313 Pressure ulcer of right buttock, stage 3 L89. 309 became effective on October 1, 2021. You must seek immediate medical treatment if you have a stage 3 pressure ulcer. 9] Findings: The skin looks macerated directly in the midline, this is the upper sacrum and the lowermost extent is about 3 fingerbreadths from. 022 Pressure ulcer of left elbow, stage 2The 2024 edition of ICD-10-CM L89. Origin. 152 is assigned. 151 is grouped within Diagnostic Related Group(s) (MS-DRG v 41. 153 became effective on October 1, 2023. The 2024 edition of ICD-10-CM L89. 09 is a billable medical code that can be used to indicate a diagnosis on a reimbursement claim, however, 707. The 2024 edition of ICD-10-CM L89. 28 yr female presenting with non healing ulcer in intra gluteal cleft of for 3 months. 05 is a billable medical code that can be used to indicate a diagnosis on a reimbursement claim, however, 707. ICD-10-CM Codes. Moisture lesions often have diffuse or irregular edges. Preoperative photo demonstrating the wound and the marked areas from which the flaps will be harvested (a). :L89. Keep in mind: Superficial friction wounds can occur in the same location as pressure injuries due to the surface effects combined with the deeper effects of shear and pressure. Prolonged pressure is essentially the main cause of a decubitus ulcer. While wounds are caused by an external force, ulcers are the result of some internal issues. 31 became effective on October 1, 2023. Any suggestions on how to code this. Correct identification of these pressure injuries can be challenging among health care professionals and, although treatments vary, débridement is key. 3 b. Bedsores can happen when a person is bedridden, unconscious, unable to sense pain, or immobile. Approximate Synonyms. . ICD-10-CM Code for Non-pressure chronic ulcer of buttock limited to breakdown of skin L98. This is the American ICD-10-CM version of L89. This is the American ICD-10-CM version of L89. This is the American ICD-10-CM version of L89. Bedsores fall into one of several stages based on their depth, severity and other characteristics. " This search did not retrieve useful visual aids. The sacrum is a large concave triangular bone at the base of the spine that is the fusion of sacral vertebrae S1-S5. 3 - Cutaneous abscess, furuncle and carbuncle of buttock. Pressure sores on the buttocks are treated by proper wound care and by repositioning to remove the pressure source, states ClinicalKey. Pressure ulcer with full thickness skin loss involving damage or necrosis of subcutaneous tissue. 411Non-pressure chronic ulcer of buttock limited to breakdown of skin. 1 Histologic. 892 - other international versions of ICD-10 L89. ICD Code L89. 313 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. Symptoms of a pressure ulcer include: discoloured patches of skin that do not change colour when pressed – the patches are usually red on white skin, or purple or blue on black or brown skin. Putting on a bandage. 32 became effective on October 1, 2023. Use. Nevertheless, accurate classification of these lesions. pressure ulcers. 31 may differ. ¹ Understanding the challenges pressure ulcers present to. The buttocks can be the most susceptible place boils for two reasons. L89. Pressure ulcer (L89) Pressure ulcer of left buttock, unstageable (L89. 819A is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. 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. It is the deep furrow or groove that lies between the two gluteal regions (commonly known as the buttocks). 223 for Pressure ulcer of left hip, stage 3 is a medical classification as listed by WHO under the range - Diseases of the skin and subcutaneous tissue . This review is part of a suite of Cochrane Reviews investigating the use of dressings in the treatment of pressure ulcers. Code Tree. Short description: Non-pressure chronic ulcer of buttock limited to brkdwn skin The 2024 edition of ICD-10-CM L98. L89. Pressure ulcer has tendency to happen the skin area of bony prominence, especially in the status of prolonged immobilization. Most anesthesiologists choose to use general endotracheal anesthesia, particularly if the patient is prone, but ulcer closure may be performed under regional or local anesthesia if necessary. DTI is really a developing expression that articulates a deviation of pressure ulcers emerging primarily as bruised or dark tissue. People confined to bed will need to change their position at least once every two hours. Pressure ulcer, stage I (approximate match) This is the official approximate match mapping between ICD9 and ICD10, as provided by the General Equivalency mapping crosswalk. Stage I: A reddened, painful area on the skin that does not turn white (blanch) when pressed. The 2024 edition of ICD-10-CM L03. ⑩ [Billable] There's more to see -- the rest of this topic is available only to subscribers. 20. 321 - Pressure ulcer of left buttock, stage 1. When individuals have skin breakdown on their gluteal region, it is often identified as a Stage 2 pressure ulcer/injury (PU/PI). FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016. ICD-10-CM Code L89. L89. L89. Thepatients withgiantcelltumor, rhabdomyosarcoma, andmetastatic thyroid carcinoma had associated bonedestruction. We use Molnlycke's silicone foam dressings for all coccyx/sacral surface wounds. It is found in the 2024 version of the ICD-10 Clinical Modification (CM) and can be used in all HIPAA-covered transactions from Oct 01, 2023 - Sep 30, 2024 . This is the American ICD-10-CM version of L98. Approximate Synonyms. 303 - other international versions of ICD-10 L89. Applicable To. Access to this feature is available in the following products: Find-A-Code Essentials. Lawsuits have been lost when a severe pressure ulcer on the sacrum was linked to incontinence-associated dermatitis that occurred months before in the gluteal cleft, because both locations were simply described as the “buttocks. 524 - other international versions of ICD-10 L89. Figure 4. vanGilder C, Amlung S, Harrison P, Meyer S. Applicable To. 523 for Pressure ulcer of left ankle, stage 3 is a medical classification as listed by WHO under the range - Diseases of the skin and subcutaneous tissue . . 21 should not be used for reimbursement purposes as there are multiple codes below it that contain a greater level of detail. 301 may differ. Pressure ulcers often occur on bony areas, such as the heels and elbows. L89. 5 million patients in US. 413 became effective on October 1, 2023. The 2024 edition of ICD-10-CM L89. Expect to be tired, on activity restrictions and possibly unable to drive, and plan accordingly. The CLP feature of the bed provides pressure distribution for the upper body. BILLABLE | ICD-10 from 2011 - 2016. See Pressure Ulcer Grading Tool Incontinence Related Dermatitis (IRD) Moisture Lesions: Skin damage due to exposure to urine, faeces or other body fluids Mild Erythema (redness) of skin only. Predisposing factors are classified as intrinsic (e. This is the American ICD-10-CM version of Q82. The skin may be warm or cool, firm or soft. Pressure ulcer of left buttock, stage 4. Pressure Ulcer / therapy*. A pressure ulcer that has been surgically debrided should continue to be coded as a pressure ulcer. While maintaining dressing position at gluteal cleft, perform until skin exposed for skin check. 304 Pressure ulcer of unspecified buttock, stage. The sacral bone is triangular and located just below the prominence. org In buttock area, pressure ulcers are prone to occur in skin area on the sacrum, ischial tuberosity, and femoral trochanter 5. The 2024 edition of ICD-10-CM L89. The 2024 edition of ICD-10-CM L89. 1). Code History. 314 - other international versions of ICD-10 L89. 31 should not be used for reimbursement purposes as there are multiple codes below it that contain a greater level of detail. The vertical line starts from sacrum to the perineum. The edges are diffuse and irregular. Correct identification of these pressure injuries can be challenging among health care professionals and, although treatments vary, débridement is key. In a kissing ulcer. This is the American ICD-10-CM version of L89. 4 ICD-10 code L89. Pressure ulcer of other site, stage 2. This is the American ICD-10-CM version of L89. Pressure ulcer with necrosis of soft tissues through to underlying muscle, tendon. Remove femur after distal mobilization and disarticulate hip posteriorly through the decubitus ulcer. Non-pressure chronic ulcer of buttock with necrosis of bone. Pressure ulcers, also called decubitus ulcers, bedsores, or pressure sores, range in severity from reddening of the skin to severe, deep craters with exposed muscle. Get free rules, notes, crosswalks, synonyms, history for ICD-10 code L97. L89. •Surgical debridement of a pressure ulcer does not create a surgical wound. 819A - other international versions of ICD-10. 21. Combination Lesions: These are lesions where a combination of pressure and moisture contribute to the tissue breakdown. Let me give you an easy run down of how to stage pressure ulcers. Keep in mind: Superficial friction wounds can occur in the same location as pressure injuries due to the surface effects combined with the deeper effects of shear and pressure. L89. These codes are used. in areas at risk for both pressure ulcers and IAD such as the gluteal cleft and buttocks. Unstageable pressure injuries are widely understood to be full-thickness pressure injuries in which the base is obscured by slough and/or eschar. 313 may differ. 5 cm across in gluteal cleft, surrounded by white skin 1 cm across. 419 - other international versions of ICD-10 L98. 90 became effective on October 1, 2023. 302 may differ. Request a. Wound Healing*. It’s important not to mistake the transverse gluteal fold for the lower border of the gluteus maximus muscle. 152 is a valid billable ICD-10 diagnosis code for Pressure ulcer of sacral region, stage 2 . 303 may differ. g. 899 became effective on October 1, 2023. 323 ICD-10 code L89. Turmeric. 411 ICD-10 code L98. But in SGD, ulcers are developed in lower position of gluteal cleft than pressure sore which happen due to force abrasively folded inward in both buttocks ( Fig. It highlights essential components of preoperative, operative, and postoperative decision-making and common postoperative complications encountered. Pressure ulcer of left buttock, stage 2. This is the American ICD-10-CM version of L89. Remove femur after distal mobilization and disarticulate hip posteriorly through the decubitus ulcer. 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. 0):. 411 is grouped within Diagnostic Related Group(s) (MS-DRG v 41. Request a Demo 14 Day Free Trial Buy Now. The codes listed below are in tabular order from L98. 19 . Available for iPhone, iPad, Android, and Web. View ICD-10 Tree. Significant blood loss is possible; accordingly, 2 units of. Subscribe to Codify by AAPC and get the code details in a flash. 411 Non-pressure chronic ulcer of buttock limited to breakdown of skin Billable; L98. The purpose of this compendium is to describe and illustrate conditions that may mimic pressure ulcers/injuries. Posterior view and B. Background: Senile gluteal dermatoses (SGD) is the hyperkeratotic lichenified skin lesions around of the. It extends from sacral level S3 or S4 and ends just inferior to the apex of the sacrum, at the level of the anus. Shape - Pressure ulcers are circular wounds with a regular shape limited to a single spot while moisture lesions can be different superficial spots. 2. But in SGD, ulcers are developed in lower position of gluteal cleft than pressure sore which happen due to force abrasively folded inward in both buttocks (Fig. Making the correct differential diagnosis is important to develop and. gluteal cleft and superfi cial buttock ulcers. Avoid riding the bike for a couple of days till this has healed fully and sit on a soft cushion when you have to sit for long periods. After skin is prepared, remove the centre release film by gentlyApproximate Synonyms. 10 All types of MASD are more severe when friction is a co-factor. 411 is a billable ICD code used to specify a diagnosis of non-pressure chronic ulcer of buttock limited to breakdown of skin. A pressure ulcer is a localized injury to the skin or underlying tissue, usually over a bony prominence, as a result of unrelieved pressure. ICD-10 code L89. The National Pressure Ulcer Advisory Panel (NPUAP), a professional organization that promotes the prevention and treatment of pressure ulcers, defines each stage as follows:. Multivariate logistic regression analysis was conducted on the end point of facility-acquired sacral/buttock pressure injury and the risk factors of immobility and type of incontinence. The 2024 edition of ICD-10-CM L89. On day 18, he was febrile, reintubated because of respiratory failure, and initiated on vancomycin and meropenem. 320 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. L89. Lesions caused by moisture alone should not be classified as pressure ulcers. 4 - other international versions of ICD-10 L98. Pressure injury: Pressure injuries often occur over bony prominences or under a medical device. Stage II: The skin blisters or forms an open. See Pressure Ulcer Grading Tool Pressure ulcers do cause discomfort or pain owing to ischemia and tissue damage [3], and physical problems that cause complications, lead to poor clinical outcomes, psychological, and social. They occur from immediately after surgery in areas such as lateral to, or above, the gluteal cleft. 321 became effective on October 1, 2023. Objectives- Participants will: • Differentiate. A sacral decubitus ulcer is the medical term for pressure ulcers that appear on the skin over a boney region of the spine called the sacrum. 221 is a valid billable ICD-10 diagnosis code for Pressure ulcer of left hip, stage 1 . Stage 3: A noticeable wound may go into your skin’s fatty layer (the hypodermis ). This is the American ICD-10-CM version of L89. The skin may be warm or cool, firm or soft. 892 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. A red, blue, or purplish area first appears on the skin like a bruise. Because most studies on gluteal cleft shaving have used an arbitrary manner and method, effective frequency and extent of shaving have not been systematically studied. )ICD-10-CM Diagnosis Codes. 323 is a billable diagnosis code used to specify a medical diagnosis of pressure ulcer of left buttock, stage 3. 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 is the American ICD-10-CM version of L89. 1 ). A moisture lesion is defined as being caused by urine and/or faeces and perspiration which is in continuous contact with intact skin of the perineum, buttocks, groins, inner thighs, natal cleft, skin folds a nd. Pressure ulcer (L89) Pressure ulcer of sacral region, unstageable (L89. stages. It may feel warm to the touch and burn or itch. 322. If a pres-Gluteal cleft is the vertical partition which separates buttocks. 306 Pressure-induced deep tissue damage of unspec. L89. 3. 1097/01. ICD-10-CM Code for Pressure ulcer of contiguous site of back, buttock and hip, stage 2 L89. 304 Pressure ulcer of unspecified buttock, stage. ”28 yr female presenting with non healing ulcer in intra gluteal cleft of for 3 months. 32 - other international versions of ICD-10 L89. 1 – 3 Clinical recommendation Evidence ratingThe 2024 edition of ICD-10-CM L89. Pressure ulcer with abrasion, blister, partial thickness skin loss involving epidermis. Body habitus may contribute to additional intertriginous sites, such as inframammary skin and. ICD-9-CM 707. Subscribe to Codify by AAPC and get the code details in a flash. In buttock area, pressure ulcers are prone to occur in skin area on the sacrum, ischial tuberosity, and femoral trochanter 5. Hello coding friends, My issue is with the location of the pressure ulcer. Abstract Fletcher, J. 1, 2 Despite substantial research activities in the field, various quality improvement initiatives, and policies to enhance patient safety, 3, 4, 5 “zero incidence” 6, 7 is unlikely to be achieved in the near. It most commonly affects males aged 16-30 years. This is the American ICD-10-CM version of L89. • If patient is at risk, apply Mepilex Border Sacrum. 31 may differ. L98. Applicable To. 411 - other international versions of ICD-10 L98. L89. What is the diagnosis code for a Stage 3 gluteal cleft pressure ulcer? Pressure ulcer of unspecified buttock, unspecified stage The 2022 edition of ICD-10-CM L89. 491 is grouped within Diagnostic Related Group(s) (MS-DRG v 41. The superior gluteal nerve is found in the lower pelvis and arises from the dorsal divisions of the L4, L5, and S1 nerve roots of the sacral plexus. ICD-10-CM Code for Pressure ulcer of contiguous site of back, buttock and hip L89. Remove the right-side release film and gently smooth this side of the dressing into place. Cutaneous abscess, furuncle and carbuncle (L02) Cutaneous abscess of buttock (L02. moisture lesions and pressure ulcers beeckman, D. 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 trauma with mcc; 964 Other. This disease causes a lot of physical and mental damage to the patient. not visible . 75-year-old man with a pressure ulcer clinically. A stage 2 pressure ulcer may appear as a shallow, crater-like wound or a blister containing a clear or yellow fluid. It is the most common site of intra. The pressure ulcer of the sacral region is documented as stage 2, and code L89. Stage 3. Stage 4. categorized as a pressure injury. 894 - other international versions of ICD-10 L89. Pressure injuries, however, are ischemic injuries to the skin. Pain. 524 became effective on October 1, 2023. 320 - other international versions of ICD-10 L89. The skin remains intact, but it may hurt or itch. ICD-10-CM Code L98. This is the American ICD-10-CM version of R22. 819A became effective on October 1, 2023. 3 is a non-billable code. L89. Stage I is the mildest stage. Wound Healing*. g. 322 became effective on October 1, 2023. 2024 ICD-10-CM Range L00-L99. L89. Applicable To. 1. 8 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. 2018 Jun;48(6):18-25. AFT feature is designed to provide pressure distribution via a fluid-like medium that forces air though millions of tiny silicone beads that float the patient's body to achieve maximum immersion and envelopment. 31 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. 311 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. These ulcers occur at bony areas of the body such as the ischium, greater trochanter, sacrum, heel, malleolus (lateral than medial), and occiput. 321 is a billable ICD code used to specify a diagnosis of pressure ulcer of left buttock, stage 1. 153 - other international versions of ICD-10 L89. Subjects and setting: One hundred digital. 46 Pressure-induced deep tissue damage of contiguous site of back, buttock and hip L89. L89. hidden1. Includes pictures and ICD-10 codes for these conditions Ulcers in SGD on the cleft of the buttock should be differ-entiated form other several ulcer-developing dermatologic conditions as like herpes simplex, lichen simplex chron-icus, pilonidal sinus etc. 313 became effective on October 1, 2023. 324 may differ. Pressure ulcers — also known as bed sores, pressure sores or decubitus ulcers — develop when the skin or tissue beneath the skin is damaged due to constant pressure or friction. ICD-10-CM Code L89. 313 may differ. or. 418 for Non-pressure chronic ulcer of buttock with other specified severity is a medical classification as listed by WHO under the range - Diseases of the skin and subcutaneous tissue . There are four types of MASD, two of which can be misdiagnosed as pressure ulcers — incontinence-associated dermatitis 8,9 from stool and/or urine and intertrigo related to perspiration in the gluteal cleft. Stage II: The skin blisters or forms an open. The 2024 edition of ICD-10-CM L02. Synonyms: pressure injury of buttock stage ii. (2008)Symptoms. The first is due to the buttocks getting the least. 05. Muscle. 151. ICD 10 code for Non-pressure chronic ulcer of left heel and midfoot limited to breakdown of skin. A Practical Approach to the. IAD and ITD are superficial lesions that. L89. 22 may differ. Remove femur after distal mobilization and disarticulate hip posteriorly through the decubitus ulcer. 222 Pressure ulcer of left hip, stage 2. Jun 27, 2010. The “sitter sign” refers to the rough, thickened skin that older people often develop near the intergluteal cleft, associated with immobility and continued sitting. In buttock area, pressure ulcers are prone to occur in skin area on the sacrum, ischial tuberosity, and femoral trochanter5. The other synonyms of gluteal cleft are anal. They’re typically seen on the sacrum, the coccyx and the ischial tuberosities. This happens when a person is immobile for a long period of time i. What is gluteal ulcer? In buttock area, pressure ulcers are prone to occur in skin area on the sacrum, ischial tuberosity, and femoral trochanter5. 314 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. 321 - other international versions of ICD-10 L89. 32 became effective on October 1, 2023. Full size image. 1097/WON. These lesions mostly occur in. Code. 324 became effective on October 1, 2023. 321 may differ. Stage 1- A non blanching red area, that does not go away. L89. A pressure injury develops as a result of unrelieved pressure between the sacral bone and the sitting or lying surface. ICD-9-CM 707. L02 - Cutaneous abscess, furuncle and carbuncle. Apply dressing to sacral area and into upper aspect of gluteal cleft, with dressing ‘base’ positioned to cover coccyx area. ICD-10-CM Code for Pressure ulcer of unspecified buttock, stage 2 L89. Synonyms: pressure injury of dorsum of foot, pressure injury of dorsum of. L89. Each patient's buttocks, coccyx, rectal area, scrotum, labia, lower abdomen, upper thighs, gluteal cleft and groins were inspected and loss of skin. 2 Advanced foam dressings prevent MASD by 2 mechanisms, first, by absorbing excess moisture and second, by allowing moisture to evaporate through the outer layer so it doesn’t collect in the dressing, a. This is the American ICD-10-CM version of L89. Standard wound care was provided that included debridement, topical treatments, and biophysical therapies. L89. 312 is a billable diagnosis code used to specify pressure ulcer of right buttock, stage 2. Enzymatic products containing papain are routinely used for the debridement of infected wounds and chronic skin ulcers, and may play a role in the management of. 322 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. L89014 Pressure ulcer of right elbow, stage 4 L89320 Pressure ulcer of left buttock, unstageable L89016 Pressure-Induced deep tissue damage of right elbow L89323 Pressure ulcer of left buttock, stage 3 L89020 Pressure ulcer of left elbow, unstageable L89324 Pressure ulcer of left buttock, stage 4 L89023 Pressure ulcer of left elbow,. 3 a. L89. • The earlier pressure ulcers are found, the more easily they can be treated. The 2024 edition of ICD-10-CM L89. Jildeh. Pressure ulcer of left ankle, stage 4. BACKGROUND. Located in peri-anal, gluteal, cleft, groin or buttock area. Pressure ulcer of coccyx stage 1; Pressure ulcer of sacrum stage 1; ICD-10-CM L89. Subscribe to Codify by AAPC and get the code details in a flash. Subscribe to Codify by AAPC and get the code details in a flash. They should receive prompt treatment; otherwise, complications associated with. images show a focal region of STIR hyperintensity along the superior gluteal cleft, in the subcutaneous fat, and overlying the coccyx (arrow), consistent with a pilonidal cyst. Pressure ulcers usually form on bony parts of the body, such as the heels, elbows, hips and tailbone. The 2024 edition of ICD-10-CM L89. The superficial skin is less susceptible to pressure-induced damage than deeper tissues. 09 should only be used for claims with a date of service on or before September 30, 2015. L89. 309 Pressure ulcer of unspecified buttock, unspec. A 'billable code' is detailed. Dressings made from a variety of materials, including foam, are used to treat pressure ulcers. This was the first year ICD-10-CM was implemented into the HIPAA code set. Pressure ulcer of left buttock, stage 2. A step-by-step drawing of the surgical process. 82 may differ. In the pressure ulcer, the most important etiologic. The severity of the sacral PU was considered as a secondary outcome. 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 two surfaces are in contact. Pressure ulcer has tendency to happen the skin area of bony prominence, especially in the status of prolonged immobilization. 414 - Non-pressure chronic ulcer of buttock with necrosis of bone. Figure 2: Contents of the greater and lesser sciatic foramina. From urine or faeces – rather than pressure) Pressure ulcer of unspecified buttock, unspecified stage. 82 - other international versions of ICD-10 S31. 707. The 2024 edition of ICD-10-CM L89. 412 is a valid billable ICD-10 diagnosis code for Non-pressure chronic ulcer of buttock with fat layer exposed . If the sore skin area appears raw and inflamed with small itchy lumps, it must be a skin rash or an intertrigo. This challenge was. with pressure ulcer is most important. 85: Readmission Rate at DRG: 40. pressure ulcers from other skin injuries •Describe pressure ulcer . Nursing Times [online]; 116: 3, 42-44. 14 states that the stage of the pressure ulcer may be documented by another healthcare clinician and coded as long as the pressure ulcergluteal cleft5 Sacral pressure ulcer prevention considerations: • Assess patient for pressure ulcer risk. 3. Not usually over a bony prominence. 302 for Pressure ulcer of unspecified buttock, stage 2 is a medical classification as listed by WHO under the range - Diseases. (2008) The “sitter sign” refers to the rough, thickened skin that older people often develop near the intergluteal cleft, associated with immobility and continued sitting.