The first is due to the buttocks getting the least amount of sun exposure. Pilonidal disease, especially when infected, can be confused with other conditions, which are discussed in other. 500 results found. 8 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The depth of gluteal cleft varies and depend upon the developed gluteal muscles. Control of infection. Triad Hydrophilic Wound Dressing Product Code Size Units 1964 2. 8 - other international versions of ICD-10 Q82. 801A is grouped within Diagnostic Related Group(s) (MS-DRG v 41. Wounds directly in the midline of cleft are the hardest to heal due to lack of oxygen. Two phlegmon were removed last visit from the superior medial aspect of the gluteal muscle at the gluteal cleft. 409A is grouped within Diagnostic Related Group(s) (MS-DRG v 41. NO SLOUGH. Open wound of abdomen, lower back, pelvis and external genitals (S31) Unspecified open wound of left buttock (S31. 322 became effective on October 1, 2023. Chronic ulcer of buttock limited to skin layer; Chronic ulcer of buttock, breakdown of skin; ICD-10-CM L98. Plastics is doing the closure. Product placement. Wound infection rates are reported to range from 1. INTRODUCTION. 31 - other international versions of ICD-10 L02. Recurrence rates have been reported between 0% and 4. A step-by-step drawing of the surgical process. 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. Abstract. Risk factors for this disease include obesity, prolonged sitting, and abundance of gluteal hair. Failure of the procedure was defined as lack of complete healing or recurrent pilonidal disease requiring revisional surgery. S31. This is the American ICD-10-CM version of L05. 7. 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. By palpation there is no bony prominence and it is blanchable erythema. We do not do this at our clinic, except in rare situations. 820A. 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. (B) Superficial flaps are established to reduce the depth of the gluteal cleft and to shift the suture line off the midline. is the umbrella organization of German-speaking wound treatment societies. 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. Basic Facts HAIR: The term “Pilonidal” technically means “nest of. The separation allowed bacterial. This prolonged exposure leads to irritant contact dermatitis. 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]. On day 6, gluteal erythema was noted, and the wound care team recommended topical medication, attributing erythema to occlusion and moisture. The clinical manifestations, diagnosis, and management of pilonidal disease are presented here. moisture that stays on the wound can stimulate the growth of bacteria and fungus, causing the. Computed tomography (CT) with oral and rectal. Colorectal Dis. The wound was fairly wide, but there was the ability to rearrange tissue for closure. 1 We present an unusual case of verrucous porokeratosis presenting as a unilateral single. J Wound Ostomy Continence Nurs. The term “pilonidal” means “nest of hair”. 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. currenty the open sore is gone but the skin inside my cleft is still a tiny bit pink. A holistic wound assessment should include a full review of systemic, psychosocial,and local factors thatICD-10-CM Diagnosis Codes. 9 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. Lack of Oxygen. Irregular surfaces could include the gluteal cleft, coccyx, perineum, buttocks, groin, face, hands, feet and other areas. A wound VAC (negative pressure wound therapy) is an excellent way to speed up the healing of wounds that normally would heal if given enough time. Sometimes called the Cleft procedure, this surgery removes all the skin covering the involved area. Pressure ulcer of right buttock, stage 3. Get free rules, notes, crosswalks, synonyms, history for ICD-10 code S30. This is the American ICD-10-CM version of L89. Subjects were given no background information regarding the patients but were allowed to add comments. The second reason is dead skin can accumulate in this area, which is hard to get rid of by yourself. Triad is designed to be applied directly from the tube onto the wound without the need for a secondary dressing. 3) Excludes2: open wound of hip ( S71. 9 - other international versions of ICD-10 L98. Cleft closure for the treatment of unhealed perineal sinus. Symptoms of IAD include: redness, ranging from light pink to dark red, depending on skin tone. Figure 3. "the difference perianal and gluteal abscess. Pilonidal disease classically presents as an abscess or soft tissue swelling which classically occurs in the intergluteal cleft, just above the anus. Wound healing in this context is severely impaired, necessitating prompt intervention by a nutritional specialist, and may require that definitive surgery be delayed if circumstances allow. The characteristics of a good drainage procedure are: It is drained early, so it hasn’t become too large. Methods This study included 84 patients who were treated with the Cleft-Lift procedure between 1993 and 2012. 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. 82 may differ. S. Successful medical management of pressure injuries relies on the following key principles: Reduction of pressure. Figure 1 Extent of the decubitus ulcer is shown. Moisture-associated skin damage and incontinence-associated dermatitis frequently occur in these two areas (Doughty & McNichol, 2016). In our study, we completely excised pilonidal sinus, its track, and the linked sudoriferous gland area en-bloc and closed the wound. Gluteal cleft synonyms, Gluteal cleft pronunciation, Gluteal cleft translation, English dictionary definition of Gluteal cleft. He had received multiple surgical resections in the past with benign pathology. S71. 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. The damaging effects of moisture, pressure, friction, and shear on human tissue are well-known among wound care experts. painstaking wound care is feasible. Colloquially the intergluteal cleft is known as bum crac…Note the off-midline placement of the incision and decreased depth of the gluteal cleft. Remove the tibia and fibula. The authors gathered clinical illustrations of gluteal cleft wounds and conducted a literature search as a basis for presentation to conference attendees, with the goal of gaining consensus. The authors present results of surgical treatment of 98 patients with gluteal wounds. 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 the patient's gluteal cleft, about 3 cm away toward the coccyx, there was a perineal wound. 1% there were penetrating wounds. Gluteal cleft is the vertical partition which separates buttocks. 4 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. Nevertheless, accurate classification of these lesions is frequently challenging, even for experienced wound clinicians. An incision 1/2″-3/4″ is best. Gluteal tendinitis; Gluteal tendonitis. She denied fever, chills, weakness, fatigue. The deep femoral vessels and their perforators,. Abscess of buttock; Cutaneous abscess of gluteal region. 419 is grouped within Diagnostic Related Group(s) (MS-DRG v 41. The area is prepped with an antiseptic solution and draped in a typical fashion. The authors gathered clinical illustrations of gluteal cleft wounds and. 323 - other international versions of ICD-10 L89. This area is the groove between the buttocks that. it is important to identify the cause of lesions as the treatment and management of pressure ulcers and moisture lesions differ. 18 may differ. Usually over a bony prominence. 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 L02. functions of the skin. Pilonidal cysts typically manifest as a sinus. The term pilonidal cyst comes from the Latin words, “pilus” (hair) and “nidus” (nest). The incidence of ITD was higher in patients classified as obese based on body mass index in patients 60 years and older. DTIs as very linear wounds with a mirror image distribution, along the edge of the medial buttocks, right along the gluteal cleft. From urine or faeces – rather than pressure) Effective preventive measures reduce the risk of pressure ulcers developing. Treatment of the infection necessitated multiple debridements in the main operating room. hair in the gluteal cleft. Located in peri-anal, gluteal, cleft, groin or buttock area. Keep the area clean, wash it gently with mild soap, and pat it dry. 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. 000 - Unspecified open wound of lower back and pelvis without penetration into retroperitoneum; S31. The aim of this article was to summarize results of the consensus sessions that occurred. with feculent discharge and flatulence from the wound. 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; 592 Skin ulcers with mcc; 593 Skin ulcers with cc; 594. Introduction. 819S. The intergluteal cleft is located superior to the anus . Since sudoriferous glands are. 810A may differ. Typically, pilonidal cysts occur after puberty. red bumps or lesions sensitive to the touch that may look like a. Wounds heal poorly in the deep, intergluteal natal cleft, for two reasons. Bilateral gluteal and bilateral upper medial thigh flaps were raised and inset to decrease surface area. It is also called butt crack or ass crack. L98. Pilonidal cysts affect mainly postpubertal adolescents and young adults, affecting 2–3 per 5,000 individuals. 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. Remove side release films and gently smooth each side into place. In the patient's gluteal cleft, about 3 cm away toward the coccyx, there was a perineal wound. Gather the Facts – Perform a Complete Wound Assessment 1. generally gluteal cleft wounds that are linear in this way are caused from moisture, and would be classified as moisture associated damage. It also extends from the iliac crest superiorly to the gluteal fold inferiorly. 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. Triad is easy to apply, and can be used on the wound or peri-wound skin. Moisture from insensible water loss and sweating cannot evaporate due to occlusion. The deep gluteal cleft was reshaped with a skin flap. Created for people with ongoing healthcare needs but benefits everyone. There are no open wounds, packing, or shaving. One patient shares their personal tips for relief. Familiarity with complex perineal anatomy, appropriate use of imaging modalities, and the spectrum of imaging findings seen in acute perineal conditions is. Oct 16, 2008 #3 Here, this link may help you. This is the American ICD-10-CM version of L30. [6] Physical exam findings include midline pits in the superior gluteal cleft and may be associated with cephalad or lateral tracking sinuses. She. This means that the butt crack will appear off-center. 31 may differ. A stage 2 pressure ulcer may appear as a shallow, crater-like wound or a blister containing a clear or yellow fluid. S72. 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. Continue Reading. The prevalence of IAD varies widely depending upon the setting. 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. Study. Acutely, a pilonidal cyst presents with tenderness, pain, and erythema at the top of the gluteal cleft. 91 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The separation allowed bacterial. Extrapolating the reported improvement in perineal wound healing, a total number of 146 patients (73 per group) are needed to be able to detect a 20% increase in primary perineal wound healing by use of a gluteal turnover flap (from 65 to 85%), applying a Chi-Square test with a two-sided 0. 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. S31. We use Molnlycke's silicone foam dressings for all coccyx/sacral surface wounds. When area is gently palpated, patient reports tenderness. 303 became effective on October 1, 2023. Irregular surfaces could include the gluteal cleft, coccyx, perineum, buttocks, groin, face, hands, feet and other areas. Symptoms of intertrigo include a red or reddish-brown rash that can appear anywhere skin rubs together or traps wetness. Grade of recommendation: 1C. It is a visible border separating ass into two parts. 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. An asymmetrical ellipse of skin at the right or left side of the gluteal cleft (depending on the location of the pits or sinuses) was marked and, after wide. After every occurrence of incontinence, wash your skin using water and emollients. A pilonidal (pie-low-NIE-dul) cyst is an unusual pocket in the skin that usually contains hair and skin debris. Deep tissue was left essentially intact. There are several names for this area: natal cleft, gluteal crease, gluteal crevice. Synonym(s): jeep disease. A. L03. Puncture wound of left ankle; ICD-10-CM S91. The internet is a wonderful resourceThe Wound, Ostomy, and Continence Nurses Society ™ (WOCN ®) today announced that its application for new ICD-10-CM diagnosis codes for Moisture-Associated Skin Damage (MASD) has been approved by the ICD-10 Coordination and Maintenance Committee and will take effect on October 1. The primary intertriginous skin areas include the groin folds, axillae, and gluteal cleft. For many, a split bum crack (also known as intergluteal cleft) can be both painful and embarrassing. 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 . Wound healing is a dynamic and complex process of tissue regeneration and growth progress through four different phases (i) the coagulation and haemostasis phase (immediately after injury); (ii) the inflammatory phase, (shortly after injury to tissue) during which swelling takes place; (iii) the proliferation period, where new tissues and. Complete offloading was prescribed by avoiding supine positioning of the patient and by using a low air-loss bed. The base was moist, pale pink with some scattered areas of yellow slough. On the dressing, print “P” for Preventative dressing and add the date that the dressing was applied. The rotating of tissue causes the gluteal cleft to shift. (A) Incision from the gluteal cleft to popliteal fossa and guillotine distal shank amputation. 8%. 811A is grouped within Diagnostic Related Group(s) (MS-DRG v 41. 000D - Unspecified open wound of lower back and pelvis without penetration into retroperitoneum [subsequent encounter] S31. 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. accumulation of dead hairs in the natal cleft, poor wound care, and lack. Nevertheless,. ICD-10-CM Diagnosis Code M76. 5% (47 of 219), gluteal cleft in 36. 1 Historically, the concept of MASD arose from recognition that many skin lesions identified by nurses in patients at risk for. A. Intergluteal cleft rashes, also known as intertrigo, are a common inflammatory skin condition caused by skin-to-skin friction and intensified by heat and moisture. Keep an eye on the wound area daily for any type of changes in skin condition. The first step to achieving consistent documentation is to correctly identify wound etiology. Keep an eye on the wound area daily for any type of changes in skin condition. Approximate Synonyms. S31. 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. This was the first year ICD-10-CM was implemented into the HIPAA code set. A step-by-step drawing of the surgical process. The authors gathered clinical illustrations of gluteal 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. 8%. Sometimes, there is only a cutaneous dimple in the midline above the gluteal cleft. 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. The flap is then closed over the ‘shallowed’ valley and sutured to the side outside the cleft. Psoriasis can affect the gluteal cleft. (C) The wound after 6 weeks. 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. Excludes2: abscess of anus and rectal regions (K61. 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. The gluteal cleft and the gluteal fold both occur normally in humans. metabolism-vitamin D synthesis with prescience of sunlight. 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). The individual may report experiencing pain, burning or itching as a result of the skin damage. Carefully examining the gluteal cleft on a regular basis and palpating the area to assess for pain and bogginess is important. . Show abstract. 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. The gluteal cleft is again examined, and all sinuses probed with a blunt instrument to determine the depth and direction of the underlying tracts. Injuries to the abdomen, lower back, lumbar spine, pelvis and external genitals. 2006; 8:314. 3, where the red ovals mark the dermal pits connected to the spinal lesion and the blue ovals mark the nonconnected pit. :) Documentation is key. S31. 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 may not cause symptoms. Next Code: L98. The resulting wound is off to the side of the midline so it is exposed to air and can heal well. ICD-10-CM Diagnosis Code M76. [6] Physical exam findings include midline pits in the superior gluteal cleft and may be associated with cephalad or lateral tracking sinuses. proximity to the gluteal muscles that limits transducer accessibility. 9 cm peripherally enhancing, partially septated cystic lesion at the superior aspect of the right gluteal cleft without signs of spinal canal dysraphism or tract to. 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. 1% (79 of 219), and perineum in 3. The “intergluteal cleft” is the medical term for your butt crack, which is a common area for rashes. 16 to 26/100,000 per year. 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. Applicable To. 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. S31. This is the American ICD-10-CM version of L89. Need help with coding of this procedure. It’s beneath the sacrum and, ahem, “in the superior gluteal cleft. Hair can then enter the abscess cavity and provoke a foreign body tissue reaction. The 2024 edition of ICD-10-CM L03. His natal cleft is very scarred from the prior operations, which involved a wide excision and midline closure. Intertrigo is a common inflammatory skin condition that is caused by skin-to-skin friction (rubbing) that is intensified by heat and moisture. 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;. 313 may differ. There are a number of useful strategies to keep in mind when answering multiple-choice tests. diseases of the male reproductive organs. The aim of this article was to summarize results of the consensus sessions that occurred at the Wound Ostomy Continence Nurses' Society National conferences in 2011 and 2012, and to highlight. Differential assessment of trunk wounds: pressure ulceration versus incontinence-associated dermatitis versus intertriginous dermatitis. 02) open fracture of pelvis ( S32. Puncture wound of left great toe; ICD-10-CM S91. 82) S31. 825S. 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. 313 - other international versions of ICD-10 L89. brown, or black) in the wound bed. BACKGROUND. The 2024 edition of ICD-10-CM S31. FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016. 809A is grouped within Diagnostic Related Group(s) (MS-DRG v 41. 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. S31. Trapped moisture, which is usually due to sweating, causes the surfaces of your skin to stick together in your skin folds. It is a procedure for pilonidal disease that removes all of the existing cysts, sinus tracts and open wounds, and flattens the gluteal cleft. Damage may be focused on the dependent area of the wound in extremities, due to pooling of wound exudate. Triad is easy to apply, and can be used on the wound or peri-wound skin. • Suitable for use on neonates1. Applicable To. 0):. The goal is to achieve healing in the simplest and least complicated way possible. The 2024 edition of ICD-10-CM L89. The gluteus maximus muscle is a broad, thick, quadrangular muscle that forms the prominence of the buttocks. Follow-up wound checks to assess for recurrence. The veins accompany the arteries and drain. 1 Given the low incidence rate of OSD at 0. A comparison of the various surgical most effectively. The Karydakis flap scar is off the midline and infection. Open wound of abdomen, lower back, pelvis and external genitals (S31) Open wound of left buttock (S31. high fever. 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. There is no wound packing and. Pilonidal disease refers to a subcutaneous infection occurring in the upper half of the gluteal cleft. The 2024 edition of ICD-10-CM Q82. The cyst is almost always near the tailbone at. The diffuse surrounding enhancement (arrowhead) indicates superimposed infection. of gluteal cleft wounds. In men, the infection can destroy their scrotum. 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. Keep the dressing clean and dry. (71 g) 12 1967 6 oz. Postoperative wound rupture and recurrence after subsequent complete wound healing recurrence. This is a result of too much exudate that hasn’t been properly managed. Open wound of cheek; ICD-10-CM S01. Applicable To. Injury, poisoning and certain other consequences of external causes. By sealing the affected area with a protective film, the skin can get to work recovering. Once controlled, dressing changes were performed under conscious sedation until healthy granulation of the wound bed was evident. Pilonidal sinus disease (PSD) is a common infection of the skin in the gluteal cleft, with a prevalence of 0. Triad is a sterile coating that can be applied directly onto the wound or peri-wound skin. 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. The rotating of tissue causes the gluteal cleft to shift. The gluteal cleft is a common area for wound difficulties, and potential bacterial contamination, as well as persistent underlying seroma (common at two weeks post-op) can make this more than a superficial wound healing concern. The official AHA publication for ICD-10-CM and ICD-10-PCS coding guidelines and advice. Irregular surfaces could include the gluteal cleft, coccyx, perineum, buttocks, groin, face, hands, feet and other areas. Showing 1-25: ICD-10-CM Diagnosis Code L02. 810A - other international versions of ICD-10 S30. Three cases of pilonidal disease occurred in the gluteal cleft and one in the umbilicus. Click the card to flip 👆. Collection of data that characterizes the status of a wound and the surrounding periwound skin. Pressure ulcer with abrasion, blister, partial thickness skin loss involving epidermis and/or. The time to healing was rapid, within 1 week in 22 patients. 1,2 MASD encompasses the four forms of moisture-associated skin damage, which include 1) incontinence-associated dermatitis or IAD; 2) intertriginous dermatitis,. There is a small drain that is left in place for a few days, and removed in the. Coconut oil contains anti-bacterial properties that help promote better and faster wound healing. Keep in mind not to use soap. L89. 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 baseThe management of recurrent pilonidal sinus is intended to reduce intergluteal cleft depth and reduce friction or gluteal motion in the process. This area is the groove between the buttocks that. This is the American ICD-10-CM version of S31. Common symptoms are a painful lump, bleeding, drainage, or enlarged pores in the midline of the gluteal cleft. 032 Puncture wound without foreign body, left hip. Bone cultures grew Morganella morganii with pathology consistent with acute osteomyelitis. ASSESSMENT/PLAN: Gluteal abscess, left cheek. The other synonyms of gluteal cleft are anal cleft, gluteal sulcus, natal cleft and intergluteal cleft. Affected individuals – typically obese, sedentary men with excessive body hair and a deep gluteal cleft – may be asymptomatic or present with mild local. It is currently hypothesized to be an acquired condition with local penetration of hair follicles and debris in stretched intergluteal pores. Risk Factors. ”.