Hi Sdelamora,
Kennedy Ulcer are likely skin failure as a result of ischemia from the dying process. This is not to say that there KTUs are strictly due to hypoperfusion, as there may be an element of pressure causing the injury. Understand the etiology of the injury, pulling the clinical indicators together to specify the cause of the skin breakdown. Documentation of a Kennedy ulcer without further specification will be coded as a pressure injury POA-N, which is a well-known HAC and PSI. Is this an accurate representation of the etiology of the skin injury? In certain circumstances it may be accurate and in other circumstances it may not. There is no Dx code for this so use L89Assign the appropriate code from category L89, Pressure ulcer, for a Kennedy ulcer. A Kennedy ulcer is a type of pressure ulcer that occurs at the end of life and is related to multiorgan failure. Because of its pathophysiology, this type of pressure ulcer does not typically respond to standard treatment. In view of the implications of a Kennedy ulcer for prognosis
Reference....https://acdis.org/articles/qa-skin-failure-due-hypoperfusion.
I hope this data helps you,
Lady T