The intergluteal cleft is a surface anatomy landmark of the pelvis and lower limb. Puncture wound of left great toe; ICD-10-CM S91. 8 - other international versions of ICD-10 Q82. Pilonidal surgery is a minor procedure typically performed by a colorectal surgeon who removes the cyst and any surrounding infection. Without the valley and divots, debris and hairs can’t collect. Sometimes called the Cleft procedure, this surgery removes all the skin covering the involved area. The depth of gluteal cleft varies and depend upon the developed gluteal muscles. • Suitable for use on neonates1. Though MRI is fully capable of imaging soft tissue structures, the exam requires a longer amount of time to complete than other modalities. but the smell is undeniable and localized to a very specific area high in my gluteal cleft, leaving me to suspect a draining sinus tract. Best answers. The intergluteal cleft (a. 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). Therefore, the first option for reconstruction of ischial wounds is the gluteal thigh rotation flap, which does not preclude the future use of the inferior portion of the gluteus maximus muscle. 8 Other fracture of femur. Results: We reviewed records of 237 subjects, 151 women and 86 men, with a total of 572 buttock recurrences. 1. Injuries to the abdomen, lower back, lumbar spine, pelvis and external genitals. patches of inflammation or a. A suction drain was inserted and left for four to seven days till there was no or minimal drainage except if signs of inflammation were evident. on touching tissues such as in the gluteal cleft or skin folds. Triad is an ideal dressing choice for difficult-to-dress wounds on wet or irregular surfaces. Puncture wound without foreign body of left upper arm, initial encounter: S41132S: Puncture wound without foreign body of left upper arm, sequela: S41139A: Puncture wound without foreign body of unspecified upper arm, initial encounter: S41139S: Puncture wound without foreign body of unspecified upper arm, sequela: S41141Sof gluteal cleft, with dressing ‘base’ positioned to cover coccyx area. 1/7. Organize, control, distribute and measure all of your digital content. 2. 4 When the skin is moist, it is. INTRODUCTION. 000D - Unspecified open wound of lower back and pelvis without penetration into retroperitoneum [subsequent encounter] S31. It extends from sacral level S3 or S4 and ends just inferior to the apex of the sacrum, at the level of the anus. Pain. 5. . Methods This study included 84 patients who were treated with the Cleft-Lift procedure between 1993 and 2012. We relalized the infection extended past the current margins and the area was further debrided down to the sacrum as well as needing to resect portions of the bilateral gluteus. Objective: To study the characteristics of five bedridden geriatric patients who presented with herpetic recurrences on the buttocks, gluteal cleft, and perianal region during hospitalization. Oral options include penicillin V potassium, amoxicillin, cephalexin, and cefadroxil. Damage may be focused on the dependent area of the wound in extremities, due to pooling of wound exudate. Clinical features include erythema, edema, vesicles, bullae, and oozing. After skin is prepared, remove the centre release film by gently pulling on pink-lined edge. Grade of recommendation: 1C. Colon/Rectal surgeon excised the diseased tissue. S71. The location of the dermal pit is typically described by dividing the gluteal area into 4 equal parts, and is based on the association between the dermal pit and the intergluteal cleft, as summarized in Table 1 and Fig. Triad is easy to apply, and can be used on the wound or peri-wound skin. 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. Lack of Oxygen. 829S. Of the 4 Hispanic whites,. 5 oz. Exploration with a Q-Tip revealed that these two wounds communicated deep down. Act as if they’re loaded, even if you’re. In this article, we describe how PD is an acute, chronic, and recurring disease that requires clinicians. Stage 1- A non blanching red area, that does not go away. The Karydakis flap scar is off the midline and infection. Read about recovery time, diagnostic tests, and prevention. A. Patients had undergone a total of 141 operations with wounds still open for a combined total of 252 years. 322 - other international versions of ICD-10 L89. • Suitable for use on neonates1. 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. View all the articles associated with any code, right from the code page! 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. I also agree with KeKe 74. Volume 11, Number 2 · Fall 2013 Wound Care Canada – Supplement 7 neck; in the axilla; under the breasts, especially if they are pendulous; in the lateral flank area; between the buttocks (gluteal cleft, intergluteal cleft); in the groin; in the creases of the knees or elbows; and between the fingers and toes. It’s beneath the sacrum and, ahem, “in the superior gluteal cleft. Then, the surgical wound is closed by rotating other tissue to cover the area. Wound closure in the midline is intended to shorten the mean duration. Non-healing wounds in the natal cleft are the most common reason for reoperation after excision and open treatment. Pressure ulcer with abrasion, blister, partial thickness skin loss involving epidermis and/or. Affected individuals – typically obese, sedentary men with excessive body hair and a deep gluteal cleft – may be asymptomatic or present with mild local. Bodily secretions. It is the deep furrow or groove that lies between the two gluteal regions (commonly known as the buttocks). This is the American ICD-10-CM version of L03. 323 became effective on October 1, 2023. Available for iPhone, iPad, Android, and Web. 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. In our study, we completely excised pilonidal sinus, its track, and the linked sudoriferous gland area en-bloc and closed the wound. 1 Given the low incidence rate of OSD at 0. 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. 801A is grouped within Diagnostic Related Group(s) (MS-DRG v 41. 11,12 In many of the sacral-area reconstruction cases, the patients are looking for improvement in quality of life, or simply a closed wound situation. Treatment usually requires having a pilonidal cyst removed surgically. The Wound, Ostomy, and Continence Nursing: Scope and Standards of Practice, 2nd Edition is the definitive. L89. 16. 5 × 0. S31. In our study, the mean operative time was 55. thermoregulation &excretion- regulates body temp. body image. Dear Editor: Senile gluteal dermatoses (SGD) is the hyperkeratotic lichenified skin lesions around of the gluteal cleft which was first reported in Japan 1. Fully searchable through Find-A-Code's Comprehensive Search. Nevertheless, accurate classification of these. Symptoms include a red or reddish-brown rash that can appear anywhere skin rubs together or traps wetness. Shave, Feet CPT 11305 - Shaving of epidermal or dermal lesion, single lesion, scalp, neck, hands, feet, genitalia; lesion diameter 0. Postoperative wound rupture and recurrence after subsequent complete wound healing recurrence. Wide surgical excision is the treatment of choice and leads to cure. Symptoms of intertrigo. I have recommended local wound care and careful. 9 - other international versions of ICD-10 L98. With the cleft lift procedure,. If the wound. A rash is any area of irritated or swollen skin on your. 91 became effective on October 1, 2023. The vertical line starts from sacrum to the perineum. Bone cultures grew Morganella morganii with pathology consistent with acute osteomyelitis. HCC Plus. 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. with feculent discharge and flatulence from the wound. Pilonidal sinus disease (PSD) is a common infection of the skin in the gluteal cleft, with a prevalence of 0. 80 Open wound of unspecified buttock. 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. S71. May be ‘copy’, ‘mirror’ or ’kissing’ lesion on adjacent buttock or anal-cleft. Study. 819A is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. Applicable To. ABSTRACT. include the gluteal cleft, coccyx, perineum, buttocks, groin, face, hands, feet and other areas. Injury, poisoning and certain other consequences of external causes. He presented with a verrucous wart-like midline mass on the superior gluteal cleft that had grown since his last resection. 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. Gluteal tendinitis; Gluteal tendonitis. It is commonly seen in the skin between. This means that the butt crack will appear off-center. ICD 10 code for Blister (nonthermal) of lower back and pelvis, initial encounter. To that end, various flap-Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology. I was merely ruling out an Acute Anal Fissure by the Q and A, which is a tear in the anus and is very painful during passage of. of gluteal cleft wounds. 02) open fracture of pelvis ( S32. There are several names for this area: natal cleft, gluteal crease, gluteal crevice. S31. • Suitable for use on neonates 2. Under local anesthesia, the wound may be incised with a scalpel. Pressure Ulcer of Gluteal Cleft. 829) S31. [6] Physical exam findings include midline pits in the superior gluteal cleft and may be associated with cephalad or lateral tracking sinuses. It is characterized by one or more midline openings and sinus, which communicate with each other; these are lined by granulation tissue and contain dead hairs lying loosely within the lumen [1,3-5]. for difficult-to-dress wounds with light-to-moderate exudate such as those near the gluteal cleft. 5). 810A - other international versions of ICD-10 S30. Post-surgical wound packing may be necessary, and packing typically must be replaced daily for 4 to 8 weeks. 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. 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. The gluteal cleft refers to the separation of the buttocks. such as poor wound healing. 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. The commonest site of the outer opening is the right upper quadrant of the abdominal wall. The damaging effects of moisture, pressure, friction, and shear on human tissue are well-known among wound care experts. They are not harmful to one’s health and do not necessitate. In 93. It is currently hypothesized to be an acquired condition with local penetration of hair follicles and debris in stretched intergluteal pores. DX? dmaec True Blue. Approximate Synonyms. 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. In the absence of an abscess, gluteal cleft shaving may be employed for both acute and chronic PSD as a primary or adjunct therapy. 9 may differ. It is drained off to one side or the other. 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. before i know it is become an open wound. This means that the butt crack will appear off-center. The above description is abbreviated. After injecting with 0. Carefully lift the dressing edges (filmICD-10. , July 27th, 1888. functions of the skin. 4. 31 - other international versions of ICD-10 L02. Gluteal cleft and coccyx stage 3 with DTPI in wound bed: Coccyx: Wound improved and was 1. This is the American ICD-10-CM version of S31. S31. 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. Psoriasis can affect the gluteal cleft. M25. 1. The 2024 edition of ICD-10-CM S30. gluteal cleft with associated midline pits. The deep femoral vessels and their perforators,. 1,4 However, some believe all gluteal cleft anomalies other than dimples warrant. The goal of this procedure is to completely eliminate the gluteal cleft in the diseased area. 0 cm at D/C Gluteal cleft: Resolved in 11 d R buttock: Blanching erythema in 11 d/completely resolved in 20 d Ischial tuberosity medial: resolved in 11 d Ischial tuberosity lateral: Resolved in 11 d: 3: R gluteal cleft stage 2: 3: R buttocks DTI: 3 The vertical line starts from sacrum to the perineum. Interestingly, anomalies of the gluteal crease are the most commonly encountered findings in well neonates, with 1 study reporting an incidence of 24. A pilonidal cyst can be extremely painful especially when sitting. Wund-D. 82 - other international versions of ICD-10 S31. shaving the gluteal hair for the rest of the patient’s life was a standard postoperative recommendation for patients with. 5% Marcaine with epinephrine, we made a vertical incision along the gluteal cleft connecting the two wounds. Computed tomography (CT) with oral and rectal. If there is slough present, it must be staged as a Stage 3. 0. Performed by inspection (looking), palpation (touching), listening, and smell. The gluteal cleft and the gluteal fold both occur normally in humans. If there is difficulty lifting the film border, apply tape to the edge of the dressing and use the tape to lift. This is the American ICD-10-CM version of L98. 8 may differ. A pilonidal cyst may not cause symptoms. Applicable To. These. Not usually over a bony prominence. This is the American ICD-10-CM version of L89. Approximate Synonyms. This lady left me much improvedat the end of three ^months treatment. the gluteal cleft. The incidence of ITD was higher in patients classified as obese based on body mass index in patients 60 years and older. Buttock laceration; Laceration of buttock; Stab wound of buttock; ICD-10-CM S31. This means that the butt crack will appear off-center. Search Results. S78. She was electively admitted for investigations and management. 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?. , V–Y transposition, SGAP, IGAP), which leave both large and visible. 353 results found. 18 became effective on October 1, 2023. Symptoms of an advanced infection include: swelling in the affected area. The patient elected not to have it revised. A full thickness skin flap is mobilized across the gluteal cleft to create an off-midline closure (Fig. Showing 1-25: ICD-10-CM Diagnosis Code L02. Non-healing wounds in the natal cleft are the most common reason for reoperation after excision and open treatment. A pilonidal cyst is a cyst-like structure that develops in the upper portion of the crease between the buttocks. L98. Recurrence rates have been reported between 0% and 4. Buttocks: Plaque or inverse psoriasis causes itching, cracking, scaly, and bleeding skin on your buttocks or gluteal cleft. Patient has recurrence of pilonidal disease. Keep the area clean, wash it gently with mild soap, and pat it dry. accumulation of dead hairs in the natal cleft, poor wound care, and lack. Nevertheless, accurate classification of these lesions is frequently challenging, even for experienced wound clinicians. Pilonidal cysts are a common condition, with more than 70,000 cases reported in the U. Inflamed, swollen skin. A comparison of the various surgical most effectively. 829A is a billable diagnosis code used to specify a medical diagnosis of unspecified open wound of left buttock, initial encounter. The “sitter sign” refers to the rough, thickened skin that older people often develop near the intergluteal cleft, associated with immobility and continued sitting. (B) Sever all knee ligaments. 18 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The mean incidence of hospital-acquired ITD was 33% over the data collection period; mean incidence rates were 32% in 2014, 39% in 2015, and 29% in 2016. Applicable To. A pilonidal cyst is a cyst or abscess (boil) located near the intergluteal cleft, otherwise known as the groove between the buttocks. The term pilonidal cyst comes from the Latin words, “pilus” (hair) and “nidus” (nest). The rotating of tissue causes the gluteal cleft to shift. 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. This pain will be found along an imaginary line that runs from the very tip-top of the gluteal fold (butt crack) to the greater trochanter of the femur (the bony knob on the upper portion of the outer or lateral thigh/hip). On the dressing, print “P” for Preventative dressing and add the date that the dressing was applied. 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. Browse Getty Images' premium collection of high-quality, authentic Gluteal Cleft stock photos, royalty-free images, and pictures. 82. Triad is easy to apply, and. 31 became effective on October 1, 2023. If there is a discrepancy, consideration should be given to the possibility of missed wounds (check the mouth, perineum, axillae, gluteal cleft, and other "hidden" spots), missed projectiles (increase the extent of the radiologic examination), or separation of bullets into core and jacket fragments within the body (1 entrance wound resulting in. S72. 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. 313 may differ. The reaction is localized to. 000S - Unspecified open wound of lower back and pelvis without penetration into retroperitoneum [sequela] A pilonidal cyst is a cyst or abscess (boil) located near the intergluteal cleft, otherwise known as the groove between the buttocks. L05. 2021 ICD-10-CM Diagnosis Code S31. On day. The cleft lift flap , also known as the Bascom procedure, is designed to “lift” the concavity of the natal cleft and create an incision that is closed off midline (Fig. This is the American ICD-10-CM version of S31. split; divided; a crack or crevice; an indentation. 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. 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. An ulcer is a break in the skin that fails to heal in a. 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. 31 - Cutaneous abscess of buttock. Gluteal cleft Shield Gluteal cleft shield is a cover which is used to avoid problems related to gluteal cleft. She denied fever, chills, weakness, fatigue. Pressure ulcer of right buttock, stage 3. The rotating of tissue causes the gluteal cleft to shift. 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. From urine or faeces – rather than pressure) Effective preventive measures reduce the risk of pressure ulcers developing. (A) Incision from the gluteal cleft to popliteal fossa and guillotine distal shank amputation. These codes are used. 322 may differ. Intergluteal cleft. These lesions are also often mistakenly labeled stage 1 or stage 2 pressure ulcers/injuries. Exploration with a Q-Tip revealed that these two wounds communicated deep down. " Buttock is the skin location where the abscess is located. The 2024 edition of ICD-10-CM L05. B. NO SLOUGH. Failure of the procedure was defined as lack of complete healing or recurrent pilonidal disease requiring revisional surgery. Pilonidal sinus disease (PSD) is a common infection of the skin in the gluteal cleft, with a prevalence of 0. Parenteral options include cefazolin, nafcillin, and flucloxacillin. 04%, they are likely too common to be considered high risk. This patient subsequently had a cleft-lift to prevent recurrence. Most often it occurs between puberty and age 40. 2. Conclusion: According to the available evidence and guidelines, off-midline procedures - the Karydakis flap, Bascom cleft lift, and Limberg flap procedures - are associated with lower recurrence rates and better wound healing. Treatment options are extensive but most often include incision and drainage with antibiotic treatment. 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. 801 Laceration without foreign body of unspecified. negative pressure wound therapy, readvancement, and secondary closure, which resulted in a standing cone/dog-ear deformity. 5% Marcaine with epinephrine, we made a vertical incision along the gluteal cleft connecting the two wounds. 303 became effective on October 1, 2023. Nevertheless,. 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:. of gluteal cleft, with dressing ‘base’ positioned to cover coccyx area. Incidence. 032A is grouped within Diagnostic Related Group(s) (MS-DRG v 41. 820A. This is the procedure we provide at the Evergreen Surgical Pilonidal Clinic, in Eau Claire, Wisconsin. This is the American ICD-10-CM version of S31. These also recreate a vertical. I do not believe surgical intervention is warranted at this time. 5 cm of gluteal muscle is harvested, supplied by the proximal parasacral perforators. 0):. S72. sensation -pain,touch,temp,pressure. Gather the Facts – Perform a Complete Wound Assessment 1. On examination, she was afebrile, and her pulse was 115 beats per minute. 1% there were penetrating wounds. S31. application into the gluteal cleft. 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. 1% (79 of 219), and perineum in 3. However, the. And it may be necessary for two caregivers to assist with skin assessment in this patient population. on the WOCN Society's wound care forum and to an e-mail sent to members of the WOCN Iowa Affiliate. Stage 2- The 3 P's! Pink, Partial, Painful! Stage 2 wounds are partial thickness and often resemble a very shallow ulcer with a reddish-pink wound bed. Approximate Synonyms. This is the American ICD-10-CM version of L89. Left untreated, the periwound will eventually break down and the wound will. 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). 1 Therefore, each of the new ICD-10-CM diagnosis codes were added under the category. And it may be necessary for two caregivers to assist with skin assessment in this patient population. 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. Pilonidal disease is a chronic skin infection in the crease of the buttocks near the coccyx (tailbone). 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. Gluteal muscle contracture (GMC), as the name suggests, is a clinical syndrome characterized by the contracture of gluteal muscles, iliotibial band (ITB), and related fascia, in severe cases hip external rotators and rarely hip joint capsule [ 1 – 3 ]. Gluteal flaps can be used as split gluteal flaps, V to Y advancement gluteal perforator flaps. A holistic wound assessment should include a full review of systemic, psychosocial,and local factors thatICD-10-CM Diagnosis Codes. He ends up with an excellent post-op. Deep natal cleft is an important factor in the pathogenesis of pilonidal sinus disease [ 14 ]. 2 × 1. The clinical manifestations, diagnosis, and management of pilonidal disease are presented here. This will allow easier removal once dressing has been placed over the wound. k. The most commonly reported symptoms include pain, dyspareunia, pruritus, and discharge. 01 [convert to ICD-9-CM] Gluteal tendinitis, right hip. found correlation in depth of the gluteal cleft, measured with a uniquely designed device, and found that those with PD had significantly deeper intergluteal clefts. 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. 05 significance level and with 80% power. We have performed over 2 dozen cases using this technique, and all of our. is the umbrella organization of German-speaking wound treatment societies. The only way to prevent palpable or visible implants (the major causes of a poor result) is through the intramuscular plane. 312 may differ. 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. Body habitus may contribute to additional intertriginous sites, such as inframammary skin and. The sacrum is a large concave triangular bone at the base of the spine that is the fusion of sacral vertebrae S1-S5. The right buttock PI was treated with. There is no wound packing and. Sometimes called the Cleft procedure, this surgery removes all the skin covering the involved area. The base was moist, pale pink with some scattered areas of yellow slough. We do not do this at our clinic, except in rare situations. Sex hormones act on sudoriferous glands and affect hair growth; other factors like sitting for. Press and smooth the dressing to ensure the entire dressing is in contact with. Toward the bottom of your spine, where your buttocks split, is a crease called the gluteal cleft. 810A became effective on October 1, 2023. To the Editor: Verrucous porokeratosis of the gluteal cleft is a rare skin condition that has distinct clinical and histologic features. 819A - Unspecified open wound of right buttock [initial encounter] answers are found in the ICD-10-CM powered by Unbound Medicine. 3) Excludes2: open wound of hip ( S71. Psoriasis of the gluteal cleft known as the crease between the buttocks is not an easy symptom to treat. A pilonidal sinus affects the natal cleft, which is the top of the crease of the buttocks, just under the tailbone. 829S is a valid billable ICD-10 diagnosis code for Unspecified open wound of left buttock, sequela . Keep an eye on the wound area daily for any type of changes in skin condition. The aim of this article was to summarize results of the consensus sessions that occurred. 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. 819D ICD-10 code S31.