Pressure ulcer of right ankle, stage 2

This code signifies a pressure-induced localized injury to the skin and/or underlying tissue, specifically located on the right ankle, where there is partial-thickness loss of dermis presenting as a shallow open ulcer with a red-pink wound bed, without slough. It may also present as an intact or ruptured serum-filled blister.

Apply this code when documentation clearly indicates a pressure ulcer on the patient's right ankle that has progressed to Stage 2. This stage is characterized by superficial skin breakdown, often resembling an abrasion, blister, or shallow crater. Supporting documentation should specify the anatomical location and the stage of the pressure ulcer.

• Ensure the documentation explicitly states "right ankle" and "stage 2" for accurate code assignment.
• Do not use this code if the ulcer involves full-thickness skin loss or exposed subcutaneous tissue, muscle, or bone.
• Always sequence this code after any underlying condition or cause of the pressure ulcer, if applicable.