L89.209
L89.209 — Pressure ulcer of unspecified hip, unspecified stage
Billable / specific codeICD-10-CMunspecified
L89.209 is a billable, specific ICD-10-CM code for pressure ulcer of unspecified hip, unspecified stage. 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 unspecified hip NOS
- Healing pressure ulcer of unspecified hip, unspecified stage
Risk adjustment
L89.209 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.
Medicare coverage
L89.209 is named in 2 Medicare coverage policies — 0 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
Related codes at this level
Codes that share L89.20. If L89.209 is not quite right, the correct code is usually one of these.
- L89.200Pressure ulcer of unspecified hip, unstageable
- L89.201Pressure ulcer of unspecified hip, stage 1
- L89.202Pressure ulcer of unspecified hip, stage 2
- L89.203Pressure ulcer of unspecified hip, stage 3
- L89.204Pressure ulcer of unspecified hip, stage 4
- L89.206Pressure-induced deep tissue damage of unspecified hip
Questions about L89.209
- Is L89.209 a billable ICD-10-CM code?
- Yes. L89.209 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does L89.209 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).