L89.133: Pressure ulcer of right lower back, stage 3
L89.133 is a billable, specific ICD-10-CM code for pressure ulcer of right lower back, stage 3. It is valid for submission on a claim.
Check L89.133 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 lower back, stage 3
- Pressure ulcer with full thickness skin loss involving damage or necrosis of subcutaneous tissue, right lower back
Excludes2 inherited from the categories above L89.133
Not part of this code, but both may be coded when both are present.
Risk adjustment
L89.133 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. Look up the whole chart to see which of its HCCs the hierarchy would zero.
Medicare coverage
L89.133 is named in 12 Medicare coverage policies: 10 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
- A52468Pressure Reducing Support Surfaces - Group 3- Policy Article
- A52490Pressure Reducing Support Surfaces - Group 2 - Policy Article
Code history
Unchanged in every release from FY2024 to FY2027.
Other codes under L89.13
- 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
- L89.134Pressure 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