Pressure ulcer of unspecified hip, unspecified stage

This code signifies a pressure injury located on an unspecified hip, where the specific stage of the ulceration has not been documented by the provider. It indicates tissue damage resulting from prolonged pressure, friction, or shear forces, without further detail regarding the depth of the injury.

Utilize this code when the medical record clearly identifies a pressure ulcer on either the left or right hip, but the physician documentation lacks information regarding the stage (e.g., Stage 1, Stage 2, Deep Tissue Injury). This code is appropriate when the hip location is specified, but the laterality is not, and the stage is unknown.

• Avoid using this code if any stage (1-4, unstageable, DTI) is documented; instead, select the appropriate stage-specific code.
• Ensure documentation specifies "hip" as the anatomical site; do not use for other lower extremity pressure ulcers.
• Query the provider for clarification on laterality (left/right) and stage if possible, to allow for more specific coding.