L89.301
L89.301: Pressure ulcer of unspecified buttock, stage 1
Billable / specific codeICD-10-CM
L89.301 is a billable, specific ICD-10-CM code for pressure ulcer of unspecified buttock, stage 1. It is valid for submission on a claim.
Check L89.301 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 unspecified buttock, stage 1
- Pressure pre-ulcer skin changes limited to persistent focal edema, unspecified buttock
Excludes2 inherited from the categories above L89.301
Not part of this code, but both may be coded when both are present.
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
L89.301 is named in 3 Medicare coverage policies: 1 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
- A53065Billing and Coding: Outpatient Physical Therapy
Code history
Unchanged in every release from FY2024 to FY2027.
Other codes under L89.30
- L89.300Pressure ulcer of unspecified buttock, unstageable
- L89.302Pressure ulcer of unspecified buttock, stage 2
- L89.303Pressure ulcer of unspecified buttock, stage 3
- L89.304Pressure ulcer of unspecified buttock, stage 4
- L89.306Pressure-induced deep tissue damage of unspecified buttock
- L89.309Pressure ulcer of unspecified buttock, unspecified stage