Open wound of buttock, without mention of complication

This code signifies an open injury to the gluteal region, characterized by a break in the skin. This could include lacerations, punctures, or avulsions that expose underlying tissue, but without any documented complications such as infection or delayed healing.

Use this code when documentation clearly indicates an open wound located on the buttock. This applies to acute injuries where the skin integrity is compromised, and there is no mention of foreign body, infection, or other specified complications.

• Ensure the documentation specifies the buttock as the anatomical site of the open wound.
• Do not use this code if the wound is described as infected, having a foreign body, or exhibiting delayed healing; instead, look for more specific codes.
• Distinguish from superficial injuries like abrasions or contusions, which do not involve a full-thickness break in the skin.