L89.216 — Pressure-induced deep tissue damage of right hip
L89.216 is a billable, specific ICD-10-CM code for pressure-induced deep tissue damage of right hip. It is valid for submission on a claim.
Excludes2 inherited from the categories above L89.216
Also inherited, and the opposite of Excludes1: these conditions are not part of L89.216, but a patient can have both, so you may code both.
Risk adjustment
L89.216 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
L89.216 is named in 8 Medicare coverage policies — 7 listing it as supporting medical necessity, and 1 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
- A53057Billing and Coding: Home Health Occupational Therapy
- A53058Billing and Coding: Home Health Physical Therapy
- A53064Billing and Coding: Outpatient Occupational Therapy
Code history
L89.216 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 L89.21. If L89.216 is not quite right, the correct code is usually one of these.
Questions about L89.216
- Is L89.216 a billable ICD-10-CM code?
- Yes. L89.216 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does L89.216 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).