Non-prs chr ulc of unsp hand with bone invl w/o evd of necr

This code signifies a persistent ulceration on an unspecified hand that is not caused by pressure. The ulcer has progressed to involve the underlying bone but does not show signs of tissue death. It indicates a deep, non-healing wound affecting the skeletal structure of the hand.

Apply this code when documentation clearly states a chronic, non-pressure ulcer on the hand with confirmed bone involvement, and explicitly notes the absence of necrosis. This is typically seen in patients with underlying conditions like diabetes, peripheral vascular disease, or neuropathies, where the ulcer has eroded through soft tissue to the bone.

• Ensure documentation specifies "non-pressure" and "bone involvement" without "necrosis."
• Do not use if the ulcer is due to pressure or if necrosis is present; different codes apply.
• Always sequence this code after any underlying systemic disease contributing to the ulcer formation (e.g., diabetes mellitus).