Pressure ulcer of right heel, stage 3

This code represents a deep pressure injury located on the right heel, characterized by full-thickness skin loss involving damage or necrosis of subcutaneous tissue. Bone, tendon, or muscle are not yet exposed, but deep crater formation may be present.

Use this code when documentation clearly indicates a pressure ulcer on the patient's right heel has progressed to Stage 3. This typically involves visible subcutaneous fat, but not exposed bone, tendon, or muscle. Documentation should specify the location (right heel) and the stage (Stage 3).

• Always confirm the specific anatomical site (right heel) and the confirmed stage (Stage 3) from the provider's documentation.
• Differentiate from Stage 2 (partial-thickness skin loss) and Stage 4 (exposed bone/tendon/muscle).
• Code any associated complications, such as infection, separately.