Pressure ulcer of unspecified hip, stage 2

This code signifies a partial-thickness skin loss involving the epidermis and/or dermis, presenting as a shallow open ulcer with a red-pink wound bed without slough. It specifically refers to a pressure injury located on an unspecified hip, where the laterality (left or right) is not documented. The ulcer may also appear as an intact or ruptured serum-filled blister.

Use this code when documentation clearly indicates a stage 2 pressure ulcer on the hip, but the specific side (left or right) is not specified. This applies to scenarios where the physician's notes describe the characteristic partial-thickness skin loss and blister formation associated with a stage 2 injury. Ensure the documentation explicitly identifies the hip as the anatomical site.

• Do not use this code if the laterality of the hip is documented; instead, select the appropriate code for left (L89.212) or right (L89.222) hip.
• This code should be sequenced after any underlying condition contributing to the pressure ulcer, such as immobility or malnutrition.
• Ensure the documentation differentiates a stage 2 pressure ulcer from other skin conditions like excoriation or skin tears.