Pressure ulcer of left heel, stage 2

This code describes a partial-thickness skin loss involving the epidermis and/or dermis, presenting as a shallow open ulcer with a red-pink wound bed without slough, or as an intact or ruptured serum-filled blister, located on the left heel. It indicates damage to the skin and underlying tissue due to prolonged pressure, shear, or friction.

Use this code for patients diagnosed with a stage 2 pressure ulcer specifically located on their left heel. Documentation must clearly specify the anatomical site (left heel) and the stage (stage 2) of the pressure ulcer. This code is appropriate when the ulcer presents with the characteristic features of a stage 2 injury.

• Always confirm the specific anatomical site and the documented stage of the pressure ulcer.
• Distinguish from other stages of pressure ulcers (e.g., stage 1, 3, 4, unstageable) which have distinct code assignments.
• Ensure documentation supports the "pressure ulcer" etiology, differentiating from other types of wounds.