and hydration.

When to Seek Professional Help

  • Immediate attention if new ulcers develop or current ulcers worsen.
  • Signs of infection in the ulcer such as increased redness, warmth, swelling, pain, or discharge.

Additional Resources

Tips for Medical Coders

  • Ensure accurate documentation of the ulcer's location and stage for precise coding.
  • Avoid misclassifying the pressure ulcer stage by confirming with clinical notes.
  • Double-check for any related conditions or complications that may also require coding.

Medical Policies and Guidelines for Pressure ulcer of contiguous site of back, buttock and hip, stage 4

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