L89.41
L89.41: Pressure ulcer of contiguous site of back, buttock and hip, stage 1
Billable / specific codeICD-10-CM
L89.41 is a billable, specific ICD-10-CM code for pressure ulcer of contiguous site of back, buttock and hip, stage 1. It is valid for submission on a claim.
Check L89.41 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 contiguous site of back, buttock and hip, stage 1
- Pressure pre-ulcer skin changes limited to persistent focal edema, contiguous site of back, buttock and hip
Excludes2 inherited from the categories above L89.41
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
L89.41 is named in 8 Medicare coverage policies: 6 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
- A53057Billing and Coding: Home Health Occupational Therapy
- A53058Billing and Coding: Home Health Physical Therapy
Code history
Unchanged in every release from FY2024 to FY2027.
Other codes under L89.4
- L89.40Pressure ulcer of contiguous site of back, buttock and hip, unspecified stage
- L89.42Pressure ulcer of contiguous site of back, buttock and hip, stage 2
- L89.43Pressure ulcer of contiguous site of back, buttock and hip, stage 3
- L89.44Pressure ulcer of contiguous site of back, buttock and hip, stage 4
- L89.45Pressure ulcer of contiguous site of back, buttock and hip, unstageable
- L89.46Pressure-induced deep tissue damage of contiguous site of back, buttock and hip