L89.143 — Pressure ulcer of left lower back, stage 3
L89.143 is a billable, specific ICD-10-CM code for pressure ulcer of left lower 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 left lower back, stage 3
- Pressure ulcer with full thickness skin loss involving damage or necrosis of subcutaneous tissue, left lower back
Excludes2 inherited from the categories above L89.143
Also inherited, and the opposite of Excludes1: these conditions are not part of L89.143, but a patient can have both, so you may code both.
Risk adjustment
L89.143 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
L89.143 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
L89.143 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 L89.14. If L89.143 is not quite right, the correct code is usually one of these.
- L89.140Pressure ulcer of left lower back, unstageable
- L89.141Pressure ulcer of left lower back, stage 1
- L89.142Pressure ulcer of left lower back, stage 2
- L89.144Pressure ulcer of left lower back, stage 4
- L89.146Pressure-induced deep tissue damage of left lower back
- L89.149Pressure ulcer of left lower back, unspecified stage
Questions about L89.143
- Is L89.143 a billable ICD-10-CM code?
- Yes. L89.143 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does L89.143 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).