Pressure ulcer of left heel, stage 3

This code signifies a full-thickness skin and tissue loss on the left heel, where subcutaneous fat may be visible, but bone, tendon, or muscle are not exposed. It typically involves damage to the epidermis, dermis, and subcutaneous layers, often presenting with slough or eschar.

Apply this code when documentation clearly indicates a pressure ulcer located on the patient's left heel that has progressed to stage 3. Supporting documentation should detail the wound characteristics consistent with stage 3, such as visible subcutaneous fat and the absence of exposed deeper structures.

• Ensure the documentation specifies "left heel" and "stage 3" to accurately assign this code.
• Do not use this code if bone, tendon, or muscle are exposed; consider stage 4 codes instead.
• Always sequence this code after any underlying condition that contributed to the pressure ulcer development.