Pressure ulcer of right upper back, stage 1

This code signifies the earliest stage of a pressure injury located on the patient's right upper back. It presents as non-blanchable erythema of intact skin, indicating a localized area of persistent redness that does not turn white when pressed. The skin is unbroken, but the underlying tissue is damaged.

Apply this code when documentation clearly states a Stage 1 pressure ulcer on the right upper back. This typically involves a physical assessment noting persistent redness over a bony prominence in this area, with no skin breakdown. Use when the physician or qualified healthcare professional explicitly diagnoses a Stage 1 pressure injury.

• Ensure the documentation specifies "right upper back" and "Stage 1."
• Do not use for suspected deep tissue injury (SDTI) or unstageable pressure ulcers.
• Always sequence this code after any underlying condition contributing to the pressure ulcer, if applicable.