Pressure ulcer of unspecified hip, stage 4

This code signifies a severe pressure injury located on an unspecified hip, characterized by full-thickness tissue loss with exposed bone, tendon, or muscle. It indicates extensive destruction, tissue necrosis, and often includes undermining and tunneling. This stage represents a critical and advanced wound requiring intensive medical intervention.

Apply this code when documentation clearly specifies a Stage 4 pressure ulcer on either the right or left hip, but the specific side is not identified. This typically occurs in patients with limited mobility, chronic conditions, or those requiring prolonged bed rest. Documentation must explicitly state "Stage 4" and "hip" with no laterality specified.

• Ensure the documentation explicitly states "Stage 4" and "hip" without specifying right or left.
• Do not use this code if the laterality (right or left hip) is documented; instead, select the more specific code.
• Always sequence this code after any underlying condition causing the pressure ulcer (e.g., immobility, neurological conditions).