Non-prs chr ulcer of r hand with bone invl w/o evd of necr

This code signifies a persistent, non-pressure-related open sore on the right hand that has eroded down to the bone. There is no indication of dead tissue (necrosis) present within the ulcer. This condition often results from underlying systemic diseases, trauma, or vascular insufficiency.

Apply this code when documentation clearly indicates a chronic ulcer on the right hand, explicitly stating involvement of the bone without any mention of necrosis. This is typically seen in patients with long-standing wounds that have progressed to deep tissue destruction. Supporting documentation should include wound assessment notes, imaging reports confirming bone involvement, and a lack of necrotic tissue.

• Ensure documentation specifies "chronic" and "non-pressure" to differentiate from acute or pressure ulcers.
• Verify the laterality (right hand) and the depth of involvement (bone) are clearly stated.
• Do not use this code if necrosis is present; a different code from the L98.A3 category would be more appropriate.