Find information on stage 2 pressure ulcer coccyx diagnosis, including clinical documentation, treatment, and prevention strategies. Learn about pressure injury staging, wound assessment, and appropriate medical coding for a stage 2 pressure ulcer on the coccyx. This resource covers healthcare guidelines, pressure ulcer treatment, and documentation best practices for accurate medical coding and improved patient care. Explore pressure sore prevention and management specifically targeted to the coccyx region.
Also known as
Pressure ulcer
Classifies pressure ulcers by stage, site, and other characteristics.
Other contact with health services
May be used to indicate aftercare for pressure ulcers.
Bacterial, viral and other infectious agents
Relevant if the pressure ulcer is infected.
Follow this step-by-step guide to choose the correct ICD-10 code.
Is the pressure ulcer Stage 2?
Yes
Location: Coccyx?
No
Specify the stage.
When to use each related code
Description |
---|
Stage 2 Pressure Ulcer, Coccyx |
Stage 1 Pressure Ulcer, Sacrum/Coccyx |
Stage 3 Pressure Ulcer, Coccyx |
Patient presents with a stage 2 pressure ulcer located on the coccyx. Examination reveals partial-thickness skin loss involving the epidermis and dermis, presenting as a shallow open ulcer with a red-pink wound bed, without slough. The wound edges are defined and intact, without undermining or tunneling. Surrounding skin is intact with no signs of maceration or erythema. The ulcer measures 2 cm x 3 cm. Patient reports mild pain at the site with palpation. No purulent drainage or foul odor noted. The pressure ulcer is attributed to prolonged sitting and immobility related to recent hip surgery. Diagnosis of stage 2 pressure ulcer, coccyx confirmed. Plan of care includes pressure redistribution measures using a pressure-relieving cushion, regular turning and repositioning every two hours, wound care with saline cleansing and application of a hydrocolloid dressing, and ongoing assessment of wound healing. Nutritional assessment and optimization will be addressed. Patient education provided on pressure ulcer prevention and care. Follow-up appointment scheduled in one week to monitor wound progress and adjust treatment plan as needed. ICD-10 code L89.152, Pressure ulcer of sacral region, stage 2, assigned.