L89
L89 — Pressure ulcer
Non-billable headerICD-10-CM
L89 is a non-billable header ICD-10-CM code for pressure ulcer. It cannot be billed on its own: choose one of the more specific child codes below.
Excludes2 — not included here, but may coexist
The excluded condition is not part of this code, but a patient can have both. You may code both.
Code first
The underlying condition must be sequenced before this code.
- any associated gangrene (I96)
Includes
Conditions this code covers.
- bed sore
- decubitus ulcer
- plaster ulcer
- pressure area
- pressure sore
Risk adjustment
L89 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.
Code to one of these instead L89
9 child codes. Green means billable.
- L89.0Pressure ulcer of elbow
- L89.1Pressure ulcer of back
- L89.2Pressure ulcer of hip
- L89.3Pressure ulcer of buttock
- L89.4Pressure ulcer of contiguous site of back, buttock and hip
- L89.5Pressure ulcer of ankle
- L89.6Pressure ulcer of heel
- L89.8Pressure ulcer of other site
- L89.9Pressure ulcer of unspecified site
Questions about L89
- Is L89 a billable ICD-10-CM code?
- No. L89 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does L89 sit in the tabular list?
- Diseases of the skin and subcutaneous tissue (L00-L99), in the block Other disorders of the skin and subcutaneous tissue (L80-L99).