AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2019 Quarter 4; New/Revised ICD-10-CM Codes
Pressure-Induced Deep Tissue Damage
Please clarify the appropriate coding for deep tissue pressure injuries. There seems to be a discrepancy between the Alphabetical Index and the newly revised guidelines that seem to indicate that they should be coded to the new codes in category L89 with sixth digit of 6 rather than to unstageable ulcers. The Alphabetical Index currently says: Injury - deep tissue -see Contusion, by site - - meaning pressure ulcer -see Ulcer, pressure, unstageable, by site ...
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Article Overview
This article covers revised coding guidance for pressure-induced deep tissue damage, including how the topic aligns with updated pressure ulcer staging from the National Pressure Ulcer Advisory Panel. It is intended for coding professionals, CDI staff, and others who need to understand the scope of the ICD-10-CM update, the affected pressure ulcer categories, and the general reason the coding guidance changed.
Why This Topic Matters
The article helps readers recognize a terminology and staging update that affects how pressure-related skin and tissue injuries are categorized in ICD-10-CM. It is relevant for accurate documentation review, coding consistency, and alignment with updated clinical guidance.
Article Sections
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Expanded pressure ulcer categories for deep tissue damage
Summarizes the affected body sites and the related ICD-10-CM pressure ulcer category expansion.
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Alignment with revised pressure ulcer staging
Explains the relationship between the updated coding guidance and revisions from the National Pressure Ulcer Advisory Panel.
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Terminology and coding clarification
Addresses the naming variations used for pressure-induced deep tissue damage and the surrounding indexing and guideline clarification.
What You Will Learn
- How the article frames the updated pressure-injury terminology
- Which general pressure ulcer category changes are discussed
- Why the article says the coding guidance was updated
- How the article presents the relationship between clinical staging and ICD-10-CM coding
Who Should Read This
- Medical coders
- Coding auditors
- Clinical documentation improvement staff
- Healthcare revenue cycle professionals
- Wound care specialists
Codes Discussed
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