Is L89.113 a billable ICD-10-CM code?

Yes. L89.113 is a billable, specific ICD-10-CM code and is valid for submission on a claim.

Where does L89.113 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).

L89.113

L89.113 — Pressure ulcer of right upper back, stage 3

Billable / specific codeICD-10-CMright

L89.113 is a billable, specific ICD-10-CM code for pressure ulcer of right upper back, stage 3. It is valid for submission on a claim.

Inclusion terms

Alternative wordings a physician may use in the chart for this same code.

Healing pressure ulcer of right upper back, stage 3
Pressure ulcer with full thickness skin loss involving damage or necrosis of subcutaneous tissue, right upper back

Excludes2 inherited from the categories above L89.113

Also inherited, and the opposite of Excludes1: these conditions are not part of L89.113, but a patient can have both, so you may code both.

Written on L89 — Pressure ulcer

decubitus (trophic) ulcer of cervix (uteri) (N86)
diabetic ulcers (E08.621, E08.622, E09.621, E09.622, E10.621, E10.622, E11.621, E11.622, E13.621, E13.622)
non-pressure chronic ulcer of skin (L97.-)
skin infections (L00-L08)
varicose ulcer (I83.0, I83.2)

Risk adjustment

L89.113 risk-adjusts. Under the CMS-HCC V28 model it maps to this category:

HCC 381 Pressure Ulcer of Skin with Full Thickness Skin Loss1.075 RAF

Coefficient shown for the Community Non-dual Aged segment. A higher HCC in the same hierarchy will suppress this one, so capturing it does not always add score.

Medicare coverage

L89.113 is named in 12 Medicare coverage policies — 10 listing it as supporting medical necessity, and 2 listing it as NOT covered. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.

A56566Billing and Coding: Outpatient Physical and Occupational Therapy Servicesnot covered
A57067Billing and Coding: Outpatient Physical and Occupational Therapy Servicesnot covered
A52468Pressure Reducing Support Surfaces - Group 3- Policy Article
A52490Pressure Reducing Support Surfaces - Group 2 - Policy Article

Code history

L89.113 has not changed since FY2024 — no addition, revision or deletion across the three most recent ICD-10-CM releases.

Related codes at this level

Codes that share L89.11. If L89.113 is not quite right, the correct code is usually one of these.

Questions about L89.113

Is L89.113 a billable ICD-10-CM code?: Yes. L89.113 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does L89.113 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).