I mention this as something to consider because you are having to change dressings twice a day due to. In our study, the mean operative time was 55. S72. origin secondary to abnormal skin in the gluteal cleft,4 the current widely accepted theory describes the origin of pilonidal disease as an acquired condition intimately related to the presence of hair in the cleft. the gluteal cleft area. The authors present results of surgical treatment of 98 patients with gluteal wounds. The diffuse surrounding enhancement (arrowhead) indicates superimposed infection. Remove side release films and gently smooth each side into place. Shave, Feet CPT 11305 - Shaving of epidermal or dermal lesion, single lesion, scalp, neck, hands, feet, genitalia; lesion diameter 0. Excision and reconstruction using a flap - Sometimes called the Cleft procedure, this surgery removes all the skin covering the involved area. Click the card to flip 👆. . ”. In some people, hairs will grow in the skin of the buttock crease and become infected. The. Remove femur after distal mobilization and disarticulate hip posteriorly through the decubitus ulcer. However, the. 16 min. Flexural skin has a relatively high surface temperature. Triad facilitates autolytic debridement to help manage necrotic tissue such as slough and eschar. 323 may differ. [161, 162] The gluteal thigh rotation flap is an axial flap based on the inferior gluteal artery. Epidermoid cyst. 0 Traumatic amputation at hip joint. Best answers. 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. And it may be necessary for two caregivers to assist with skin assessment in this patient population. 3 IAD occurs in the perineum, including the labial folds and vulva to the anus in women, and from the scrotum to the anus in men; groin, buttocks, gluteal cleft, and even extending down to the inner and posterior thighs. A pilonidal cyst can be extremely painful especially when sitting. Three cases of pilonidal disease occurred in the gluteal cleft and one in the umbilicus. The clinical manifestations, diagnosis, and management of pilonidal disease are presented here. The time to healing was rapid, within 1 week in 22 patients. 10 for a 60/gm tube. These include: Piriformis syndrome. 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). And it may be necessary for two caregivers to assist with skin assessment in this patient population. If the wound has opened substantially, your doctor will likely ask you to come in for evaluation and treatment. Cluster of abscesses under the surface of the skin; transient with random distribution; usually triggered by an infection. The edges are diffuse and irregular. This is the American ICD-10-CM version of L89. Code. Approximate Synonyms. Triad is designed to be applied directly from the tube onto the wound without the need for a secondary dressing. (A) Incision from the gluteal cleft to popliteal fossa and guillotine distal shank amputation. 039 Puncture wound without foreign body, unspecif. 24, 67 Muscle spitting. Showing 1-25: ICD-10-CM Diagnosis Code M76. Linear SevereCare was taken to place the first limb in the gluteal cleft and along the gluteal fold, mirrored by the opposing flap (Figs. 82 became effective on October 1, 2023. . Though MRI is fully capable of imaging soft tissue structures, the exam requires a longer amount of time to complete than other modalities. METHODS: Respondents were asked to view 9 unique wound photos and to determine whether the primary etiologic factor was pressure, moisture, incontinence-associated dermatitis, or skin tear. The prevalence of IAD varies widely depending upon the setting. Computed tomography (CT) with oral and rectal. accumulation of dead hairs in the natal cleft, poor wound care, and lack. Remove femur after distal mobilization and disarticulate hip posteriorly through the decubitus ulcer. 819S. Keep in mind not to use soap. Pilonidal disease, especially when infected, can be confused with other conditions, which are discussed in other. 1) Cost – Twice-a-day application of a topical ointment containing balsam peru, castor oil and trypsin (BCT) at $48. 317 may differ. Remove the tibia and fibula. Background: Herpes simplex virus (HSV) lesions are prone to reactivation and recurrence in response to various local or systemic triggering factors. Applicable To. 2016;43(2):148-149. 22 Yamamoto and colleagues 23 reported a 23% rate of persistent. 312 became effective on October 1, 2023. 28 What is the best way to treat the wound? Small wounds can be closed primarily, whereas large defects may require negative pressure therapy or flap closure. Non-healing wounds in the natal cleft are the most common reason for reoperation after excision and open treatment. Not usually over a bony prominence. Azathioprine 50 mg once daily was added to her longstanding. Intertriginous dermatitis (ITD), also referred to as intertrigo, is an inflammatory condition that affects opposing skin surfaces and can occur anywhere on the body where. The team of certified wound care nurses at this large integrated health system recognized that there was a 2-fold problem associated with their current protocol used to treat intergluteal cleft lesions. 9 Unspecified fracture of femur. 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. 825S. 1,4 However, some believe all gluteal cleft anomalies other than dimples warrant. The official AHA publication for ICD-10-CM and ICD-10-PCS coding guidelines and advice. 309 may differ. Then, the surgical wound is closed by rotating other tissue to cover the area. Healing pressure ulcer of unspecified buttock, stage 3. 323 became effective on October 1, 2023. The authors present results of surgical treatment of 98 patients with gluteal wounds. Pilonidal Disease Fact Sheet A Pilonidal (abscess, cyst, sinus, dimple) is an abscess in the natal cleft (more commonly referred to as your butt crack) that tends to become infected and cause intense pain and drainage. ICD-10-CM Diagnosis Code M76. Pressure ulcer with abrasion, blister, partial thickness skin loss involving epidermis and/or. 3. 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). 02) open fracture of pelvis ( S32. The wound bed is viable, pink or red, moist, and may also present as an intact or ruptured serum-filled blister. This is the American ICD-10-CM version of L89. 2. Shaving along the intergluteal fold and surrounding region can be used as a first-choice treatment in cases without abscess or as a standard component of the post-operative treatment in order to prevent. 05 significance level and with 80% power. In the patient's gluteal cleft, about 3 cm away toward the coccyx, there was a perineal wound. A pilonidal cyst (intergluteal pilonidal disease) is a skin condition caused by local inflammation of the superior midline gluteal cleft, which may progress to a local abscess or fistula. S71. How does Triad work?S30. 9 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. Location-in skin folds, gluteal cleft, or the perianal area Shape-diffuse superficial spots, narrow linear breaks in the skin, and “kissing lesions” (on both sides of the buttocks Depth-superficial, partial thickness Necrosis-none Margins-can be irregular with pink or white macerated edges Color-pink to red base The management of recurrent pilonidal sinus is intended to reduce intergluteal cleft depth and reduce friction or gluteal motion in the process. With the cleft lift procedure,. If the area of recurrence is relatively small with a shallow intergluteal cleft, open the tracts. Fig. 573 Skin graft for skin ulcer or cellulitis with mcc; 574 Skin graft for skin ulcer or cellulitis with cc; 575 Skin graft for skin ulcer or cellulitis without cc/mcc;. Pain. Instead, skin. mbort True Blue. 4 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. 4 may differ. The base was moist, pale pink with some scattered areas of yellow slough. Colorectal Dis. 819A - Unspecified open wound of right buttock [initial encounter] answers are found in the ICD-10-CM powered by Unbound Medicine. These wounds come apart because they are down in the gluteal cleft, and because of the location, they do not heal. Keep an eye on the wound area daily for any type of changes in skin condition. She previously was diagnosed by her periodontist with erosive lichen planus and was prescribed topical and oral steroids with minimal improvement. Friction from the movement of adjacent skin results in chafing. They are not harmful to one’s health and do not necessitate. The first is the frictional motion of the deep cleft, which creates continuous irritation to the healing wound; the second is the midline nature of the wound, which is a product of constant lateral traction during sitting. 18 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. Perineal wound healing difficulties are the primary complaint of patients within the first year following proctectomy for inflammatory bowel disease. Adequate débridement of necrotic and devitalized tissue. Actually, that is not the case. After washing, you need to ensure that the skin is thoroughly dried. The patient is placed in a prone position, and the safety zone is defined by the tissues that are able to touch. The Karydakis flap scar is off the midline and infection. , V–Y transposition, SGAP, IGAP), which leave both large and visible. That leaves their testes exposed. IP is usually found in the groins, vulva, axillae, submammary folds, gluteal cleft, navel, intergluteal crease, penis, lips, and web spaces. 829A became effective on October 1, 2023. 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. Sex hormones act on sudoriferous glands and affect hair growth; other factors like sitting for. 2. Since it's a perianal wound, could I employ the same wound healing strategies that someone with a post-open-excision wound would use in order to get it to heal (e. The WOCNCB wound care certification examination is a 120-item multiple-choice test administered electronically at specified testing sites around the country. It’s beneath the sacrum and, ahem, “in the superior gluteal cleft. The new natal cleft is less deep and smoothly transitions down toward the anus. L02. Catherine R. Significant morbidity derives from extensive gluteal and perineal hidradenitis suppurativa caused by the disease extension and large wounds that result from surgical treatment. The damaging effects of moisture, pressure, friction, and shear on human tissue are well-known among wound care experts. Pilonidal cysts are a common condition, with more than 70,000 cases reported in the U. Wounds heal poorly in the deep, intergluteal natal cleft, for two reasons. However, the opening of the fistula tract may be present in the left costal margin, right iliac fossa, right groin, or right gluteal region. The Journal of Wound, Ostomy and Continence will no doubt follow up the consensus meeting on Challenges in classification of gluteal cleft and buttock wounds with an update from this year’s. Toward the bottom of your spine, where your buttocks split, is a crease called the gluteal cleft. A new paradigm suggests that a procedure to change the shape of the gluteal cleft will improve results. 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. While wounds are caused by an external force, ulcers are the result of some internal issues. Subjects: Study subjects were 100 wound care nurses who responded to an invitation placed on the WOCN Society's wound care forum and to an e-mail sent. 8 - other international versions of ICD-10 Q82. Nevertheless,. It is a visible border separating ass into two parts. Continue Reading. ICD-10-CM Diagnosis Code M76. Pilonidal disease refers to a subcutaneous infection occurring in the upper half of the gluteal cleft. We then found two undamaged 350-mL gluteal implants (Polytech) with rough surfaces. 8 × 2. The lower the surgical wound is in the natal cleft, the less oxygen it will receive. Description •Until enough slough and/or eschar is removed to expose the base of the wound, the true depth cannot be determined but it will be either a Stage III or IV. 3). Left untreated, the periwound will eventually break down and the. Intertriginous skin, also known as skin folds, are sites in which opposing skin surfaces come into contact while at rest, resulting in chronic skin occlusion. Introduction. The right buttock PI was treated with. 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. Carefully lift the dressing edges (filmICD-10. He ends up with an excellent post-op. 309 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. Complications were recorded and are described. Bone cultures grew Morganella morganii with pathology consistent with acute osteomyelitis. Acutely, a pilonidal cyst presents with tenderness, pain, and erythema at the top of the gluteal cleft. 317 became effective on October 1, 2023. Wounds directly in the midline of cleft are the hardest to heal due to lack of oxygen. Synonyms: absent navel syndrome, acquired disorder of. Pilonidal cysts can range from abscesses — painful collections of pus — to sinuses, and lead to persistent bloody drainage. ICD-10-CM Diagnosis Code R19. 829A is a billable diagnosis code used to specify a medical diagnosis of unspecified open wound of left buttock, initial encounter. 3, 4). difficult-to-dress wounds with light-to-moderate exudate such as those near the gluteal cleft. S72. 4. ASSESSMENT/PLAN: Gluteal abscess, left cheek. This is a result of too much exudate that hasn’t been properly managed. 3 Figure 2 shows a linear ulcer in the gluteal cleft, with sharply. Daniel Saurborn: CT scan sufficient: MRI scans can be quite expensive. Introduction. a. A review of 5 cases described a characteristic clinical presentation of a butterfly-shaped bilateral gluteal cleft lesion on most patients. ous infection. Carefully examining the gluteal cleft on a regular basis and palpating the area to assess for pain and bogginess is important. Definition. The code is valid during the current fiscal year for the submission of HIPAA-covered transactions from October 01, 2023 through September 30, 2024. Gluteal cleft (also called natal cleft) is the space between the buttocks, while the gluteal fold is the area where the buttock joins the upper posterior thigh. Body habitus may contribute to additional intertriginous sites, such as inframammary skin and. Then, the surgical wound is closed by rotating other tissue to cover the. hair in the gluteal cleft. Gunshot wound of buttock; Open wound of buttock; ICD-10-CM S31. There is no wound packing and. 5 × 1. The sacrum is a large concave triangular bone at the base of the spine that is the fusion of sacral vertebrae S1-S5. As a person sits or bends, the skin around the gluteal cleft can stretch and damage hair follicles, causing pores or “pits” to open in the cleft. Both the biceps femoris flap and the hamstring. 322 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. A 71-year-old woman with no relevant medical history presented with recurrent painful erosions on the gingivae and gluteal cleft of 1 year’s duration. Triad Hydrophilic Wound Dressing Product Code Size Units 1964 2. A. In our study, we completely excised pilonidal sinus, its track, and the linked sudoriferous gland area en-bloc and closed the wound. The 2024 edition of ICD-10-CM S31. Gluteal cleft and coccyx stage 3 with DTPI in wound bed: Coccyx: Wound improved and was 1. It extends from sacral level S3 or S4 and ends just inferior to the apex of the sacrum, at the level of the anus. This procedure is performed by first marking the “safety zone” of the gluteal cleft. The skin flap is then closed over the ‘shallowed’ valley and sutured to the side outside the cleft. For wound care certification specifically, it is important to understand the basics along with the details. Pilonidal sinus disease (PSD) is a common infection of the skin in the gluteal cleft, with a prevalence of 0. All the patients admitted to hospitals in state of shock as well as suspected to the penetrating character of the wound underwent general laparoscopy. Use an absorbent diaper and wrap it. sensation -pain,touch,temp,pressure. 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. 810A - other international versions of ICD-10 S30. Unspecified open wound of right buttock. 303 became effective on October 1, 2023. She denied fever, chills, weakness, fatigue. Injuries to the abdomen, lower back, lumbar spine, pelvis and external genitals. Contact dermatitis is an inflammatory skin response to an allergen, chemical, or other agent. 01 [convert to ICD-9-CM] Gluteal tendinitis, right hip. The documentation states "incision into the skin. S78 Traumatic amputation of hip and thigh. In split gluteal flap, only the superficial 1-1. on the WOCN Society's wound care forum and to an e-mail sent to members of the WOCN Iowa Affiliate. of gluteal cleft wounds. (C) The wound after 6 weeks. The resulting wound is off to the side of the midline so it is exposed to air and can heal well. Exploration with a Q-Tip revealed that these two wounds communicated deep down. The resulting wound is off to the side of the midline so it is exposed to air and can heal well. Both CT and MRI are optimally performed with the patient supine, which can apply pressure to the affected area with subse-quent pain. Ultrapotent or mid-potent corticosteroid creams alleviated the symptoms only slightly when used twice a day for 2–3 weeks. The goal is to achieve healing in the simplest and least complicated way possible. 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. After excision of diseased tissue, plastics entered to evaluate the tissue. Signs and symptoms of gluteal injuries include swelling, bleeding, and inflammation. DTIs as very linear wounds with a mirror image distribution, along the edge of the medial buttocks, right along the gluteal cleft. Some symptoms associated with stage 2 pressure ulcers include: pain. By flattening the cleft, recurrence is minimized. 6). Typically, pilonidal cysts occur after puberty. . The 2024 edition of ICD-10-CM S31. Recurrence rates have been reported between 0% and 4. Triad Hydrophilic Wound Dressing offers a unique approach to wound management and wound treatment. Case. 0):. A comparison of the various surgical most effectively. Coconut oil contains anti-bacterial properties that help promote better and faster wound healing. 829S is a valid billable ICD-10 diagnosis code for Unspecified open wound of left buttock, sequela . Shape Diffuse often multiple lesions. The primary intertriginous skin areas include the groin folds, axillae, and gluteal cleft. She has authored numerous key publications and is a well-known lecturer in the areas of wound, ostomy and continence management, and professional practice for the WOC nurse. There are a group of patients who develop DTIs as very linear wounds with a mirror image distribution, along the edge of the medial buttocks, right along the gluteal cleft. Pilonidal disease is a reaction to hair in the gluteal cleft, in which unattached hairs injure or pierce the skin, resulting in a foreign body reaction. Injury, poisoning and certain other consequences of external causes. Applicable To. Deep natal cleft is an important factor in the pathogenesis of pilonidal sinus disease [ 14 ]. The gluteal cleft and the gluteal fold both occur normally in humans. Pilonidal disease is a chronic inflammatory process typically in the gluteal cleft that results in the formation of abscesses, fistulas, and sinus tracts which can produce pain, drainage, and recurrent infections []. Synonym(s): jeep disease. Healing pressure ulcer of right buttock, stage 2. The goal is to achieve healing in the simplest and least complicated way possible. The veins accompany the arteries and drain. This can then lead to the subsequent formation of a subcutaneous abscess from a persistent folliculitis. "the difference perianal and gluteal abscess. I do not believe surgical intervention is warranted at this time. On day 6, gluteal erythema was noted, and the wound care team recommended topical medication, attributing erythema to occlusion and moisture. Symptoms of intertrigo. Nevertheless, accurate classification of these lesions is frequently challenging, even for experienced wound clinicians. You should ALWAYS treat firearms with extreme caution, no matter the circumstance. L98. It is drained off to one side or the other. ICD-10-CM Diagnosis Code M76. before i know it is become an open wound. 5 cm of gluteal muscle is harvested, supplied by the proximal parasacral perforators. A pilonidal cyst (intergluteal pilonidal disease) is a skin condition caused by local inflammation of the superior midline gluteal cleft, which may progress to a local abscess or fistula. The symptoms from pilonidal disease can vary greatly from patient to patient. 8 may differ. 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. A pressure injury develops as a result of unrelieved pressure between the sacral bone and the sitting or lying surface. shaving the gluteal hair for the rest of the patient’s life was a standard postoperative recommendation for patients with. [6] Physical exam findings include midline pits in the superior gluteal cleft and may be associated with cephalad or lateral tracking sinuses. A deep natal cleft is associated with PSD and should be considered the cause of the condition. I also agree with KeKe 74. 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:. Typically, pilonidal cysts occur after puberty. gluteal cleft / natal cleft / cluneal cleft / butt crack) is the posterior deep midline groove in the gluteal region. many years past. wounds such as sacral pressure ulcers. Irregular surfaces could include the gluteal cleft, coccyx, perineum, buttocks, groin, face, hands, feet and other areas. The gluteal cleft is the groove running between each buttock, from the base of the spine to the perineum, which is the area between the anus and genitals. What is gluteal cleft wound? Toward the bottom of your spine, where your buttocks split, is a crease called the gluteal cleft. I've had foul smelling discharge characteristic of wound drainage that I've been struggling to pinpoint for quite a while, in the general backside region. It is also known as the “butt crack” and “intergluteal cleft. Pilonidal cysts typically manifest as a sinus. Affected individuals. Risk factors for this disease include obesity, prolonged sitting, and abundance of gluteal hair. A butt rash can have several causes. This is the American ICD-10-CM version of S31. 829) S31. In men, the infection can destroy their scrotum. generally gluteal cleft wounds that are linear in this way are caused from moisture, and would be classified as moisture associated damage. Table 1 demonstrates patient, wound, and treatment characteristics at the time of MatriStem device placement. The 2024 edition of ICD-10-CM L89. The 2024 edition of ICD-10-CM L05. The most commonly reported symptoms include pain, dyspareunia, pruritus, and discharge. Puncture wound of left ankle; ICD-10-CM S91. Other names are the anal cleft, crena analis, crena interglutealis, and rima ani. 23 In our experience, the cleft lift procedure is simple. These wounds come apart because they are down in the gluteal cleft, and because of the location, they do not heal. In the authors_ experience, smaller razors specifically reduces the depth of the gluteal cleft and may decrease the risk of designed for the bikini area that include a swivel razor head work pilonidal sinus recurrence. Under local anesthesia, the wound may be incised with a scalpel. If there is no abscess, gluteal cleft shaving may be used as a primary or adjunct treatment measure. On examination, she was afebrile, and her pulse was 115 beats per minute. The most common areas include: Intertrigo can also affect the skin between the buttocks. Psoriasis can affect the gluteal cleft. ICD-10-CM Codes. This is the American ICD-10-CM version of S31. 2021 ICD-10-CM Diagnosis Code S31. Triad. hoping is going to go away. Act as if they’re loaded, even if you’re. This is the American ICD-10-CM version of L89. 317 - other international versions of ICD-10 L03. 5% to 4% [52, 53]. It is also called butt crack or ass crack. Gentell leads the wound care industry in new product development and innovative cost-containment programs for hospitals, nursing homes and home health agencies. This is the American ICD-10-CM version of M25. 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. L03. Pilonidal surgery is a minor procedure typically performed by a colorectal surgeon who removes the cyst and any surrounding infection. Wound closure in the midline is intended to shorten the mean duration. L02. M25. Neurological examination may show motor weakness, a sensory deficit in the lower body, or decreased anal tone. 0):. Symptoms of IAD include: redness, ranging from light pink to dark red, depending on skin tone. Left untreated, the periwound will eventually break down and the wound will. 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. Laceration of right buttock; Right buttock laceration; Stab wound of right buttock; ICD-10-CM S31. The 2024 edition of ICD-10-CM S31. Pilonidal disease is a common condition of the skin and subcutaneous tissue at or near the upper part of the natal cleft of the buttocks. Distinctive skin lesions of SGD are brownish scaly plaques on the gluteal cleft and both sides of the buttocks assuming a pattern of “three corners of triangle” (Fig. Incidence. The 2024 edition of ICD-10-CM L03. 1 The classic findings, found in 50% of cases, include perianal and peristomal skin tags, fistulae, perineal ulcers, linear ulcers (resembling knife cuts), abscesses, and fissures. An odor from draining pus. The use of bilateral gluteal fascial advancement flaps is a superior method for closing elective pilonidal cyst excisions. The small contralateral decubitus ulcer was treated. 1,2 The associ-ated flow chart outlines the decision-making and man-agement of the disease. Gluteal implants are an effective and predictable way to remodel the buttocks. to the office each week for wound evaluations and dressing changes for failed surgical treatment of pilonidal disease, or for treatment of intentionally created. ” In ultrarunner translation, that’s the. Several key articles were identifi ed that summarized existing research in this area and advocated the need for more specifi c identifi cation and classifi cation ofChief among them is the coccyx. Posterior pelvis and femur are exposed in the base of the wound. It is important that the dressing ‘fits’ into the upper aspect of the gluteal cleft to ensure that the dressing is properly secured against incontinence episodes. He had received multiple surgical resections in the past with benign pathology. 18 - other international versions of ICD-10 M25. This rash may burn or itch. ICD 10 code for Blister (nonthermal) of lower back and pelvis, initial encounter. 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. EPIDEMIOLOGY. Abstract. The gluteal cleft is just above the anus. 3. Q82. It separates the two glutes (and the buttocks) from each other and extends downwards from the third or the fourth sacral spine, deepening as it goes inferiorly. Patients with fecal incontinence: • Consult with physician; consider placement of fecal. A finger sweep was conducted that showed the subcu tissue. 000D - Unspecified open wound of lower back and pelvis without penetration into retroperitoneum [subsequent encounter] S31. 6. 2.