Pressure ulcer of right buttock, 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 identifies a pressure injury located on the right gluteal region.

Apply this code when documentation clearly indicates a stage 2 pressure ulcer affecting the patient's right buttock. This typically involves a visible open sore or blister, often caused by sustained pressure.

• Ensure the documentation specifies "right buttock" and "stage 2" to support this exact code.
• Do not use for unstageable pressure ulcers or deep tissue injuries; these have distinct codes.
• Code any associated infections or complications separately.