Decubitus (pressure) ulcer, Stage I (surface reddening)

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ICD10 Diagnosis
Dx: Decubitus (pressure) ulcer, Stage I (surface reddening)
ICD10 code: L89.0
Pre-ICD10 counterpart: Ulcers - Decubitus only
Charlson/ALERT Scale: none
APACHE Como Component: none
APACHE Acute Component: none
Start Date:
Stop Date:
External ICD10 Documentation

This diagnosis is a part of ICD10 collection.

  • SMW
    • 2019-01-01
    • 2999-12-31
    • L89.0
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Additional Info

Pressure Ulcer on Wikipedia

  • Stage 1 - Intact skin with non-blanchable redness of a localized area

Coding multiple ulcers

  • If there are pressure ulcers on DIFFERENT body parts (e.g. left heel, right heel, coccyx) then code them separately -- even though they will not be readily distinguishable as the code doesn't include body location.
  • If there are multiple pressure ulcers close to each other on the same body part (e.g. coccyx area) then only code the one of 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.

If there are multiple pressure ulcers follow the above guidelines -- even though they will not be readily distinguishable as the code doesn't include body location.

  • NOTE: As per our TASK meeting , there was a significant rise in the number of acquired stage 1 and 2 decubitus ulcers at the GGH ICU, beginning Jan 2022.

A sample of charts from the timeframe of concern was audited, and we collaborated with the GGH educator and manager and we were unable to determine a reason for this rise. Going forward, a recommendation will be forwarded to the OIT committee, and education about proper documentation of stages of decubitus ulcers will be reinforced across all sites. This will begin in March 2024. Up until March 2024 the data re. acquired decubitus ulcers is not reliable, as it often required the collector to subjectively interpret documentation on the stage of the decubitus ulcer.

Coding Necrotic Ulcers

  • This code should be used for necrotic decubitus pressure ulcers

Alternate ICD10s to consider coding instead or in addition

Decubitus ulcer codes:


Candidate Combined ICD10 codes

Related CCI Codes

Data Integrity Checks (automatic list)

none found

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