L89.119
L89.119: Pressure ulcer of right upper back, unspecified stage
Billable / specific codeICD-10-CMright
L89.119 is a billable, specific ICD-10-CM code for pressure ulcer of right upper back, unspecified stage. It is valid for submission on a claim.
Check L89.119 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 right upper back NOS
- Healing pressure ulcer of right upper back, unspecified stage
Excludes2 inherited from the categories above L89.119
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
L89.119 is named in 3 Medicare coverage policies: 1 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
- A56459Billing and Coding: Debridement Services
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
- L89.116Pressure-induced deep tissue damage of right upper back