Pressure ulcer of right elbow, stage 2

This code signifies a partial-thickness skin loss involving the epidermis and/or dermis on the right elbow, presenting as a shallow open ulcer with a red-pink wound bed, without slough. It may also manifest as an intact or ruptured serum-filled blister. This stage indicates damage to the superficial layers of the skin due to sustained pressure.

Apply this code when documentation clearly indicates a pressure ulcer on the patient's right elbow that meets the criteria for a Stage 2 classification. This typically involves a visible break in the skin or a blister formation at the specified anatomical site. Supporting documentation should include the location, stage, and a description of the wound characteristics.

• Always confirm the specific anatomical site (right elbow) and the stage (Stage 2) from the physician's documentation.
• Differentiate from unstageable pressure ulcers (e.g., if covered by slough or eschar) or deep tissue injury.
• Code any associated infections or complications separately.