Pressure ulcer of right ankle, unspecified stage

This code identifies a pressure injury located on the right ankle, where the specific stage of tissue damage (e.g., Stage 1, Stage 2, deep tissue injury) has not been documented by the provider. It indicates a localized area of skin and/or underlying tissue damage resulting from sustained pressure.

Apply this code when documentation clearly specifies a pressure ulcer on the right ankle but lacks information regarding the ulcer's stage. This is appropriate when the provider has diagnosed a pressure ulcer at this site but has not yet assessed or recorded the depth of tissue involvement.

• Avoid using this code if any stage (e.g., Stage 1, Stage 2, unstageable) is documented; instead, select the specific stage code.
• Always query the provider for clarification on the ulcer stage to ensure the most specific code can be assigned.
• This code should be followed by codes for any associated complications, such as infection.