Pressure ulcer with full thickness skin loss involving damage or necrosis. Stage 4. Buttock laceration; Laceration of buttock; Stab wound of buttock; ICD-10-CM S31. Hello coding friends, My issue is with the location of the pressure ulcer. L89. 1 The latter name, although. After evaluating a zinc oxide-based hydrophilic paste on intergluteal cleft lesions the institiution's value analysis team added the hydrophilic paste to the wound care formulary. The gluteal fold is formed by the fibrous attachment of the gluteal skin to the deep fascia, while the lower border of the gluteus. Remove the right-side release film and gently smooth this side of the dressing into place. 19 . However, surgical reconstruction is indicated for. 500 results found. 54L89. 14 states that the stage of the pressure ulcer may be documented by another healthcare clinician and coded as long as the pressure ulcergluteal cleft5 Sacral pressure ulcer prevention considerations: • Assess patient for pressure ulcer risk. 31) L02. While wounds are caused by an external force, ulcers are the result of some internal issues. L02. 301 - other international versions of ICD-10 L89. The 2024 edition of ICD-10-CM L89. Let me give you an easy run down of how to stage pressure ulcers. 1. The 2024 edition of ICD-10-CM L89. Use. HCC Plus. FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016. 312 is a billable diagnosis code used to specify pressure ulcer of right buttock, stage 2. 418 for Non-pressure chronic ulcer of buttock with other specified severity is a medical classification as listed by WHO under the range - Diseases of the skin and subcutaneous tissue . Surgical debridement and antiseptic dressings were done for ulcer management. This is the American ICD-10-CM version of L89. Synonyms: pressure injury of buttock stage ii. The 2024 edition of ICD-10-CM L89. 324 is a valid billable ICD-10 diagnosis code for Pressure ulcer of left buttock, stage 4 . 150) L89. Stage III and IV sores are harder to treat and may take a long time to heal. When coding for a stage 3 gluteal cleft pressure ulcer, assign L89. It is the deep furrow or groove that lies between the two gluteal regions (commonly known as the buttocks). 411 for Non-pressure chronic ulcer of buttock limited to breakdown of skin is a medical classification as listed by WHO under the range - Diseases of the skin and subcutaneous tissue . What causes pressure ulcers and moisture lesions? Pressure ulcers are caused by two main things: • Pressure – the weight of the body pressing down on the skin. L89. L89. 221 - other international versions of ICD-10 L89. Infections of the skin and subcutaneous tissue. L98. To read the full article, sign in and subscribe to AHA Coding Clinic ® for ICD-10-CM and ICD-10-PCS . Intertriginous dermatitis (ITD), also referred to as intertrigo, is an inflammatory condition that affects opposing skin surfaces and can occur anywhere on the body where two surfaces are in contact. 312 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. 1). Figure 24a. Many pressure ulcers occur in the gluteal region and require prone positioning. Continue Reading. Ulcers in SGD on the cleft of the buttock should be differ-. The 2024 edition of ICD-10-CM L89. This review is part of a suite of Cochrane Reviews investigating the use of dressings in the treatment of pressure ulcers. Includes pictures and ICD-10 codes for these conditions Ulcers in SGD on the cleft of the buttock should be differ-entiated form other several ulcer-developing dermatologic conditions as like herpes simplex, lichen simplex chron-icus, pilonidal sinus etc. hidden1. Request a Demo 14 Day Free Trial Buy Now. The skin is usually intact at the time of initial assessment and may be described as a form of a stage 1 pressure ulcer. L89. The 2024 edition of ICD-10-CM R22. However, not all skin breakdown in. The 2024 edition of ICD-10-CM L98. 82 - other international versions of ICD-10 S31. 3 : L00-L99. The 2024 edition of ICD-10-CM L89. prominence, such as the buttock (sacrum/ischium), heels, hips (trochanter), elbows, ankles. What is the diagnosis code for a Stage 3 gluteal cleft pressure ulcer? Pressure ulcer of unspecified buttock, unspecified stage The 2022 edition of ICD-10-CM L89. 32 may differ. This is the American ICD-10-CM version of L89. varies by anatomical location. Pressure ulcers are serious complications that occur in more than 80% of patients with paralysis or trauma, the old, and plant-living patients. . Differential diagnosis includes stage 2 pressure ulcers, incontinence-associated dermatitis, skin tears, bruising, haematoma, venous engorgement, arterial insufficiency, necrotising fasciitis and terminal skin ulcers. 151 is grouped within Diagnostic Related Group(s) (MS-DRG v 41. If the pressure ulcer is healed completely, a code is not reported for the pressure ulcer. Pus or blood leaking from an opening in the skin. This is the American ICD-10-CM version of L89. 411Non-pressure chronic ulcer of buttock limited to breakdown of skin. Product placement. L02. 302 ICD-10 code L89. Figure 1: Ligaments of the gluteal region. Objectives- Participants will: • Differentiate. 31 became effective on October 1, 2023. 301 may differ. 894 - other international versions of ICD-10 L89. The sacrum is a large concave triangular bone at the base of the spine that is the fusion of sacral vertebrae S1-S5. 322 - other international versions of ICD-10 L89. This challenge was. L89. Nevertheless, accurate classification of these lesions. The 2024 edition of ICD-10-CM L89. Gently pull handling tabs to begin to release dressing from skin. Healing pressure ulcer of other site, stage 4. -) non-pressure chronic ulcer of skin ( L97. L89. 573 Skin graft for skin ulcer or cellulitis with mcc; 574 Skin graft for skin ulcer or cellulitis with cc; 575 Skin graft for skin ulcer or cellulitis without cc/mcc; 592 Skin ulcers with mcc; 593. Get free rules, notes, crosswalks, synonyms, history for ICD-10 code L97. L98. 90 - other international versions of ICD-10 L89. well-recognised risk factor for pressure ulcer development 1. Figure 4: Deep muscles of the gluteal region and posterior thigh, posterior view. Pressure ulcer has tendency to happen the skin area of bony prominence, es- Intertriginous skin, also known as skin folds, are sites in which opposing skin surfaces come into contact while at rest, resulting in chronic skin occlusion. 32 - Furuncle of buttock. ICD-10-CM Code for Pressure ulcer of left buttock, stage 4 L89. Code History. 304 for Pressure ulcer of unspecified buttock, stage 4 is a medical classification as listed by WHO under the range - Diseases. 42 may differ. L89. Healing pressure ulcer of other site, stage 3. But in SGD, ulcers are developed in lower position of gluteal cleft than pressure sore which. Unstageable pressure injuries are widely understood to be full-thickness pressure injuries in which the base is obscured by slough and/or eschar. not visible . Pressure ulcers, also known as pressure sores, bedsores and decubitus ulcers, are localized injuries to the skin and/or underlying tissue that usually occur over a bony prominence as a result of pressure, or pressure in combination with shear and/or friction. One of the most effective ways of preventing pressure ulcers on the buttocks and the rest of the body is making regular, frequent changes to your position. 82 became effective on October 1, 2023. L89. •Surgical debridement of a pressure ulcer does not create a surgical wound. corticosteroids, which can slow the formation of collagen. To view all forums, post or create a new thread, you must be an AAPC Member. In cases, with decubitus gluteal ulcer and enterocollitis with identified Clostridium difficile the main goal is to avoid contact between faecal masses and. 323 may differ. But if it's infected, the skin around the cyst may be swollen and painful. Most anesthesiologists choose to use general endotracheal anesthesia, particularly if the patient is prone, but ulcer closure may be performed under regional or local anesthesia if necessary. The damaging effects of moisture, pressure, friction, and shear on human tissue are well-known among wound care experts. A pressure ulcer is a localized injury to the skin or underlying tissue, usually over a bony prominence, as a result of unrelieved pressure. Worldwide, pressure ulcers (PUs) are regarded as a major unwanted and mostly preventable harm in health care. L89. L89. 221 may differ. Pressure ulcer of left ankle, stage 4. ICD-10-CM Code L89. 312 may differ. The 2024 edition of ICD-10-CM L89. L89. 411 - Non-pressure chronic ulcer of buttock limited to breakdown of skin. L89. Applicable To. The lesions appeared to spare the central crease and were tender. ICD-10-CM Code for Pressure ulcer of unspecified buttock, stage 2 L89. Subscribe to Codify by AAPC and get the code details in a flash. 21 is an approximate match for comparison and. 1). 0):. 303 - other international versions of ICD-10 L89. 221 became effective on October 1, 2023. 311 became effective on October 1, 2023. 412 - Non-pressure chronic ulcer of buttock with fat layer exposed. Non-pressure chronic ulcer of buttock with necrosis of muscle. (A) Incision from the gluteal cleft to popliteal fossa and guillotine distal shank amputation. 323 is a billable diagnosis code used to specify a medical diagnosis of pressure ulcer of left buttock, stage 3. 321 is a billable ICD code used to specify a diagnosis of pressure ulcer of left buttock, stage 1. (B) Sever all knee ligaments. See full list on mayoclinic. 322 became effective on October 1, 2023. L89. The 2024 edition of ICD-10-CM L89. Thepatients withgiantcelltumor, rhabdomyosarcoma, andmetastatic thyroid carcinoma had associated bonedestruction. 323 - Pressure ulcer of left buttock, stage 3 answers are found in the ICD-10-CM powered by Unbound Medicine. For example, “The wound is located in the mid-line at the level of the iliac crests; therefore, it is determined to be a sacral prominence pressure ulcer”. 411 - other international versions of ICD-10 L98. ICD-10-CM Code for Pressure ulcer of contiguous site of back, buttock and hip, stage 2 L89. Verrucous porokeratosis (VP), otherwise known as porokeratosis ptychotropica, was first described in 1995 by Lucker et al. L89. Pressure ulcers, also called decubitus ulcers, bedsores, or pressure sores, range in severity from reddening of the skin to severe, deep craters with exposed muscle. L89. It goes laterally up to a virtual line converging the anterior superior iliac spine to the anterior edge of higher trochanter and Medially goes up to mid-dorsal line and natal cleft. 301 - other international versions of ICD-10 L89. L89. INTRODUCTION — Pressure-induced skin and soft tissue injuries are the result of sustained force on soft tissue typically overlying bony prominences, which leads to hypoxia, ischemia, and eventual necrosis. 0):. 314 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. L89314 Pressure ulcer of right buttock, stage 4 L89320 Pressure ulcer of left buttock, unstageable L89323 Pressure ulcer of left buttock, stage 3 L89324 Pressure ulcer of left buttock, stage 4 L8943 Pressure ulcer of contiguous site of back, buttock and hip, stage 3 L8944 Pressure ulcer of contiguous site of back, buttock and hip, stage 4 L8945. 322. Treatment of a gluteal injury depends upon the type of the trauma. The code is valid during the current fiscal year for the submission of HIPAA-covered transactions from October 01, 2023 through September 30, 2024. It is found in the 2024 version of the ICD-10 Clinical Modification (CM) and can be used in all HIPAA-covered transactions from Oct 01, 2023 - Sep 30, 2024 . Stage I: A reddened, painful area on the skin that does not turn white (blanch) when pressed. The gluteus maximus muscle is a broad, thick, quadrangular muscle that forms the prominence of the buttocks. Pressure ulcer has tendency to happen the skin area of bony prominence, especially in the status of prolonged immobilization. 4. Swelling. The purpose of this compendium is to describe and illustrate conditions that may mimic pressure ulcers/injuries. 412 is a valid billable ICD-10 diagnosis code for Non-pressure chronic ulcer of buttock with fat layer exposed . Each patient's buttocks, coccyx, rectal area, scrotum, labia, lower abdomen, upper thighs, gluteal cleft and groins were inspected and loss of skin. Pressure ulcer of right buttock, stage 3. Pressure ulcer of left buttock, stage 1. 92 may differ. PU development and staging was based on the clinical practice guidelines from the NPUAP (National Pressure Ulcer Advisory Panel) 28. Other terms include pressure injuries, pressure sores, bed sores, or decubitus ulcers. 82 may differ. Grade 2. NO SLOUGH. • Many pressure ulcers can be prevented. Pressure ulcer of unspecified buttock, unstageable. The intergluteal cleft or just gluteal cleft, also known by a number of synonyms, including natal cleft, butt crack, and cluneal cleft, is the groove between the buttocks that runs from just below the sacrum to the perineum, [1] so named because it forms the visible border between the external rounded protrusions of the gluteus maximus muscles. ”ICD-10 code L89. Figure 3. and pressure ulcers, in these patients was 42. Moderate Erythema. This is the American ICD-10-CM version of L89. The 2024 edition of ICD-10-CM L89. Airwithinthebuttock waspres-entinonedecubitus ulcer,oneabscess, andafterintramus-Although the terms decubitus ulcer, pressure sore, and pressure ulcer have often been used interchangeably, the National Pressure Injury Advisory Panel (NPIAP; formerly the National Pressure Ulcer Advisory Panel [NPUAP]) has stated that pressure injury the best term to use, given that open ulceration does not always occur. 317 may differ. Pressure ulcer has tendency to happen the skin area of bony prominence, es-ICD-10 code L89. 412 Non-pressure chronic ulcer of buttock with fat layer exposed Billable; L98. 524 became effective on October 1, 2023. 3. It is found in the 2024 version of the ICD-10 Clinical Modification (CM) and can be used in all HIPAA-covered transactions from Oct 01, 2023 - Sep 30, 2024 . Subscribe to Codify by AAPC and get the code details in a flash. Enzymatic products containing papain are routinely used for the debridement of infected wounds and chronic skin ulcers, and may play a role in the management of. The Dx goes as follows: Two Stage 1 pressure ulcers in gluteal cleft: Two ulcers 0. 300 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. 314 for Pressure ulcer of right buttock, stage 4 is a medical classification as listed by WHO under the range - Diseases of the skin and subcutaneous tissue . 322 - other international versions of ICD-10 L89. L02. For example, the pannus or abdominal skin folds, inner gluteal cleft, and axillae are some common anatomical locations of ITD. This code description may also have Includes, Excludes, Notes, Guidelines, Examples and other information. L89. ICD 10 code for Non-pressure chronic ulcer of left heel and midfoot limited to breakdown of skin. But in SGD, ulcers are developed in lower position of gluteal cleft than pressure sore which happen due to force abrasively folded inward in both buttocks ( Fig. A pressure ulcer is a localized injury to the skin or underlying tissue, usually over a bony prominence, as a result of unrelieved pressure. The superior tip of the intergluteal cleft. In the pressure ulcer, the most important etiologic factor. Recent consensus work has identiied gaps in our current understanding and practice . 604 Trauma to the skin, subcutaneous tissue and breast with mcc; 605 Trauma to the skin, subcutaneous tissue and breast without mcc; 963 Other multiple significant trauma with mcc; 964 Other. The injury starts at the top layer of the skin, and works inward. Prompt and accurate diagnosis is important to determine the best plan of treatment. It is found in the 2023 version of the ICD-10 Clinical Modification (CM) and can be used in all HIPAA-covered transactions from Oct 01, 2022 - Sep 30, 2023 . This is the American ICD-10-CM version of L89. L89. This is the American ICD-10-CM version of L89. L89. METHODS: Respondents were asked to view 9 unique wound photos and to determine whether the primary etiologic factor was pressure, moisture, incontinence-associated dermatitis, or skin tear. 90 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. Ref: European Pressure Ulcer Advisory Panel and National Pressure Ulcer Advisory Panel. 0):. pressure ulcers. Subscribe to Codify by AAPC and get the code details in a flash. Triad stays in place when other solutions may not, so wounds have a better chance of healing and the total cost of care. Pressure Injuries Pressure Injuries Pressure Injuries Pressure Injuries Location Shape Depth Necrosis Edges Colour A combination of moisture and friction may cause moisture lesions in skin folds, but most commonly they are present in the anal cleft. 1097/01. Or, you can use a barrier film in that area. 32 ICD-10 code L89. L02. It is found in the 2024 version of the ICD-10 Clinical Modification (CM) and can be used in all HIPAA-covered transactions from Oct 01, 2023 - Sep 30, 2024 . 32 - Pressure ulcer of left buttock; L89. 50 Pressure ulcer of unspecified ankleCitation Fletcher J (2020) Pressure ulcer education 6: incontinence assessment and Care. L89. A stage 2 pressure ulcer may appear as a shallow, crater-like wound or a blister containing a clear or yellow fluid. quality of pressure ulcer care with prevention: a cost-effectiveness analysis. It is commonly seen in the skin between the buttocks (butt. This is the American ICD-10-CM version of L89. Pressure sores on the buttocks are due to long periods of uninterrupted pressure on the skin, soft tissue, muscle and bone. 42 - other international versions of ICD-10 R22. L89310 Pressure ulcer of right buttock, unstageable October 2015. Pressure ulcers usually form on bony parts of the body, such as the heels, elbows, hips and tailbone. LWW The gluteal fold is the term used to describe the horizontal skin crease that forms below the buttocks, separating the upper thigh from the buttocks. 3 became effective on October 1, 2023. Reconstruction of the ischial ulcer with gluteal muscle flap and posterior thigh. In 2005, the European Pressure Ulcer Advisory Panel released a document that differentiated moisture lesions, defined as erythema with or without partial-thickness skin erosion, from lesions caused by the pressure or shearing forces. 8 became effective on October 1, 2023. If you are a member and have already registered for member area and forum access, you can log in by clicking here. Damage control: Differentiating incontinence-associated dermatitis from pressure injury Nursing. 411 is a billable ICD code used to specify a diagnosis of non-pressure chronic ulcer of buttock limited to breakdown of skin. L89313 Pressure ulcer of right buttock, stage 3 L89010 Pressure ulcer of right elbow, unstageable L89314 Pressure ulcer of right buttock, stage 4 L89013 Pressure ulcer of right elbow, stage 3 L89320 Pressure ulcer of left buttock, unstageable L89014 Pressure ulcer of right elbow, stage 4 L89323 Pressure ulcer of left buttock, stage 3 L89020. 152 is assigned. center release film and apply dressing into the gluteal cleft and then the sacral area. 8; 95% CI 1. Pressure ulcer, buttock. 411 ICD-10 code L98. ⑩ [Billable] There's more to see -- the rest of this topic is available only to subscribers. 05 is a billable medical code that can be used to indicate a diagnosis on a reimbursement claim, however, 707. The depth of gluteal cleft varies and depend upon the developed gluteal muscles. Pressure pre-ulcer skin changes limited to persistent focal edema, unspecified buttock. A red, blue, or purplish area first appears on the skin like a bruise. 5 cm across in gluteal cleft, surrounded by white skin 1 cm across. This is the American ICD-10-CM version of L89. 10. Author Kathleen Francis 1 Affiliation 1 Kathleen Francis is NP coordinator of. Surgical debridement is used to remove necrotic or infected tissue from the pressure ulcer in order to facilitate healing. L89. 2. L89. AFT feature is designed to provide pressure distribution via a fluid-like medium that forces air though millions of tiny silicone beads that float the patient's body to achieve maximum immersion and envelopment. Healing pressure ulcer of unspecified buttock, stage 1. 31 Pressure ulcer of right buttock. 19 . 3 - other international versions of ICD-10 L89. Use secondary code (s) from Chapter 20, External causes of morbidity, to. 302 is a billable diagnosis code used to specify pressure ulcer of unspecified buttock, stage 2. Although counterintuitive, the amount of granulation tissue was not predictive of. Lying on a certain part of your body for long periods causes your skin to break down. This is a sign that a pressure ulcer may be forming. Remove the tibia and fibula. vanGilder C, Amlung S, Harrison P, Meyer S. This is the American ICD-10-CM version of L98. 32 for Pressure ulcer of left buttock is a medical classification as listed by WHO under the range - Diseases of the skin and subcutaneous tissue . L89. This outer layer can be damaged in many ways and a common cause of damage is through moisture. 321. It is found in the 2024 version of the ICD-10 Clinical Modification (CM) and can be used in all HIPAA-covered transactions from Oct 01, 2023 - Sep 30, 2024 . Initial management included needle-guided. In very mild cases, such as isolated. Pressure ulcer of left hip, stage 3. Assess to confrm dressing is intact and applied correctly. )ICD-10-CM Diagnosis Codes. 524 - other international versions of ICD-10 L89. INTRODUCTION. 3 : L00-L99. Shape - Pressure ulcers are circular wounds with a regular shape limited to a single spot while moisture lesions can be different superficial spots. 320 may differ. 413 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. 323 - Pressure ulcer of left buttock, stage 3; L89. In buttock area, pressure ulcers are prone to occur in skin area on the sacrum, ischial tuberosity, and femoral trochanter5. Terms like “buttock” are imprecise and could represent any area from the sacrum to the ischial spines. Billable Thru Sept 30/2015. 322 became effective on October 1, 2023. These injuries are common, estimated by the United States Joint Commission on Patient Safety to occur in 2. Stage 3. L89. The skin was often inflamed but not eroded. 302 became effective on October 1, 2023. 4 may differ. It is also called butt crack or ass crack. View ICD-10 Tree. 92 - other international versions of ICD-10 L89. 313 Pressure ulcer of right buttock, stage 3 L89. Pressure ulcers usually form on bony parts of the body, such as the heels, elbows, hips and tailbone. 303 became effective on October 1, 2023. L89. These also recreate a vertical gluteal cleft. These cysts are usually caused by a skin infection and they often. of gluteal cleft, with dressing ‘base’ positioned to cover coccyx area. Pressure ulcer, buttock. You must seek immediate medical treatment if you have a stage 3 pressure ulcer. Continue to release dressing from skin using handling tabs . There are four types of MASD, two of which can be misdiagnosed as pressure ulcers — incontinence-associated dermatitis 8,9 from stool and/or urine and intertrigo related to perspiration in the gluteal cleft. Stage I: A reddened, painful area on the skin that does not turn white (blanch) when pressed. Stage IV is the worst. The 2024 edition of ICD-10-CM L89. The damaging effects of moisture, pressure, friction, and shear on human tissue are well-known among wound care experts. brownish plaques on the gluteal cleft and each side of the buttocks. BACKGROUND. Gluteal cleft. The intergluteal cleft is a surface anatomy landmark of the pelvis and lower limb. Unstageable pressure injuries are widely understood to be full-thickness pressure injuries in which the base is obscured by slough and/or eschar. 3 may differ. Stage I is the mildest stage. L89. Consultations for his ulcer were undertaken on day 24, at which time he was noted to have a large black eschar on his left gluteal region (Figure (Figure2B). Code. 0: Avg LOS with ICD L89323 - Pressure ulcer of left buttock, stage 3: 33. 317 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. If the affected skin isn't broken, wash it with a gentle cleanser and pat dry. Ulceration caused by prolonged pressure in patients permitted to lie too still for a long period of time; bony prominences of the body are the most frequently affected sites; ulcer is caused by ischemia of the underlying structures of the skin, fat, and muscles as a result of the sustained and constant pressure. Pressure Ulcer / therapy*. 09 should only be used for claims with a date of service on or before September 30, 2015. Significant blood loss is possible; accordingly, 2 units of. The 2024 edition of ICD-10-CM L89. 3 may differ. 31 became effective on October 1, 2023. org In buttock area, pressure ulcers are prone to occur in skin area on the sacrum, ischial tuberosity, and femoral trochanter 5. Repeat with the left side. . Location Located in peri-anal, gluteal, cleft, groin or buttock area. The following code (s) above L89. Intertrigo is a superficial inflammatory dermatitis occurring on two closely opposed skin surfaces as a result of moisture, friction, and lack of ventilation. A non-healing wound, such as an ulcer, is not coded with an injury code beginning with the letter S. Author Jacqui Fletcher, MSc, BSc, PG Cert ILT, RGN, is principal lecturer, tissue viability, University of Hertfordshire. The buttocks can be the most susceptible place boils for two reasons. This is the American ICD-10-CM version of L89. The 2024 edition of ICD-10-CM S31. 313 Pressure ulcer of right buttock, stage 3 L89. Some symptoms associated with stage 2 pressure ulcers include: pain. Edges If the edges are distinct, the lesion is most likely to be a pressure ulcer. 31. Triad adheres. The most common sites are the skin. Non-pressure chronic ulcer of buttock with necrosis of bone. 314 - other international versions of ICD-10 L89. Due to limited disease, it was decided to give radiotherapy alone for the. Studies indicate that the differential diagnosis between a pressure ulcer and IAD is difficult, with IAD often being misclassified by nurses as a pressure injury 1. In response to an initiative spearheaded by the Wound, Ostomy and Continence Nurses Society (WOCN), new diagnosis codes for moisture-associated skin damage (MASD) were added to the current version of the International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM). L89. Incontinence associated dermatitis: Skin damage is focused around perianal and perineal areas, as well as often inner thighs, buttocks and groin. It’s important not to mistake the transverse gluteal fold for the lower border of the gluteus maximus muscle. 322 is a valid billable ICD-10 diagnosis code for Pressure ulcer of left buttock, stage 2 . Applicable To. 303 Pressure ulcer of unspecified buttock, stage. 302 for Pressure ulcer of unspecified buttock, stage 2 is a medical classification as listed by WHO under the range - Diseases of the skin and subcutaneous tissue .