Decubitus (pressure) ulcer, Stage II (to fascia, just under skin), of other area

ICD10 Diagnosis
Dx:	Decubitus (pressure) ulcer, Stage II (to fascia, just under skin), of other area
ICD10 code:	L89.1.3
Pre-ICD10 counterpart:	Ulcers - Decubitus only
Charlson/ALERT Scale:	none
APACHE Como Component:	none
APACHE Acute Component:	none
Start Date:
Stop Date:
Data Dependencies(Reports/Indicators/Data Elements):	No results
External ICD10 Documentation	ICD-10 CM Wikipedia ICD-10 Wikipedia WHO ICD10 documentation ICD10data.com

This diagnosis is a part of ICD10 collection.

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  • 2019-01-01
  • 2999-12-31
  • L89.1.3

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Stage 2 Ulcer

• Partial thickness loss of dermis presenting as a shallow open ulcer with a red pink wound bed, without slough.
• involves dermis and epidermis
• May also present as an intact or ruptured serum filled blister

Excludes

• excoriation from skin irritation, shearing or skin tears, unless they progress to a documented Stage II pressure ulcer, this can be difficult to know when this happens, so use best clinical judgment based on documentation.

Other decubitus options for this Stage:

Decubitus Stage 2 codes:

Decubitus (pressure) ulcer, Stage II (to fascia, just under skin), of heel Decubitus (pressure) ulcer, Stage II (to fascia, just under skin), of sacral area

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Decubitus location other area

• Includes any pressure ulcer that is not already captured in our current ICD Codes
  • eg. ear, elbow, hip, lip from ETT etc

Other decubitus options for this area:

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Includes

• pressure ulcers from rectal tubes, ETT/trach, PEG tube, splints combine with Iatrogenic, complication of medical or surgical care NOS

Coding multiple ulcers

• If there are pressure ulcers on DIFFERENT body parts (e.g. left heel, right heel, coccyx) then code them separately

• If there are multiple pressure ulcers close to each other on the same body part (e.g. coccyx area) then only code the one with the highest/worst stage.

Coding Progression of Ulcers

• Progression of Ulcers should be coded following our guidelines for Acquired Diagnosis combine each stage progression with the date and time it was noted in the chart.

Data

Julie will report on the worst stage from Acquired Diagnosis How will that work now with the locations included? How will the report aggregate? And: which report? It should link to the diagnoses using the wiki infrastructure. If you tell me which report(s) I can set that up. Ttenbergen 15:35, 30 June 2025 (CDT)

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Data - Outliers

• see 2024 investigation of 2022 rise in the number of decubitus ulcers

Alternate ICD10s to consider coding instead or in addition

Related CCI Codes

• code Debridement if applicable

Data Integrity Checks (automatic list)

none found

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Psych Addiction Antidepressant related Delirium Dementia Hallucinogen related Opioid related Psychoactive substance NOS related Sedative related Solvent related Stimulant related Withdrawal	Respiratory Asthma Influenza Inhalation Lower respiratory tract infection Pleural abnormalities Pneumoconiosis Pneumonia Pneumothorax Pulmonary embolism Respiratory neoplasm Sleep disorder Tracheostomy Upper respiratory tract infection	Poisoning Acute intoxication Addiction Opioid related Overdose Poisoning by non-pharmaceuticals Stimulant related Withdrawal
Neuro Cerebral Hemorrhage/Stroke Encephalitis Encephalopathy Meningitis Neuro neoplasm Paralysis	Symptom/Sign Pain	Endocrine disorder Adrenal Insufficiency Diabetes Endocrine neoplasm Metabolic/nutrition

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ICD10 Categories: ANCA-associated Vasculitis (AAV), Abdominal trauma, Abortion, Acute intoxication, Addiction, Adrenal Insufficiency, Adverse effect, Alcohol related, Allergy, Anemia, Anesthetic related, Aneurysm, Antibiotic resistance, Antidepressant related, Aortic Aneurysm, Arrhythmia, Arterial thromboembolism, Asthma, Atherosclerosis, Awaiting/delayed transfer, Bacteria, Benign neoplasm, Breast disease, Burn, COVID, Cannabis related, Cardiac septum problem, Cardiovascular, Cerebral Hemorrhage/Stroke, Chemical burn, Chronic kidney disease, Cirrhosis, Cocaine related, Decubitus Deep Tissue Damage, Decubitus Stage 1, Decubitus Stage 2, Decubitus Stage 3, Decubitus Stage 4, Decubitus Stage not indicated, Decubitus heel, Decubitus other area, Decubitus sacral area, Decubitus ulcer, Delirium, Dementia, Diabetes, Diagnosis implying death, Double duty pathogen, ENT, Electrolyte disturbance, Encephalitis, Encephalopathy, Endocrine disorder, Endocrine neoplasm, Exposure, Eye, Female genital neoplasm, Fistula, Fracture, Fungus, GI ulcer, Gastroenteritis, Gastrointestinal, Gastrointestinal neoplasm, Hallucinogen related, Has one, Head trauma, Head trauma (old), Healthcare contact, Heart valve disease, Heme/immunology, Heme/immunology neoplasm, Hemophilia, Hemorrhage, Hepatitis, Hereditary/congenital, Hernia, Hypertension, Hypotension, Iatrogenic, Iatrogenic infection, Iatrogenic mechanism, Imaging, Infection requiring pathogen, Infection with implied pathogen, Infectious disease, Inflammatory Bowel Disease, Influenza, Inhalation, Intra-abdominal infection, Ischemia, Ischemic gut, Ischemic heart disease, Joint/ligament trauma, Leukemia, Liver disease, Liver failure, Lower limb trauma, Lower respiratory tract infection, Lymphoma... further results