Change to coding locations for Decubitus Ulcers

Until 2025-06 we coded Decubitus Ulcer Diagnoses by stage, but not location. This page documents the transition to coding them with some locations included.

Left to do

planning to roll this out as of Jul 1
figure out page structure and template use to populate the new ones (see excel)
retire old dxs/pages

update pages
- Template:ICD10 Guideline Decubitus Ulcer
- Task Team Meeting - Rolling Agenda and Minutes 2025

add codes to CCMDB.accdb
update coding decubitus ulcers

Wiki pages made

Codes that were added
Decubitus (pressure) ulcer, Stage I (surface reddening), of sacral area (L89.0.1) Decubitus (pressure) ulcer, Stage I (surface reddening), of heel (L89.0.2) Decubitus (pressure) ulcer, Stage I (surface reddening), of other area (L89.0.3) Decubitus (pressure) ulcer, Stage II (to fascia, just under skin), of sacral area (L89.1.1) Decubitus (pressure) ulcer, Stage II (to fascia, just under skin), of heel (L89.1.2) Decubitus (pressure) ulcer, Stage II (to fascia, just under skin), of other area (L89.1.3) Decubitus (pressure) ulcer, Stage III (deep, to but not including muscle), of sacral area (L89.2.1) Decubitus (pressure) ulcer, Stage III (deep, to but not including muscle), of heel (L89.2.2) Decubitus (pressure) ulcer, Stage III (deep, to but not including muscle), of other area (L89.2.3) Decubitus (pressure) ulcer, Stage IV (involves bone), of sacral area (L89.3.1) Decubitus (pressure) ulcer, Stage IV (involves bone), of heel (L89.3.2) Decubitus (pressure) ulcer, Stage IV (involves bone), of other area (L89.3.3) Pressure-induced deep tissue damage, of sacral area (L89.6.1) Pressure-induced deep tissue damage, of heel (L89.6.2) Pressure-induced deep tissue damage, of other area (L89.6.3) Decubitus (pressure) ulcer, stage not indicated, of sacral area (L89.9.1) Decubitus (pressure) ulcer, stage not indicated, of heel (L89.9.2) Decubitus (pressure) ulcer, stage not indicated, of other area (L89.9.3)

Templates that were created
Template:Decubitus Deep Tissue Damage Details Template:Decubitus Stage 1 Details eg as per Decubitus (pressure) ulcer, Stage I (surface reddening) Template:Decubitus Stage 2 Details eg as per Decubitus (pressure) ulcer, Stage II (to fascia, just under skin) Template:Decubitus Stage 3 Details eg as per Decubitus (pressure) ulcer, Stage III (deep, to but not including muscle) Template:Decubitus Stage 4 Details eg as per Decubitus (pressure) ulcer, Stage IV (involves muscle, tendon, or bone) Template:Decubitus Stage not indicated Details eg as per Decubitus (pressure) ulcer, stage not indicated Template:Decubitus location sacral area Template:Decubitus location heel Template:Decubitus location other area

Wiki pages retired

Codes that were retired
Decubitus (pressure) ulcer, Stage I (surface reddening) (L89.0) Decubitus (pressure) ulcer, Stage II (to fascia, just under skin) (L89.1) Decubitus (pressure) ulcer, Stage III (deep, to but not including muscle) (L89.2) Decubitus (pressure) ulcer, Stage IV (involves muscle, tendon, or bone) (L89.3) Decubitus (pressure) ulcer, stage not indicated (L89.9)

Log

2025-06-25
- added pages
  - Change to coding locations for Decubitus Ulcers - this page describing the change process
  - 2024 investigation of 2022 rise in the number of decubitus ulcers to contain some content that seemed like excess detail in Template:ICD10 Guideline Decubitus Ulcer
  - Template:Decubitus Deep Tissue Damage Details to contain the description provided at ICU Database Task Group Meeting – May 14, 2025 | Task 2025-05-14

ICU Database Task Group Meeting – May 14, 2025 | Task 2025-05-14 - decided to
- implement coding body location (sacral, heel or other) of ulcer by adding a digit to our existing coded
- add a new code for L89.6 for "Pressure-induced deep tissue damage"
2024-12-04 Task Pt 4 - request to add locations on body of ulcers as part of testing an intervention
2024-03-20 Task Pt 1 - The 2024 investigation of 2022 rise in the number of decubitus ulcers raised the idea to include location in coding of decubitus ulcers

Change to coding locations for Decubitus Ulcers

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Change to coding locations for Decubitus Ulcers

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