Resolved Help coding left ischial pressure ulcer please

[JessicaG_82560]

I've finished my course at my college and I'm going back through Buck's step by step in preparation for CPC exam, and it asks for the ICD-10-cm code for the following information from a sample operative report:

Pre-op DX: Left ischial pressure ulcer w massive ischioperineal & buttock sinus

Post-op: same

Findings: there was a 2 cm open surgical ulcer extending down and connecting with an 8 x 30 cm diameter granulation-lined sinus cavity.

Surgical procedure: Excision of left ischial ulcer with total excision of 8 x 30 cm sinus of the buttock, perennial, and ischial areas.

The answer bank is showing it is L89.224 (Ulcer, pressure, hip)

I was wondering why the answer is coded to the hip and not the buttock (L89.324) or under "contiguous site of back, buttock, hip" (L89.44) ?

 

[Lori]

The answer key could be incorrect as I see L98.419 as an ulcer of the buttock.

Please see this free resource thread on wounds & ulcers:

Resource - Wound and Ulcer Care

Billing and Coding: Wound and Ulcer Care WOUND OR ULCER? There have been disagreements, debates, and articles written on the difference between what’s considered to be a “wound” versus an “ulcer.” Sometimes, ICD-10 is almost like its own language, and this is one of those situations. Be aware...

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