Non-prs chr ulc of unsp forearm w msl invl w/o evd of necr

This code signifies a persistent, non-pressure-related open sore on an unspecified forearm that extends into the muscle tissue but does not show signs of dead tissue. It indicates a deep ulceration affecting the muscular layer without the presence of gangrene or slough.

Use this code for documentation specifying a chronic ulcer on the forearm, explicitly stating muscle involvement without necrosis, and where the specific forearm (left or right) is not documented. This code is appropriate when the etiology is not related to pressure, such as venous stasis, arterial insufficiency, or neuropathic causes.

• Ensure documentation clearly differentiates between muscle involvement and involvement of subcutaneous tissue or bone.
• Do not use this code if necrosis, gangrene, or slough is present; a more specific code for necrosis would be required.
• Always attempt to clarify the specific forearm (left or right) with the provider to allow for more precise coding.