L89.101
L89.101: Pressure ulcer of unspecified part of back, stage 1
Billable / specific codeICD-10-CM
L89.101 is a billable, specific ICD-10-CM code for pressure ulcer of unspecified part of back, stage 1. It is valid for submission on a claim.
Check L89.101 with the rest of the claim: free scrubberInclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Healing pressure ulcer of unspecified part of back, stage 1
- Pressure pre-ulcer skin changes limited to persistent focal edema, unspecified part of back
Excludes2 inherited from the categories above L89.101
Not part of this code, but both may be coded when both are present.
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
L89.101 is named in 4 Medicare coverage policies: 2 listing it as supporting medical necessity, and 2 listing it as NOT covered. Which one applies depends on your Medicare contractor.
- A56566Billing and Coding: Outpatient Physical and Occupational Therapy Servicesnot covered
- A57067Billing and Coding: Outpatient Physical and Occupational Therapy Servicesnot covered
- A53064Billing and Coding: Outpatient Occupational Therapy
- A53065Billing and Coding: Outpatient Physical Therapy
Code history
Unchanged in every release from FY2024 to FY2027.
Other codes under L89.10
- L89.100Pressure ulcer of unspecified part of back, unstageable
- 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