L89.212 — Pressure ulcer of right hip, stage 2
L89.212 is a billable, specific ICD-10-CM code for pressure ulcer of right hip, stage 2. 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 right hip, stage 2
- Pressure ulcer with abrasion, blister, partial thickness skin loss involving epidermis and/or dermis, right hip
Risk adjustment
L89.212 risk-adjusts. Under the CMS-HCC V28 model it maps to this category:
- HCC 382 Pressure Ulcer of Skin with Partial Thickness Skin Loss0.838 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
L89.212 is named in 11 Medicare coverage policies — 9 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
- A52490Pressure Reducing Support Surfaces - Group 2 - Policy Article
- A53057Billing and Coding: Home Health Occupational Therapy
Related codes at this level
Codes that share L89.21. If L89.212 is not quite right, the correct code is usually one of these.
Questions about L89.212
- Is L89.212 a billable ICD-10-CM code?
- Yes. L89.212 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does L89.212 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).