Question

This 85-year-old patient, who is a resident at the skilled nursing facility, was admitted with a severe decubitus ulcer on the right buttock, stage 2, and a small chronic ulcer on the left heel limited to the skin area. Patient also has Alzheimer’s disease. The treatment was an excisional debridement of the skin of the heel and an open excisional debridement into the gluteus maximus muscle of the buttock. What is the code assignment?

ICD-10-CM Codes with POA Indicator and MS-DRG:

ICD-10-PCS Codes:

Answer 1

Answer

According to

ICD-10-CM code(s):

The Decubitus ulcer in right buttock stage2-L89.312

(L89. 31 indicates decubitus ulcer in right buttock and to indicate stage 2 - L89. 312 is used).

Small chronic ulcer on left heel limited to skin -L97.429

(L97. 409 is used to indicate chronic ulcer in heel and to mention left heel -L97. 429 is used).

Alzheimer's disease - G30. 9(It is unspecified type)

ICD- 10 -PCS code(s):

Excisional debribement on left heel- 0HBNXZX

Open excisional debridement in right gluteus maximus - 0JB90ZZ.