AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2016 Issue 3; Ask the Editor

Pressure Injury

Please advise how to code pressure injury in ICD-10-CM. There is no entry in the alphabetic index for pressure injury. In April 2016, the National Pressure Ulcer Advisory Panel (NPUAP) announced a change in terminology from “pressure ulcer” to “pressure injury” and also updated the stages of pressure injury. The change in terminology more accurately describes pressure injuries to both intact and ulcerated skin. In the previous staging system Stage 1 and Deep Tissue Injury described injured intact skin, while the other stages described open ulcers. This led to confusion because the definitions for each of the stages referred to the injuries as “pressure ulcers.” In light of the NPUAP redefining pressure ulcers as pressure injury, can coders assume that a documented “staged pressure injury” is assigned to the corresponding decubitus/pressure ulcer codes? Will new index entries be created for “pressure injury” with the new code update?  ...

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