Pressure ulcer of left hip, stage 2

This code signifies a pressure injury located on the left hip, characterized by partial-thickness skin loss involving the epidermis and/or dermis. It typically presents as a shallow open ulcer with a red-pink wound bed, without slough, or as an intact or ruptured serum-filled blister.

Apply this code when documentation clearly indicates a stage 2 pressure ulcer specifically affecting the patient's left hip. Supporting documentation should detail the location, the stage of the ulcer, and the characteristic partial-thickness skin loss. This code is appropriate for both initial encounters and subsequent care for this specific wound.

• Always verify the specific anatomical site (left hip) and the confirmed stage (stage 2) from the physician's documentation.
• Differentiate from unstageable pressure ulcers or deep tissue pressure injuries, which have distinct ICD-10-CM codes.
• Ensure proper sequencing; if the pressure ulcer is a complication of another condition, the underlying condition may be coded first.