Non-prs chr ulcer of unsp hand with msl invl w/o evd of necr

This code signifies a persistent, non-healing ulcer on an unspecified hand that is not caused by pressure. The ulcer extends into the muscle tissue but does not exhibit any signs of necrotic (dead) tissue. This indicates a deep tissue injury without gangrenous changes.

Apply this code when documentation clearly indicates a chronic, non-pressure ulcer on any part of the hand, with the wound bed extending into the muscle layer. This code is appropriate when the physician explicitly states the absence of necrosis. Supporting documentation would include wound assessments, operative reports, and physician notes detailing the ulcer's depth and lack of necrotic tissue.

• Ensure the documentation specifies "non-pressure" to differentiate from pressure ulcers.
• Verify that the ulcer is explicitly stated as chronic and involves muscle tissue without necrosis.
• Avoid using this code if any necrotic tissue is present; a different code indicating necrosis would be more appropriate.