Pressure ulcer
In Other disorders of the skin and subcutaneous tissue (L80-L99), chapter 12: Diseases of the Skin and Subcutaneous Tissue
175 billable codes under L89: 50 are an MCC; 100 map to HCC 381 (Pressure Ulcer of Skin with Full Thickness Skin Loss), HCC 379 (Pressure Ulcer of Skin with Necrosis Through to Muscle, Tendon, or Bone), HCC 382 (Pressure Ulcer of Skin with Partial Thickness Skin Loss).A CC or MCC (major CC) is a secondary diagnosis that raises the MS-DRG payment. An HCC counts toward a Medicare Advantage patient's risk score.
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Instructional notes
Includes: conditions that are coded here
- bed sore
- decubitus ulcer
- plaster ulcer
- pressure area
- pressure sore
Excludes2: not included here, code separately if applicable
Code first: code the underlying condition first, then this code
- any associated gangrene (I96)
Official coding guidelines
From the ICD-10-CM Official Guidelines for Coding and Reporting, FY 2027 (CMS and NCHS). Links open the PDF at the right page.
- Section I.C.12.a Pressure ulcer stage codes (page 58), covers L89
Assign as many L89 codes as needed for each ulcer's site and stage. Use unspecified stage when stage is undocumented, code nothing for ulcers healed on admission, and code both the admission and highest stage if it worsens.
Other Chapter 12 topics:
- Non-Pressure Chronic Ulcers (page 60)
All codes under L89
L89 can't be used on a claim. Pick a billable code below; grey headings group them.
- L89.0Pressure ulcer of elbow
- L89.00Pressure ulcer of unspecified elbow
- L89.000Pressure ulcer of unspecified elbow, unstageable
- L89.001Pressure ulcer of unspecified elbow, stage 1
- L89.002Pressure ulcer of unspecified elbow, stage 2
- L89.003Pressure ulcer of unspecified elbow, stage 3
- L89.004Pressure ulcer of unspecified elbow, stage 4
- L89.006Pressure-induced deep tissue damage of unspecified elbow
- L89.009Pressure ulcer of unspecified elbow, unspecified stage
- L89.01Pressure ulcer of right elbow
- L89.010Pressure ulcer of right elbow, unstageable
- L89.011Pressure ulcer of right elbow, stage 1
- L89.012Pressure ulcer of right elbow, stage 2
- L89.013Pressure ulcer of right elbow, stage 3
- L89.014Pressure ulcer of right elbow, stage 4
- L89.016Pressure-induced deep tissue damage of right elbow
- L89.019Pressure ulcer of right elbow, unspecified stage
- L89.02Pressure ulcer of left elbow
- L89.020Pressure ulcer of left elbow, unstageable
- L89.021Pressure ulcer of left elbow, stage 1
- L89.022Pressure ulcer of left elbow, stage 2
- L89.023Pressure ulcer of left elbow, stage 3
- L89.024Pressure ulcer of left elbow, stage 4
- L89.026Pressure-induced deep tissue damage of left elbow
- L89.029Pressure ulcer of left elbow, unspecified stage
- L89.1Pressure ulcer of back
- L89.10Pressure ulcer of unspecified part of back
- L89.100Pressure ulcer of unspecified part of back, unstageable
- L89.101Pressure ulcer of unspecified part of back, stage 1
- L89.102Pressure ulcer of unspecified part of back, stage 2
- L89.103Pressure ulcer of unspecified part of back, stage 3
- L89.104Pressure ulcer of unspecified part of back, stage 4
- L89.106Pressure-induced deep tissue damage of unspecified part of back
- L89.109Pressure ulcer of unspecified part of back, unspecified stage
- L89.11Pressure ulcer of right upper back
- L89.110Pressure ulcer of right upper back, unstageable
- L89.111Pressure ulcer of right upper back, stage 1
- L89.112Pressure ulcer of right upper back, stage 2
- L89.113Pressure ulcer of right upper back, stage 3
- L89.114Pressure ulcer of right upper back, stage 4
- L89.116Pressure-induced deep tissue damage of right upper back
- L89.119Pressure ulcer of right upper back, unspecified stage
- L89.12Pressure ulcer of left upper back
- L89.120Pressure ulcer of left upper back, unstageable
- L89.121Pressure ulcer of left upper back, stage 1
- L89.122Pressure ulcer of left upper back, stage 2
- L89.123Pressure ulcer of left upper back, stage 3
- L89.124Pressure ulcer of left upper back, stage 4
- L89.126Pressure-induced deep tissue damage of left upper back
- L89.129Pressure ulcer of left upper back, unspecified stage
- L89.13Pressure ulcer of right lower back
- L89.130Pressure ulcer of right lower back, unstageable
- L89.131Pressure ulcer of right lower back, stage 1
- L89.132Pressure ulcer of right lower back, stage 2
- L89.133Pressure ulcer of right lower back, stage 3
- L89.134Pressure ulcer of right lower back, stage 4
- L89.136Pressure-induced deep tissue damage of right lower back
- L89.139Pressure ulcer of right lower back, unspecified stage
- L89.14Pressure ulcer of left lower back
- L89.140Pressure ulcer of left lower back, unstageable
- L89.141Pressure ulcer of left lower back, stage 1
- L89.142Pressure ulcer of left lower back, stage 2
- L89.143Pressure ulcer of left lower back, stage 3
- L89.144Pressure ulcer of left lower back, stage 4
- L89.146Pressure-induced deep tissue damage of left lower back
- L89.149Pressure ulcer of left lower back, unspecified stage
- L89.15Pressure ulcer of sacral region
- L89.150Pressure ulcer of sacral region, unstageable
- L89.151Pressure ulcer of sacral region, stage 1
- L89.152Pressure ulcer of sacral region, stage 2
- L89.153Pressure ulcer of sacral region, stage 3
- L89.154Pressure ulcer of sacral region, stage 4
- L89.156Pressure-induced deep tissue damage of sacral region
- L89.159Pressure ulcer of sacral region, unspecified stage
- L89.2Pressure ulcer of hip
- L89.20Pressure ulcer of unspecified hip
- L89.200Pressure ulcer of unspecified hip, unstageable
- L89.201Pressure ulcer of unspecified hip, stage 1
- L89.202Pressure ulcer of unspecified hip, stage 2
- L89.203Pressure ulcer of unspecified hip, stage 3
- L89.204Pressure ulcer of unspecified hip, stage 4
- L89.206Pressure-induced deep tissue damage of unspecified hip
- L89.209Pressure ulcer of unspecified hip, unspecified stage
- L89.21Pressure ulcer of right hip
- L89.210Pressure ulcer of right hip, unstageable
- L89.211Pressure ulcer of right hip, stage 1
- L89.212Pressure ulcer of right hip, stage 2
- L89.213Pressure ulcer of right hip, stage 3
- L89.214Pressure ulcer of right hip, stage 4
- L89.216Pressure-induced deep tissue damage of right hip
- L89.219Pressure ulcer of right hip, unspecified stage
- L89.22Pressure ulcer of left hip
- L89.220Pressure ulcer of left hip, unstageable
- L89.221Pressure ulcer of left hip, stage 1
- L89.222Pressure ulcer of left hip, stage 2
- L89.223Pressure ulcer of left hip, stage 3
- L89.224Pressure ulcer of left hip, stage 4
- L89.226Pressure-induced deep tissue damage of left hip
- L89.229Pressure ulcer of left hip, unspecified stage
- L89.3Pressure ulcer of buttock
- L89.30Pressure ulcer of unspecified buttock
- L89.300Pressure ulcer of unspecified buttock, unstageable
- L89.301Pressure ulcer of unspecified buttock, stage 1
- L89.302Pressure ulcer of unspecified buttock, stage 2
- L89.303Pressure ulcer of unspecified buttock, stage 3
- L89.304Pressure ulcer of unspecified buttock, stage 4
- L89.306Pressure-induced deep tissue damage of unspecified buttock
- L89.309Pressure ulcer of unspecified buttock, unspecified stage
- L89.31Pressure ulcer of right buttock
- L89.310Pressure ulcer of right buttock, unstageable
- L89.311Pressure ulcer of right buttock, stage 1
- L89.312Pressure ulcer of right buttock, stage 2
- L89.313Pressure ulcer of right buttock, stage 3
- L89.314Pressure ulcer of right buttock, stage 4
- L89.316Pressure-induced deep tissue damage of right buttock
- L89.319Pressure ulcer of right buttock, unspecified stage
- L89.32Pressure ulcer of left buttock
- L89.320Pressure ulcer of left buttock, unstageable
- L89.321Pressure ulcer of left buttock, stage 1
- L89.322Pressure ulcer of left buttock, stage 2
- L89.323Pressure ulcer of left buttock, stage 3
- L89.324Pressure ulcer of left buttock, stage 4
- L89.326Pressure-induced deep tissue damage of left buttock
- L89.329Pressure ulcer of left buttock, unspecified stage
- L89.4Pressure ulcer of contiguous site of back, buttock and hip
- L89.40Pressure ulcer of contiguous site of back, buttock and hip, unspecified stage
- L89.41Pressure ulcer of contiguous site of back, buttock and hip, stage 1
- L89.42Pressure ulcer of contiguous site of back, buttock and hip, stage 2
- L89.43Pressure ulcer of contiguous site of back, buttock and hip, stage 3
- L89.44Pressure ulcer of contiguous site of back, buttock and hip, stage 4
- L89.45Pressure ulcer of contiguous site of back, buttock and hip, unstageable
- L89.46Pressure-induced deep tissue damage of contiguous site of back, buttock and hip
- L89.5Pressure ulcer of ankle
- L89.50Pressure ulcer of unspecified ankle
- L89.500Pressure ulcer of unspecified ankle, unstageable
- L89.501Pressure ulcer of unspecified ankle, stage 1
- L89.502Pressure ulcer of unspecified ankle, stage 2
- L89.503Pressure ulcer of unspecified ankle, stage 3
- L89.504Pressure ulcer of unspecified ankle, stage 4
- L89.506Pressure-induced deep tissue damage of unspecified ankle
- L89.509Pressure ulcer of unspecified ankle, unspecified stage
- L89.51Pressure ulcer of right ankle
- L89.510Pressure ulcer of right ankle, unstageable
- L89.511Pressure ulcer of right ankle, stage 1
- L89.512Pressure ulcer of right ankle, stage 2
- L89.513Pressure ulcer of right ankle, stage 3
- L89.514Pressure ulcer of right ankle, stage 4
- L89.516Pressure-induced deep tissue damage of right ankle
- L89.519Pressure ulcer of right ankle, unspecified stage
- L89.52Pressure ulcer of left ankle
- L89.520Pressure ulcer of left ankle, unstageable
- L89.521Pressure ulcer of left ankle, stage 1
- L89.522Pressure ulcer of left ankle, stage 2
- L89.523Pressure ulcer of left ankle, stage 3
- L89.524Pressure ulcer of left ankle, stage 4
- L89.526Pressure-induced deep tissue damage of left ankle
- L89.529Pressure ulcer of left ankle, unspecified stage
- L89.6Pressure ulcer of heel
- L89.60Pressure ulcer of unspecified heel
- L89.600Pressure ulcer of unspecified heel, unstageable
- L89.601Pressure ulcer of unspecified heel, stage 1
- L89.602Pressure ulcer of unspecified heel, stage 2
- L89.603Pressure ulcer of unspecified heel, stage 3
- L89.604Pressure ulcer of unspecified heel, stage 4
- L89.606Pressure-induced deep tissue damage of unspecified heel
- L89.609Pressure ulcer of unspecified heel, unspecified stage
- L89.61Pressure ulcer of right heel
- L89.610Pressure ulcer of right heel, unstageable
- L89.611Pressure ulcer of right heel, stage 1
- L89.612Pressure ulcer of right heel, stage 2
- L89.613Pressure ulcer of right heel, stage 3
- L89.614Pressure ulcer of right heel, stage 4
- L89.616Pressure-induced deep tissue damage of right heel
- L89.619Pressure ulcer of right heel, unspecified stage
- L89.62Pressure ulcer of left heel
- L89.620Pressure ulcer of left heel, unstageable
- L89.621Pressure ulcer of left heel, stage 1
- L89.622Pressure ulcer of left heel, stage 2
- L89.623Pressure ulcer of left heel, stage 3
- L89.624Pressure ulcer of left heel, stage 4
- L89.626Pressure-induced deep tissue damage of left heel
- L89.629Pressure ulcer of left heel, unspecified stage
- L89.8Pressure ulcer of other site
- L89.81Pressure ulcer of head
- L89.810Pressure ulcer of head, unstageable
- L89.811Pressure ulcer of head, stage 1
- L89.812Pressure ulcer of head, stage 2
- L89.813Pressure ulcer of head, stage 3
- L89.814Pressure ulcer of head, stage 4
- L89.816Pressure-induced deep tissue damage of head
- L89.819Pressure ulcer of head, unspecified stage
- L89.89Pressure ulcer of other site
- L89.890Pressure ulcer of other site, unstageable
- L89.891Pressure ulcer of other site, stage 1
- L89.892Pressure ulcer of other site, stage 2
- L89.893Pressure ulcer of other site, stage 3
- L89.894Pressure ulcer of other site, stage 4
- L89.896Pressure-induced deep tissue damage of other site
- L89.899Pressure ulcer of other site, unspecified stage
- L89.9Pressure ulcer of unspecified site
- L89.90Pressure ulcer of unspecified site, unspecified stage
- L89.91Pressure ulcer of unspecified site, stage 1
- L89.92Pressure ulcer of unspecified site, stage 2
- L89.93Pressure ulcer of unspecified site, stage 3
- L89.94Pressure ulcer of unspecified site, stage 4
- L89.95Pressure ulcer of unspecified site, unstageable
- L89.96Pressure-induced deep tissue damage of unspecified site
L89 MS-DRGs
As the principal diagnosis, all 175 billable codes under L89 group to MS-DRG 573, 574, 575, 592, 593, or 594 (v44.0). Which one applies depends on procedures performed, secondary diagnoses (CC/MCC), and the patient's age and discharge status.
Other codes that refer to L89
Notes on these codes point to L89.
About the condition
Plain-language background from MedlinePlus (National Library of Medicine), not coding guidance.
Pressure Sores
Pressure sores are areas of damaged skin caused by staying in one position for too long. They commonly form where your bones are close to your skin, such as your ankles, back, elbows, heels and hips. You are at risk if you are bedridden, use a wheelchair, or are unable to change your position. Pressure sores can cause serious infections, some of which are life-threatening. They can be a problem for people in nursing homes.
Read more about pressure sores on MedlinePlusCode history
Valid since FY2016, when ICD-10-CM took effect on October 1, 2015. No changes since.
