L89.116
L89.116: Pressure-induced deep tissue damage of right upper back
Billable / specific codeICD-10-CMright
L89.116 is a billable, specific ICD-10-CM code for pressure-induced deep tissue damage of right upper back. It is valid for submission on a claim.
Check L89.116 with the rest of the claim: free scrubberExcludes2 inherited from the categories above L89.116
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
L89.116 is named in 8 Medicare coverage policies: 7 listing it as supporting medical necessity, and 1 listing it as NOT covered. Which one applies depends on your Medicare contractor.
- A56566Billing and Coding: Outpatient Physical and Occupational Therapy Servicesnot covered
- A53057Billing and Coding: Home Health Occupational Therapy
- A53058Billing and Coding: Home Health Physical Therapy
- A53064Billing and Coding: Outpatient Occupational Therapy
Code history
Unchanged in every release from FY2024 to FY2027.
Other codes under L89.11
- 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
- L89.119Pressure ulcer of right upper back, unspecified stage