Stage I is the mildest stage. This is the American ICD-10-CM version of L89. Pressure ulcer, buttock. Specifically, they involve a breakdown of the skin, subcutaneous tissues and sometimes even deeper structures (tendons, muscle, bone) caused by cumulative pressure and are often related to pre-existing health conditions or injuries. 31) L02. But in SGD, ulcers are developed in lower position of gluteal cleft than pressure sore which. 411Non-pressure chronic ulcer of buttock limited to breakdown of skin. The 2024 edition of ICD-10-CM L89. L89. HCC Plus. 419 became effective on October 1, 2023. Remove femur after distal mobilization and disarticulate hip posteriorly through the decubitus ulcer. • If patient is at risk, apply Mepilex Border Sacrum. The “sitter sign” refers to the rough, thickened skin that older people often develop near the intergluteal cleft, associated with immobility and continued sitting. Keep in mind: Superficial friction wounds can occur in the same location as pressure injuries due to the surface effects combined with the deeper effects of shear and pressure. Triad stays in place when other solutions may not, so wounds have a better chance of healing and the total cost of care. L89. 2014. This is the American ICD-10-CM version of S31. To Remove Gently lift the border and use one hand to stabilize the. 892 may differ. 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 . 2 Advanced foam dressings prevent MASD by 2 mechanisms, first, by absorbing excess moisture and second, by allowing moisture to evaporate through the outer layer so it doesn’t collect in the dressing, a. Subscribe to Codify by AAPC and get the code details in a flash. Lateral view. 90 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. In buttock area, pressure ulcers are prone to occur in skin area on the sacrum, ischial tuberosity, and femoral trochanter5. 707. 7. ICD Code L89. Continue to release dressing from skin using handling tabs . 301 may differ. Healing pressure ulcer of other site, stage 3. The most common sites are the skin. L89. 303 became effective on October 1, 2023. 0):. But in SGD, ulcers are developed in lower position of gluteal cleft than pressure sore which. 05 should only be used for claims with a date of service on or before September 30, 2015. Signs and symptoms of gluteal injuries include swelling, bleeding, and inflammation. L89. Oh, and their categories are a little different from our stages (actually just simpler). 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. 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. ) ICD-10-CM Diagnosis Codes. Request a Demo 14 Day Free Trial Buy Now. FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016. 309 became effective on. This means that while there is no exact mapping between this ICD10 code L89. L89. 322 may differ. 3 may differ. 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 . 2. Keep in mind: Superficial friction wounds can occur in the same location as pressure injuries due to the surface effects combined with the deeper effects of shear and pressure. If the lesion presents as a blood filled blister with surrounding purple or maroon discoloration then a pressure injury may be suspected. L89. Predisposing factors are classified as intrinsic (e. The 2024 edition of ICD-10-CM L89. PU development and staging was based on the clinical practice guidelines from the NPUAP (National Pressure Ulcer Advisory Panel) 28. The clinical manifestations, diagnosis, and management of pilonidal disease are presented here. 3 became effective on October 1, 2023. Lesions caused by moisture alone should not be classified as pressure ulcers. Nevertheless, accurate classification of these lesions. L98. 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. 819A became effective on October 1, 2023. 9] Findings: The skin looks macerated directly in the midline, this is the upper sacrum and the lowermost extent is about 3 fingerbreadths from. base in ulcers), creating a partial-thickness wound and a. Standard wound care was provided that included debridement, topical. 5. The gluteal fold is formed by the fibrous attachment of the gluteal skin to the deep fascia, while the lower. The term pressure injury is recommended, although these injuries are also known as pressure ulcers, decubitus ulcers, pressure sores, or bed sores. 321 is a valid billable ICD-10 diagnosis code for Pressure ulcer of left buttock, stage 1 . L89. 3 that describes the diagnosis 'pressure ulcer of buttock' in more detail. 90 - other international versions of ICD-10 L89. Pain. with pressure ulcer is most important. Results of the 2008-2009 International Pressure Ulcer Prevalence™ Survey and a 3-year, acute care, unit-specific analysis. For example, the pannus or abdominal skin folds, inner gluteal cleft, and axillae are some common anatomical locations of ITD. rianal and gluteal cleft from exposure to stool. 313 Pressure ulcer of right buttock, stage 3 L89. Initial management included needle-guided. L89. 2. This happens when a person is immobile for a long period of time i. These ulcers occur at bony areas of the body such as the ischium, greater trochanter, sacrum, heel, malleolus (lateral than medial), and occiput. Itching or pain of varying. 893 - other international versions of ICD-10 L89. -) non-pressure chronic ulcer of skin ( L97. Stage II: The skin blisters or forms an open. There are four stages of pressure sores, according to ClinicalKey. 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. Generally, cleaning and dressing a wound includes the following: Cleaning. Journal of Clinical Nursing; 17: 13, 1697–1707. 317 - other international versions of ICD-10 L03. L89. The 2024 edition of ICD-10-CM L89. 323 is a valid billable ICD-10 diagnosis code for Pressure ulcer of left buttock, stage 3 . The 2024 edition of ICD-10-CM L89. People who develop IAD are more likely to develop pressure ulcers, or bed sores. The 2024 edition of ICD-10-CM L89. In buttock area, pressure ulcers are prone to occur in skin area on the sacrum, ischial tuberosity, and femoral trochanter 5. 3. 317 may differ. Intergluteal cleft rashes, also known as intertrigo, are a common inflammatory skin condition caused by skin-to-skin friction and intensified by heat and moisture. 313 - Pressure ulcer of right buttock, stage 3 answers are found in the ICD-10-CM powered by Unbound Medicine. Author Kathleen Francis 1 Affiliation 1 Kathleen Francis is NP coordinator of. Multidisciplinary management was done in consultation with oncologist and radiotherapist. 46 Pressure-induced deep tissue damage of contiguous site of back, buttock and hip L89. 41. g. Background: Sacral and gluteal pressure wounds are a common problem in elderly and critically ill patients. Triad is a sterile coating that can be applied directly onto the wound or peri-wound skin. 8 may differ. 4. prevalence of these ulcers is unknown due to the mixture of reporting styles. Pressure ulcers usually form on bony parts of the body, such as the heels, elbows, hips and tailbone. L89. Pressure ulcer with full thickness skin loss involving damage or necrosis of subcutaneous tissue. L98. The depth of gluteal cleft varies and depend upon the developed gluteal muscles. Pressure ulcer of left buttock, stage 2. Stage 1- A non blanching red area, that does not go away. L89. Treatment. The position of the National Pressure Ulcer Advisory Panel (NPUAP) is that pressure ulcers on mucosal surfaces are not to be staged using the pressure ulcer staging system. 93967. 8. 0b013e31828f1a2e The damaging effects of moisture, pressure, friction, and shear on human tissue are well-known among wound care. What is the diagnosis code for a stage 3 gluteal cleft pressure ulcer? Are two codes required in order to capture the correct location since the gluteal cleft appears to be between both sides of the buttocks?. L98. The 2024 edition of ICD-10-CM L98. The vertical line starts from sacrum to the perineum. Pressure ulcer of unspecified buttock, unstageable. This chapter reviews the operative technique for using different types of gluteal flaps as coverage for sacral pressure sores. This is the American ICD-10-CM version of L98. It’s important not to mistake the transverse gluteal fold for the lower border of the gluteus maximus muscle. 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 . What is gluteal ulcer? In buttock area, pressure ulcers are prone to occur in skin area on the sacrum, ischial tuberosity, and femoral trochanter5. A practical framework for clinicians on how to differentiate Stage 2 pressure ulcers/injuries on the gluteal region from selected common conditions, namely incontinence-associated dermatitis (IAD) and friction-induced skin injury (FISI). 2. 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. • Many pressure ulcers can be prevented. 221 became effective on October 1, 2023. Read about recovery time, diagnostic tests, and prevention. doi: 10. 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. 411 may differ. 321. Prevention is of the utmost importance. 311 may differ. Some symptoms associated with stage 2 pressure ulcers include: pain. This is a sign that a pressure ulcer may be forming. The codes listed below are in tabular order from L98. The pressure ulcers on the buttocks are documented as full thickness skin loss with necrosis into the subcutaneous tissue. ICD-10-CM Code for Pressure ulcer of left buttock, stage 4 L89. 892 is a billable diagnosis code used to specify pressure ulcer of other site, stage 2. Results of the 2008-2009 International Pressure Ulcer Prevalence™ Survey and a 3-year, acute care, unit-specific analysis. Stage I: A reddened, painful area on the skin that does not turn white (blanch) when pressed. 892 became effective on October 1, 2023. Pus or blood leaking from an opening in the skin. 317 became effective on October 1, 2023. 0): 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 Skin ulcers with cc; 594. gluteal cleft5 Sacral pressure ulcer prevention considerations: • Assess patient for pressure ulcer risk. 45 is grouped within Diagnostic Related Group(s) (MS-DRG v 41. 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. 313 may differ. A presumptive diagnosis was made of psoriasis, and the patient was given Elocon cream (Mometasone. L89. Keep the wound clean with mild soap and water or a saline rinse as directed. stage 3 of the right hip. 312 may differ. Although counterintuitive, the amount of granulation tissue was not predictive of. 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). Request a. The damaging effects of moisture, pressure, friction, and shear on human tissue are well-known among wound care experts. To view all forums, post or create a new thread, you must be an AAPC Member. 421. When individuals have skin breakdown on their gluteal region, it is often identified as a Stage 2 pressure ulcer/injury (PU/PI). Pressure sores are grouped by the severity of symptoms. The bruise becomes an open sore that looks like an abrasion or blister. Changing position. quality of pressure ulcer care with prevention: a cost-effectiveness analysis. During this time, you will have sutures or staples removed and may have follow-up imaging. gluteal cleft, both buttocks, and inner thighs. L89. The superficial skin is less susceptible to pressure-induced damage than deeper tissues. The use of a Doughnut shaped cushion is often recommended so that there is less pressure on the lesion. IAD and ITD are superficial lesions that. 893 may differ. 306 Pressure-induced deep tissue damage of unspec. ICD-10 code L89. It’s an open wound on your skin caused by a long period of constant pressure to a specific area of the body. Remove the tibia and fibula. 301 - other international versions of ICD-10 L89. 302 is a billable diagnosis code used to specify pressure ulcer of unspecified buttock, stage 2. Codes marked as Billable can be used in all HIPAA-covered transactions. gallstones, kidney stones, liver disease, diseases of the female reproductive, and. 412 Non-pressure chronic ulcer of buttock with fat layer exposed Billable; L98. Available for iPhone, iPad, Android, and Web. Q82. Damage control: Differentiating incontinence-associated dermatitis from pressure injury Nursing. It is also known by other more complicated names, such as gluteal senile dermatosis or hyperkeratotic lichenified skin lesion of the gluteal region. pressure ulcers from other skin injuries •Describe pressure ulcer . It covers the area from iliac crest from above to the gluteal fold below. Stage I: A reddened, painful area on the skin that does not turn white (blanch) when pressed. The following code (s) above L89. Grade 1 pressure ulcers do not turn white when pressure is placed on them. 322. It may also feel either warm and spongy, or hard. L89. 92 - other international versions of ICD-10 L89. 300 is a billable ICD-10 code used to specify a medical diagnosis of pressure ulcer of unspecified buttock, unstageable. 1097/WON. Ostomy Wound Management, 2009;55(11):39-45. 153 (Pressure ulcer of sacral region, stage 3), Coding Clinic clarified in its Q3 2021 guidance update, released Sept. 323 ICD-10 code L89. 221 may differ. Each patient's buttocks, coccyx, rectal area, scrotum, labia, lower abdomen, upper thighs, gluteal cleft and groins were inspected and loss of skin. 523 for Pressure ulcer of left ankle, stage 3 is a medical classification as listed by WHO under the range - Diseases of the skin and subcutaneous tissue . Stage I or II sores will often heal if cared for carefully. 413 Non-pressure chronic ulcer of buttock with necrosis. L89. L89. 28 yr female presenting with non healing ulcer in intra gluteal cleft of for 3 months. ¹ Understanding the challenges pressure ulcers present to. Symptoms of intertrigo include a red or reddish-brown rash that can appear anywhere skin rubs together or traps wetness. 309 became effective on October 1, 2023. 324 ICD-10 code L89. BILLABLE | ICD-10 from 2011 - 2016. Cutaneous abscess of buttock. Thepatients withgiantcelltumor, rhabdomyosarcoma, andmetastatic thyroid carcinoma had associated bonedestruction. (2009) Prevention and treatment of pressure ulcers: quick. ICD-10-CM Code for Non-pressure chronic ulcer of buttock with other specified severity L98. Nevertheless, accurate classification of these lesions is frequently challenging, even for experienced wound clinicians. A Practical Approach to the. Pressure ulcers are skin or soft tissue injuries that form due to prolonged pressure exerted over specific areas of the body. Pressure ulcer of coccyx stage 1; Pressure ulcer of sacrum stage 1; ICD-10-CM L89. Worldwide, pressure ulcers (PUs) are regarded as a major unwanted and mostly preventable harm in health care. L89. 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. Pressure ulcer with full thickness skin loss involving damage or necrosis of subcutaneous tissue, unspecified buttock. 312 is a billable diagnosis code used to specify pressure ulcer of right buttock, stage 2. A pressure ulcer is a localized injury to the skin or underlying tissue, usually over a bony prominence, as a result of unrelieved pressure. Pressure sores on the buttocks are treated by proper wound care and by repositioning to remove the pressure source, states ClinicalKey. -) 2016 (effective 10/1/2015): New code (first year of non-draft ICD-10-CM) damage, pressure ulcers Background In 2010, WOCN members were asked to respond to a. . pressure ulcers. Because most studies on gluteal cleft shaving have used an arbitrary manner and method, effective frequency and extent of shaving have not been systematically studied. Pressure Ulcer / therapy*. In cases, with decubitus gluteal ulcer and enterocollitis with identified Clostridium difficile the main goal is to avoid contact between faecal masses and. 0): 573 Skin graft for skin ulcer or cellulitis with mcc; 574 Skin graft for skin ulcer or cellulitis with ccA decubitus ulcer, also known as a pressure ulcer, pressure sore, or bed sore, is an open wound on the skin [1-5]. This code description may also have Includes, Excludes, Notes, Guidelines, Examples and other information. Stage I is the mildest stage. L89. The skin may be warm or cool, firm or soft. To read the full article, sign in and subscribe to AHA Coding Clinic ® for ICD-10-CM and ICD-10-PCS . Ref: European Pressure Ulcer Advisory Panel and National Pressure Ulcer Advisory Panel. Stage 2. Chronic ulcer of skin, breakdown of skin; ICD-10-CM L98. 3 - other international versions of ICD-10 L89. of a stage III pressure ulcer . 3 became effective on October 1, 2023. L89. 302 Pressure ulcer of unspecified buttock, stage. 4 - other international versions of ICD-10 L98. Remove femur after distal mobilization and disarticulate hip posteriorly through the decubitus ulcer. Pressure ulcer of left buttock, stage 2. with pressure ulcer is most important. In contrast, pressure ulcers on the ischium develop when the patient is seated upright. 313 became effective on October 1, 2023. In the pressure ulcer, the most important etiologic. Diseases of the skin and subcutaneous tissue. If the pressure ulcer is healed completely, a code is not reported for the pressure ulcer. 1 – 3 Clinical recommendation Evidence ratingThe 2024 edition of ICD-10-CM L89. It can be applied anywhere on the body and adheres to wet skin, while keeping the wound covered to facilitate healing and debridement. Pressure ulcer of other site, stage 2. 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. In addition, most pressure ulcers showing polypoid granulation tissue exhibited a trench-like appearance in individual wounds. If you've. 322 is a valid billable ICD-10 diagnosis code for Pressure ulcer of left buttock, stage 2 . 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. A decubitus ulcer is also known as a pressure ulcer, pressure sore, or bedsore. 303 may differ. Ostomy Wound Management, 2009;55(11):39-45. Where is the gluteal cleft?scesses, twodecubitus ulcers,twohematomas, andalipo-sarcoma. Edges If the edges are distinct, the lesion is most likely to be a pressure ulcer. along the edge of the medial buttocks, right along the gluteal cleft. LWWThe gluteal fold is the term used to describe the horizontal skin crease that forms below the buttocks, separating the upper thigh from the buttocks. The skin was often inflamed but not eroded. The most widely accepted theory for pilonidal sinus disease development begins with a hair follicle in the intergluteal cleft becoming infected. of gluteal cleft, with dressing ‘base’ positioned to cover coccyx area. FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016. The 2024 edition of ICD-10-CM L89. 1. 320. In buttock area, pressure ulcers are prone to occur in skin area on the sacrum, ischial tuberosity, and femoral trochanter5. It should be included in the reconstructive algorithm for the management of sacral pressure ulcers. L89. Triad is contraindicated for third degree burns and infected. L89. Applicable To. 142 for Pressure ulcer of left lower back, stage 2 is a medical classification as listed by WHO under the range - Diseases of the skin and subcutaneous tissue . ICD-9-CM 707. Posterior view and B. This is the American ICD-10-CM version of L89. 300 is a billable ICD-10 code used to specify a medical diagnosis of pressure ulcer of unspecified buttock, unstageable. An ulcer is a break in the skin that fails to heal in a. Pressure ulcer with abrasion, blister, partial thickness skin loss involving epidermis and. Not usually over a bony prominence Depth Superficial partial thickness skin loss Can enlarge or deepen if infection presentPressure ulcers do cause discomfort or pain owing to ischemia and tissue damage [3], and physical problems that cause complications, lead to poor clinical outcomes, psychological, and social. A non-healing wound, such as an ulcer, is not coded with an injury code beginning with the letter S. 31 may differ. Repeat with the left side. 0000532739. 411 is a billable ICD code used to specify a diagnosis of non-pressure chronic ulcer of buttock limited to breakdown of skin. The 2024 edition of ICD-10-CM L89. Pressure sores are grouped by the severity of symptoms. 801A is grouped within Diagnostic Related Group(s) (MS-DRG v 41. Descriptive statistics were used to describe prevalence rates for incontinence, types of incontinence, IAD, characteristics of IAD, and pressure injuries. When used for pressure ulcer prevention, the sacral shape has been refined so you can achieve good coverage of the high-risk sacral area – and it features an improved gluteal seal for maximum protection. The 2024 edition of ICD-10-CM L89. A pressure injury develops as a result of unrelieved pressure between the sacral bone and the sitting or lying surface. 322 became effective on October 1, 2023. 1 The latter name, although. L89. Glute imbalance can cause pain up and down the kinetic chain and can cause pain in both the affected limb, as well as the opposite side, according to Dr. 1). Pressure ulcers and leg ulcers, mainly pressure ulcers, remain a public health problem in nursing homes. ICD-10-CM Codes. Access to this feature is available in the following products: Find-A-Code Essentials. Identify how management of moisture lesions may differ from that of pressure ulcers. The above description is abbreviated. 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 . Code History. 3 Figure 2 shows a linear ulcer in the gluteal cleft, with. Lawsuits have been lost when a severe pressure ulcer on the sacrum was linked to incontinence-associated dermatitis that occurred months before in the gluteal cleft, because both locations were simply described as the “buttocks. Chemical burns due to disinfectants are primary irritant dermatitis caused by. 159 - other international versions of ICD-10 L89. 90 became effective on October 1, 2023. The 2024 edition of ICD-10-CM L02. LearNiNG objecTiVes Pressure sores on the buttocks are treated by proper wound care and by repositioning to remove the pressure source, states ClinicalKey. L89. The 2024 edition of ICD-10-CM L89. Synonyms: pressure injury of dorsum of foot, pressure injury of dorsum of. Pressure ulcers often occur on bony areas, such as the heels and elbows. 302 ICD-10 code L89. Request a Demo 14 Day Free Trial Buy Now. 0):. This is the American ICD-10-CM version of L89. If the affected skin isn't broken, wash it with a gentle cleanser and pat dry. 310. L98. It’s important not to mistake the transverse gluteal fold for the lower border of the gluteus maximus muscle. 82 may differ. The intergluteal cleft is a surface anatomy landmark of the pelvis and lower limb. Origin. This is a sign that a pressure ulcer may be forming. A stage 2 pressure ulcer may appear as a shallow, crater-like wound or a blister containing a clear or yellow fluid. A pressure ulcer that has been surgically debrided should continue to be coded as a pressure ulcer. This search was based on the key terms "surface anatomy," "skin," "buttocks," and "gluteal area. L89. 1. 54L89. 222 for Pressure ulcer of left hip, stage 2 is a medical classification as listed by WHO under the range - Diseases of the skin and subcutaneous tissue . Understanding the differences between moisture lesions and pressure ulcers | Nursing Times. ICD-10 code L89. Any help would be greatly appreciated Happy New Year!ICD-10-CM Code for Pressure ulcer of left buttock, stage 3 L89. pressure ulcer, the most important etiologic factor is . Dressing protocols were re-written to include: Apply zinc oxide-based hydrophilic paste at least the thickness of a dime, once-a-day and PRN to the gluteal cleft. L89. 3. 21 should not be used for reimbursement purposes as there are multiple codes below it that contain a greater level of detail. 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 . Prolonged pressure is essentially the main cause of a decubitus ulcer. Surgical debridement is used to remove necrotic or infected tissue from the pressure ulcer in order to facilitate healing. 411 became effective on October 1, 2023. 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 . 899 may differ. The first is due to the buttocks getting the least. A 'billable code' is detailed enough to be used to specify a. Pressure ulcer with full thickness skin loss involving damage or necrosis of. Subscribe to Codify by AAPC and get the code details in a flash. 3 a. ICD-10-CM Code L89. L89310 Pressure ulcer of right buttock, unstageable October 2015. Pressure injuries, however, are ischemic injuries to the skin and underlying soft tissue that can result in full-thickness tissue damage. The superior tip of the intergluteal cleft. 324 is a billable ICD code used to specify a diagnosis of pressure ulcer of left buttock, stage 4. Muscle.