Pressure-induced deep tissue damage of left buttock

This code signifies a severe form of pressure injury affecting the left buttock, characterized by damage to the underlying soft tissue (muscle, fat) that is not visible on the skin surface. It indicates a suspected deep tissue injury (sDTI) where the skin may be intact but discolored (purple or maroon), or a blood-filled blister may be present, revealing damage to deeper tissues.

Apply this code when documentation clearly indicates a pressure injury on the left buttock with suspected or confirmed deep tissue involvement, even if the skin is unbroken. This diagnosis is supported by findings such as persistent non-blanchable deep red, maroon, or purple discoloration, or a blood-filled blister over the left buttock.

• Always confirm the specific anatomical location (left buttock) and the presence of deep tissue damage.
• Do not use this code for superficial pressure injuries or unstageable pressure injuries where the extent of tissue damage cannot be determined.
• Sequence this code after any underlying medical conditions contributing to the pressure injury, such as immobility or malnutrition.