Pressure ulcer of left buttock, stage 1

This code signifies an intact area of non-blanchable erythema on the left gluteal region, indicating the earliest stage of tissue damage due to sustained pressure. The skin is unbroken, but the underlying tissue is compromised.

Apply this code when documentation specifies a pressure ulcer located on the left buttock, characterized by non-blanchable redness, warmth, or hardness, without skin breakdown. Supporting documentation should clearly identify the location and stage as "stage 1" or equivalent clinical findings.

• Ensure the documentation explicitly states "left buttock" and "stage 1" for accurate coding.
• Do not use this code if there is any skin loss, as that would indicate a higher stage pressure ulcer.
• Always sequence this code after any underlying condition contributing to the pressure ulcer, such as immobility or neurological deficits.