Q&A: Clarifying new guidance for pressure ulcers, deep-tissue damage

January 7th, 2020

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Note:  The following article synopsis was NOT provided by HCPro. It was created by Find-A-Code/innoviHealth.

Article Overview

This article explains FY 2020 updates to ICD-10-CM guidance affecting pressure ulcer documentation and reporting, including changes tied to healed or healing ulcers and pressure-induced deep tissue damage. It is useful for hospital coders, CDI staff, and other coding professionals who need a high-level understanding of the updated documentation and reporting topics covered in the guidance.

Why This Topic Matters

Accurate handling of pressure ulcer and deep-tissue damage documentation can affect diagnosis coding consistency and reporting. The article helps coding professionals understand the scope of the FY 2020 guidance changes they should review in their own coding workflows.

Article Sections

  1. FY 2020 guidance updates

    Introduces the coding guidance updates discussed in the Q&A and frames the changes affecting pressure ulcer reporting for FY 2020.

  2. Healed and healing pressure ulcers

    Discusses documentation scenarios involving pressure ulcers that are healed, healing, or change status during the stay, with emphasis on the updated guidance context.

  3. Pressure-induced deep tissue damage

    Summarizes the new guidance area for pressure-induced deep tissue damage and references the new ICD-10-CM coding additions associated with that topic.

  4. Non-pressure chronic ulcers

    Notes that related guidance for non-pressure chronic ulcers is addressed alongside the pressure ulcer updates and how the FY 2020 clarification applies broadly to that topic.

What You Will Learn

  • What FY 2020 guidance changes are discussed for pressure ulcer documentation
  • How the article frames updates for healed and healing pressure ulcers
  • What broad guidance area is covered for pressure-induced deep tissue damage
  • How related non-pressure chronic ulcer guidance is treated in the discussion

Who Should Read This

  • Hospital coders
  • Inpatient coding staff
  • Clinical documentation integrity professionals
  • Coding educators
  • Revenue cycle and compliance teams

Codes Discussed

  • ICD-10-CM: L89.126
  • ICD-10-CM: L89.156

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