Triad adheres to wet skin, and can be used on broken skin in the presence of incontinence, or maceration of the peri-wound skin. 2021 ICD-10-CM Diagnosis Code S31. thermoregulation &excretion- regulates body temp. 353 results found. For more information, call 800 -840-9041or visit our website at Documenting Wounds (Part 2 - Anatomic Location) Consistency in wound documentation is of utmost. 032D Puncture wound without foreign body, left hip. What is the diagnosis code for a stage 3 gluteal cleft pressure ulcer? Are two codes required in order to capture the correct location since the gluteal cleft appears to be between both sides of the buttocks?. buttocks The intergluteal cleft or just gluteal cleft, also known by a number of synonyms, including natal cleft, butt crack, and cluneal cleft, is the groove between the buttocks that runs from just below the sacrum to the perineum, so named because it forms the visible border between the external rounded protrusions of the. It is a visible border separating ass into two parts. S72. Pilonidal cysts can range from abscesses — painful collections of pus — to sinuses, and lead to persistent bloody drainage. ICD-10-CM Codes. Daniel Saurborn: CT scan sufficient: MRI scans can be quite expensive. This is the American ICD-10-CM version of S31. 1/7. 8 × 2. 02 [convert to ICD-9-CM] Gluteal tendinitis, left hip. This means that the butt crack will appear off-center. On day. The 2024 edition of ICD-10-CM L89. L02. These DTI patterns have been seen in patients who have undergone surgery, as well as in obese patients who probably find it difficult to fully offload onto lateral positions. 1 Depending upon the skin areas exposed to urine or stool and/or the use of containment devices, IAD can also extend to the inner and posterior thighs and may include other ele-ments such as candidiasis (Figures 1 and 2). Anus: Rashes at the anus can cause rectal bleeding and pain with passing stools. These. If there is difficulty lifting the film border, apply tape to the edge of the dressing and use the tape to lift. Many people think of pilonidal disease (PD) in its acute presentation, which is an abscess at the gluteal cleft that is warm and tender with purulent drainage. This allows elevation of the gluteal region primarily as a musculofascial cutaneous flap. Periwound moisture-associated dermatitis occurs when the skin adjacent to a chronic wound becomes exposed to exudate or toxins from bacteria in the wound bed, causing inflammation and erosion. After skin is prepared, remove the centre. 829A is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. " Buttock is the skin location where the abscess is located. Other names are the anal cleft, crena analis, crena interglutealis, and rima ani. What is gluteal cleft wound? Toward the bottom of your spine, where your buttocks split, is a crease called the gluteal cleft. 06 [convert to ICD-9-CM] Epigastric swelling, mass or lump. That leaves their testes exposed. Affected individuals – typically obese, sedentary men with excessive body hair and a deep gluteal cleft – may be asymptomatic or present with mild local. This study was designed to determine the level of agreement among wound care nurses when asked to classify the etiology of 9 wounds located on the buttocks and within the intergluteal cleft. Patient Monitoring. As they fall apart, bacteria begin growing in the wound, and it appears as if infection caused the incision to separate – but actually it is the opposite. Pilonidal disease is a chronic skin infection in the crease of the buttocks near the coccyx (tailbone). Published by Lippincott. The deep femoral vessels and their perforators,. It is also called butt crack or ass crack. Gluteal cleft Shield Gluteal cleft shield is a cover which is used to avoid problems related to gluteal cleft. Interestingly, anomalies of the gluteal crease are the most commonly encountered findings in well neonates, with 1 study reporting an incidence of 24. S78 Traumatic amputation of hip and thigh. Code History. 3. Applicable To. Irregular surfaces could include the gluteal cleft, coccyx, perineum, buttocks, groin, face, hands, feet and other areas. The inferior two wounds located on the upper inner thigh adjacent to, but not including the scrotum are now open. By sealing the affected area with a protective film, the skin can get to work recovering. This is the American ICD-10-CM version of S31. This is the American ICD-10-CM version of Q82. The damaging effects of moisture, pressure, friction, and shear on human tissue are well-known among wound care experts. The following wounds are more prone to developing periwound moisture. 5 oz. As a result of the Society’s strategic. currenty the open sore is gone but the skin inside my cleft is still a tiny bit pink. The 2024 edition of ICD-10-CM L89. Approximate Synonyms. accumulation of dead hairs in the natal cleft, poor wound care, and lack. A pilonidal (pie-low-NIE-dul) cyst is an unusual pocket in the skin that usually contains hair and skin debris. Use secondary code (s) from Chapter 20, External causes of morbidity, to indicate cause of injury. The buttocks are pressed together and a dotted line is drawn corresponding to the top of the gluteal cleft to mark the outer border of the flap. many years past. 2). cleft wounds and conducted a literature search as a basis for presentation to conference attendees, with the goal of gaining consensus regarding guidelines for accurate classification of these wounds. J Wound Ostomy Continence Nurs. ABSTRACT. Applicable To. 4 - other international versions of ICD-10 L30. Carefully lift the dressing edges (filmICD-10. (71 g) 12 1967 6 oz. INTRODUCTION. k. In split gluteal flap, only the superficial 1-1. Pilonidal surgery is a minor procedure typically performed by a colorectal surgeon who removes the cyst and any surrounding infection. This prolonged exposure leads to irritant contact dermatitis. Left untreated, the periwound will eventually break down and the wound will. 2. A 55-year-old woman with CD and HS was referred to a dermatology clinic in July 2015 for evaluation of a peristomal rash. Gluteal Cleft stock photos are available in a. • Suitable for use on neonates1. ICD-10-CM Diagnosis Code M76. The goal is to achieve healing in the simplest and least complicated way possible. Differential assessment of trunk wounds: pressure ulceration versus incontinence-associated dermatitis versus intertriginous dermatitis. The rotating of tissue causes the gluteal cleft to shift. She was electively admitted for investigations and management. Hyperglycemia on last blood sugar check; patient with poorly controlled type 2 DM. •Stable (dry, adherent, intact without erythema or fluctuance) eschar on the heels serves as “the body’s naturalGluteal cleft. The 2024 edition of ICD-10-CM S31. 4 The spectrum of pilonidal disease presentation varies from a chronic cyst and/or sinus with persistent drainage and/ Pilonidal disease is a clinical diagnosis based on history, physical exam (including anorectal exam), and evaluation of symptoms and risk factors. The main artery in the gluteal region is the internal iliac artery, which gives off branches, namely the superior gluteal artery, inferior gluteal artery, and internal pudendal artery. KEYWORDS: abscess, female, gluteal cleft, pilonidal cyst, pilonidal disease, women’s health P ilonidal disease (PD) is defined as a condition of the skin and subcutaneous tissue at or near the natal, or intergluteal, cleft (see Supplementary Figure S1). This prolonged exposure leads to irritant contact dermatitis. -). Pilonidal sinus, also known as pilonidal cyst, arises in the hair follicles as an abscess or a sinus tract with intermittent discharge. Moisture-associated skin damage (MASD), inflammation and erosion of the skin, results from prolonged exposure to different sources of moisture such as feces, urine, sweat, saliva, wound exudate, mucus, perspiration, digestive secretions, and other bodily fluids. Wound Packing without I&D by different provider [QUOTE="applegateml, post: 479423, member: 146622"] Please include a redacted note for review in order for assistance. A step-by-step drawing of the surgical process. Risk factors for this disease include obesity, prolonged sitting, and abundance of gluteal hair. Flexural skin has a relatively high surface temperature. Pilonidal cysts and sinuses are a spectrum of pilonidal disease conditions that occur between the buttocks (gluteal crease or cleft) near the tailbone in the lower back. The patient reported severe itching, stinging sensation, and intermittent rash in the gluteal cleft, perineum, and perianal region, with onset of symptoms 7 months previously. Product placement. The moisture increases the friction, which. And it may be necessary for two caregivers to assist with skin assessment in this patient population. The 2024 edition of ICD-10-CM S31. Her skin examination revealed multiple bullous lesions in the perirectal area involving the gluteal cleft and both. Abscess cultures from the previous admission were reviewed and noted to have grown Escherichia coli and clostridium species. How does Triad work?S30. and basic treatment of the wound may be performed by a primary care provider. 801 Laceration without foreign body of unspecified. Act as if they’re loaded, even if you’re. Sex hormones act on sudoriferous glands and affect hair growth; other factors like sitting for. Open wound of abdomen, lower back, pelvis and external genitals (S31) Unspecified open wound of left buttock (S31. "the difference perianal and gluteal abscess. Keep in mind not to use soap. S71. 0):. . The term “pilonidal” means “nest of hair”. Approximately 70%-90% of pressure injuries are superficial and heal by second intention. This patient subsequently had a cleft-lift to prevent recurrence. Epigastric mass; Epigastric swelling, mass. Buttocks: Plaque or inverse psoriasis causes itching, cracking, scaly, and bleeding skin on your buttocks or gluteal cleft. Successful medical management of pressure injuries relies on the following key principles: Reduction of pressure. Coconut oil contains anti-bacterial properties that help promote better and faster wound healing. Abstract. In the patient's gluteal cleft, about 3 cm away toward the coccyx, there was a perineal wound. L02. 820A. The gluteal sulcus (also known as the gluteal fold, tuck, fold of the buttock, or horizontal gluteal crease) is an area of the body of humans and anthropoid apes, described by a horizontal crease formed by the inferior aspect of the buttocks and the posterior upper thigh. 04%, they are likely too common to be considered high risk. Such happens because the area under consideration is usually damp and moist due to sweat and use of rough toilet paper sometimes causes the skin to split. (C) The wound after 6 weeks. RM2AM2PGG – The treatment of lateral curvature of the spine : with appendix giving an analysis of 1000 consecutive cases treated by posture and exercise exclusively, without mechanical supports . 9 may differ. Remove side release films and gently smooth each side into place. M25. 322 became effective on October 1, 2023. Laceration of left buttock; Left buttock laceration; Stab wound of left buttock; ICD-10-CM S31. It is the deep furrow or groove that lies between the two gluteal regions (commonly known as the buttocks). If most of the wound is intact, your physician may recommend applying antibiotic ointment to the wound and covering it with a clean bandage or dressing. Mrs. Colorectal Dis. The other synonyms of gluteal cleft are anal cleft, gluteal sulcus, natal cleft and intergluteal cleft. Colloquially the intergluteal cleft is known as bum crack (UK) or butt crack (US). 4 When a large amount of tissue is removed, as in traditional pilonidal surgery, and the incision is closed in the midline, the cleft remains deep, a dead space is often created, and this leads to recurrent infection or unhealed wounds. You can see that he developed a huge chronic open wound very close to the anus. 011 Tracheostomy for face, mouth and neck diagnoses or laryngectomy with mcc; 012 Tracheostomy for face, mouth and neck diagnoses or laryngectomy with cc; 013 Tracheostomy for face, mouth and neck diagnoses or. 8 may differ. The individual may report experiencing pain, burning or itching as a result of the skin damage. 819A - other international versions of ICD-10. 7% in the general population, more commonly affecting males (male to female ratio: 4:1) between the ages of 15 and 38 years [1-4]. Bone cultures grew Morganella morganii with pathology consistent with acute osteomyelitis. Not usually over a bony prominence. Triad Hydrophilic Wound Dressing offers a unique approach to wound management and wound treatment. Hypothesis: Refractory pilonidal disease is due to damage of the epidermis in the deep gluteal cleft by moisture and bacteria, rather than to damage in deep tissues. Healing pressure ulcer of right buttock, stage 2. 9 - other international versions of ICD-10 L98. She. Figure 1: Example of periwound maceration. Multiple conditions may result in MASD; 4 of the most common forms are incontinence-associated dermatitis, intertriginous dermatitis, periwound moisture-associated dermatitis, and peristomal moisture-associated dermatitis. Some other conditions are similar to deep gluteal syndrome, part of it, or have many of the same symptoms. 322 - other international versions of ICD-10 L89. Of the 1,592 days with. Bilateral gluteal and bilateral upper medial thigh flaps were raised and inset to decrease surface area. Pilonidal sinus disease (PSD) is an infection of the skin in the inter-gluteal cleft overlying the sacrum and coccyx, a short distance above the anus. The code is valid during the fiscal year 2023 from October 01, 2022 through September 30, 2023 for the submission of HIPAA-covered transactions. This is the American ICD-10-CM version of L89. ASSESSMENT/PLAN: Gluteal abscess, left cheek. Then, the surgical wound is closed by rotating other tissue to cover the area. The gluteal cleft is again examined, and all sinuses probed with a blunt instrument to determine the depth and direction of the underlying tracts. Pilonidal sinus disease (PSD) is a common infection of the skin in the gluteal cleft, with a prevalence of 0. The primary intertriginous skin areas include the groin folds, axillae, and gluteal cleft. Fig. The gluteal cleft most of the time heals on its own but if not, then a proper treatment along with a pain reliever is recommended. 829A is an initial encounter code, includes a 7th. Packing: if an abscess or open wound has gauze dressings inserted into it and changed daily, this is referred to as “packing”. Gluteal flaps can be used as split gluteal flaps, V to Y advancement gluteal perforator flaps. a Pictures of the treated wound in the patient with annular avulsion and anal retraction in lithotomy position (the arrow shows the edge of the anus). After washing, you need to ensure that the skin is thoroughly dried. Injury, poisoning and certain other consequences of external causes. The patient is placed in the prone position, the gluteal cleft evaluated, and any adjacent hair trimmed using clippers. Approximate Synonyms. Triad Hydrophilic Wound Dressing Product Code Size Units 1964 2. with feculent discharge and flatulence from the wound. Treatment of a gluteal injury depends upon the type of the trauma. The Karydakis flap scar is off the midline and infection. IP is usually found in the groins, vulva, axillae, submammary folds, gluteal cleft, navel, intergluteal crease, penis, lips, and web spaces. On examination, she was afebrile, and her pulse was 115 beats per minute. Acute pilonidal disease (abscess) in the upper gluteal cleft: Specialty: General surgery, colorectal surgery: Symptoms: Pain, swelling, redness, drainage of fluid: Usual onset: Young adulthood: Causes: Ingrown hair in the natal cleft:. This procedure is performed by first marking the “safety zone” of the gluteal cleft. To read the full article, sign in and subscribe to AHA Coding Clinic ® for ICD-10-CM and ICD-10-PCS . This is a result of too much exudate that hasn’t been properly managed. 4. Failure of the procedure was defined as lack of complete healing or recurrent pilonidal disease requiring revisional surgery. 604 Trauma to the skin, subcutaneous tissue and breast with mcc; 605 Trauma to the skin, subcutaneous tissue and breast without mcc; 963 Other multiple significant. The patient is placed in a prone position, and the safety zone is defined by the tissues that are able to touch. 309 - other international versions of ICD-10 L89. 82) S31. The 2024 edition of ICD-10-CM S31. 2 cm. The gluteal cleft is just above the anus. Injuries to the abdomen, lower back, lumbar spine, pelvis and external genitals. He had 3 previous operations from other surgeons, all of which failed. Postoperative wound rupture and recurrence after subsequent complete wound healing recurrence. Collection of data that characterizes the status of a wound and the surrounding periwound skin. It was co-founded by the Initiative Chronische Wunden (ICW, Chronic wound initiative, Germany), the Austrian Wound Association (AWA, Austria) and the Swiss Association for Wound Care (SAfW, Switzerland). S1 to S2: The uppermost section of your buttocks (including the gluteal cleft, which is the uppermost area where your buttocks separate),. The. For wound care certification specifically, it is important to understand the basics along with the details. S31. The wound was fairly wide, but there was the ability to rearrange tissue for closure. Pressure ulcer with full thickness skin loss involving damage or necrosis of subcutaneous. The 2024 edition of ICD-10-CM L05. Triad is easy to apply, and. Pressure Ulcer of Gluteal Cleft. The 2024 edition of ICD-10-CM L89. The patient elected not to have it revised. This can then lead to the subsequent formation of a subcutaneous abscess from a persistent folliculitis. A pilonidal cyst is a chronic or recurrent wound that usually manifests at the upper gluteal cleft. Applicable To. 8,9 However, this ap-proach does not always allow for closure off the midline or flattening of the natal cleft. Gluteal tendinitis; Gluteal tendonitis. Pilonidal disease classically presents as an abscess or soft tissue swelling which classically occurs in the intergluteal cleft, just above the anus. An odor from draining pus. The 2024 edition of ICD-10-CM L89. Psoriasis can affect the gluteal cleft. It is currently hypothesized to be an acquired condition with local penetration of hair follicles and debris in stretched intergluteal pores. 3). Excision and midline suture. 132A is grouped within Diagnostic Related Group(s) (MS-DRG v 41. The wound was primarily closed and the patient had an uneventful post-operative course with no recurrence of her cyst to date. The 2024 edition of ICD-10-CM L03. I do not believe surgical intervention is warranted at this time. However, wound closure using bilateral gluteal fascial advancement flaps was associated with a significantly lower rate of dehiscence when compared with standard primary closure (12% vs 40%, P < 0. gallstones, kidney stones, liver disease, diseases of the female reproductive, and. The edges were intact and without epibole, and the periwound was clean and without erythema or edema. S31. 2% (7 of 219) . (170 g) 12 Triad applied directly to the wound Triad impregnated into gauze Facilitating autolytic debridement 1. Keep in mind not to use soap. packing, putting rolled up gauze in the crease, metronidazole ointment), or will this wound never stay closed without surgery due to the diseased tissue underneath the surface?Cutaneous abscess of gluteal region. The gluteal fold is the crease formed by the inferior aspect of the buttocks and the posterior upper thigh. 809A - Unspecified open wound of unspecified buttock [initial encounter] ⑩ [Billable] There's more to see -- the rest of this entry is available only to subscribers. This topic provides a practical framework for clinicians on how to differentiate Stage 2 pressure ulcers/injuries on the gluteal region from selected common conditions, namely incontinence-associated dermatitis (IAD) and f riction-induced skin injury (FISI), including pictures and ICD-10 codes for these conditions. Wund-D. • Suitable for use on neonates1. 3 Loose hairs trapped in the natal cleft traumatize and penetrate the skin, creating a foreign body reaction that may ultimately lead to formation of midline pits and, in some cases, secondary infection. Showing 1-25: ICD-10-CM Diagnosis Code M76. Intervention The deep gluteal cleft was reshaped with a skin flap. Approximate Synonyms. The intergluteal cleft is a surface anatomy landmark of the pelvis and lower limb. The 2024 edition of ICD-10-CM L30. As skin is drawn tight over the gluteal cleft with movement, hairs are drawn deeper intoPressure ulcer of left buttock, stage 2. Click the card to flip 👆. He presented with a verrucous wart-like midline mass on the superior gluteal cleft that had grown since his last resection. Pressure ulcer of right buttock, stage 3. Treatment usually requires having a pilonidal cyst removed surgically. on the WOCN Society's wound care forum and to an e-mail sent to members of the WOCN Iowa Affiliate. The superior tip of the intergluteal cleft. The most common location was the gluteal cleft. It is also known as the “butt crack” and “intergluteal cleft. Sometimes, there is only a cutaneous dimple in the midline above the gluteal cleft. By palpation there is no bony prominence and it is blanchable erythema. 23 In our experience, the cleft lift procedure is simple. If there is slough present, it must be staged as a Stage 3. I have recommended local wound care and careful. Triad Hydrophilic Wound Dressing Product Code Size Units 1964 2. Intertriginous dermatitis mayPhysical examination shows a pilonidal cyst or sinus located beneath the skin, generally at the top of the gluteal cleft, at the level of the coccyx and/or the sacrum, 4 to 10 cm from the anus, in the midline, but often asymmetrical in shape. S31. Created for people with ongoing healthcare needs but benefits everyone. The drainage opening is large enough to allow it to drain well. This is not noticed when your child has on clothing. Puncture wound of left ankle; ICD-10-CM S91. In its. include the gluteal cleft, coccyx, perineum, buttocks, groin, face, hands, feet and other areas. 3) Excludes2: open wound of hip ( S71. This is the American ICD-10-CM version of M25. 80 Open wound of unspecified buttock. on touching tissues such as in the gluteal cleft or skin folds. This is the American ICD-10-CM version of L05. 9% of cases the wounds were not penetrating and in 6. 1,2 MASD encompasses the four forms of moisture-associated skin damage, which include 1) incontinence-associated dermatitis or IAD; 2) intertriginous dermatitis,. In the sacral area, there are several common skin problems that require differential diagnosis, including skin tears, 3 moisture-associated skin damage (MASD), 8,9 gluteal cleft, 10 or friction injuries. Symptoms of an infected pilonidal cyst include: A pit near the top of the buttocks crease. b 14 days after surgery, 12 × 8 cm skin necrosis, prowl separation area approximately 85 × 65 cm, the purulent exudate in the space, and the original fixed anus shortened (the arrow shows. Common symptoms are a painful lump, bleeding, drainage, or enlarged pores in the midline of the gluteal cleft. Gather the Facts – Perform a Complete Wound Assessment 1. 05 significance level and with 80% power. The cyst can become. Sometimes a Pilonidal contains hair and sometimes not. Open pilonidal wounds: large, open wounds in the gluteal crease can develop from failed operations, or just from the pilonidal disease itself. However, the. The patient is able to sit, has full pelvic range of motion, and sexual intercourse. Lack of oxygen creates an environment where anaerobic bacteria flourish and those bacteria can bring healing to a full stop. One piece of small white foam was cut into a rectangular shape and fitted into the undermining at 10 o'clock only per Jane Smith, PA who is present at bedside during assessment. The intergluteal cleft is located superior to the anus . For such conditions, ICD-10-CM has a coding convention that requires the underlying condition be sequenced first followed by the manifestation. 313 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. 829A: Unspecified open wound of left buttock, initial encounter. Pilonidal cysts typically manifest as a sinus. [6] Physical exam findings include midline pits in the superior gluteal cleft and may be associated with cephalad or lateral tracking sinuses. Wound appears to be relatively clean, with only trace erythema around the periphery of the wound. Control of infection. 82 - other international versions of ICD-10 S31. 2016;43(2):148-149. 8 - other international versions of ICD-10 Q82. The resulting wound is off to the side of the midline so it is exposed to air and can heal well. Instead, skin. For many, a split bum crack (also known as intergluteal cleft) can be both painful and embarrassing. Keep the area clean, wash it gently with mild soap, and pat it dry. ICD-10-CM Diagnosis Code R19. She denied fever, chills, weakness, fatigue. Triad applied directly to the wound Boyle, M. Our preference for management of chronic pilonidal disease is the Bascom cleft lift procedure, with minor modifications to the technique as originally described (See Video [online], which displays the cleft lift procedure favored by the senior authors for management of pilonidal disease). Symptoms of an advanced infection include: swelling in the affected area. The patient. The pits picking (Gips) procedures [ 18 , 20 ] were all carried out in the prone position under a general and local anesthesia combination as described before. This is the American ICD-10-CM version of L89. Nevertheless,. 031S Puncture wound without foreign body, right hi. Grade of recommendation: 1C. A 63-year-old male with a 20-year history of a chronic, recurrent sacrococcygeal pilonidal cyst was referred to our outpatient clinic. 5 loose hairs in the natal cleft skin create a foreign body reaction that ul-timately leads to formation of midline pits and, in someGluteal crease, gluteal cleft, buttock cleft, natal cleft: this is the crease between the right and left buttocks. Pilonidal cysts and sinuses are a spectrum of pilonidal disease conditions that occur between the buttocks (gluteal crease or cleft) near the tailbone in the lower back. Damage may be focused on the dependent area of the wound in extremities, due to pooling of wound exudate. 5. Moisture-associated skin damage develops from prolonged exposure of the skin to various sources of moisture and irritants such as urine, feces, digestive secretions, mucus, saliva, perspiration, and wound drainage, resulting in irritant contact dermatitis. Definition. The operation was started by approaching the old incision in the gluteal cleft, where there was an absence of adhesion between the skin and the pre-sacral area. Triad adheres to wet skin, and can be used on broken skin in the presence of incontinence, or maceration of the peri-wound skin. The inferior flap thus was based laterally. The area is prepped with an antiseptic solution and draped in a typical fashion. Treatment options are extensive but most often include incision and drainage with antibiotic treatment. Closure of the wound should be done in such a way that the gluteal cleft is flattened. wounds such as sacral pressure ulcers. The condition, which has an annual. 309 may differ. 2 -, S38. BACKGROUND. People will have a general anesthetic, and a. Results: We reviewed records of 237 subjects, 151 women and 86 men, with a total of 572 buttock recurrences. One central aim of Wund. If the area of recurrence is relatively small with a shallow intergluteal cleft, open the tracts. The gluteal region and posterior thigh contain various blood vessels and nerves that supply the muscles, bones, and skin of the region. A pilonidal sinus affects the natal cleft, which is the top of the crease of the buttocks, just under the tailbone. 819A - Unspecified open wound of right buttock [initial encounter] answers are found in the ICD-10-CM powered by Unbound Medicine. A pressure injury develops as a result of unrelieved pressure between the sacral bone and the sitting or lying surface. S72. I also agree with KeKe 74. the gluteal cleft. The sacrum is a large concave triangular bone at the base of the spine that is the fusion of sacral vertebrae S1-S5. 1 Therefore, each of the new ICD-10-CM diagnosis codes were added under the category. Wound, ostomy, and continence (WOC) nursing was recognized as a nursing specialty by the American Nurses Association in February 2010, and the Society published the original scope and standards of WOC nursing practice in May 2010. you could use foam, or hydrocolloid if that is what you use. Abstract. A. May be ‘copy’, ‘mirror’ or ’kissing’ lesion on adjacent buttock or anal-cleft. The gluteal cleft shield is directly applied on the skin and fixes itself above the waistband. Sex hormones act on sudoriferous glands and affect hair growth; other factors like sitting for. 2.