L89.42 — Pressure ulcer of contiguous site of back, buttock and hip, stage 2
L89.42 is a billable, specific ICD-10-CM code for pressure ulcer of contiguous site of back, buttock and 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 contiguous site of back, buttock and hip, stage 2
- Pressure ulcer with abrasion, blister, partial thickness skin loss involving epidermis and/or dermis, contiguous site of back, buttock and hip
Excludes2 inherited from the categories above L89.42
Also inherited, and the opposite of Excludes1: these conditions are not part of L89.42, but a patient can have both, so you may code both.
Risk adjustment
L89.42 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
L89.42 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
Code history
L89.42 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 L89.4. If L89.42 is not quite right, the correct code is usually one of these.
- L89.40Pressure ulcer of contiguous site of back, buttock and hip, unspecified stage
- L89.41Pressure ulcer of contiguous site of back, buttock and hip, stage 1
- 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
Questions about L89.42
- Is L89.42 a billable ICD-10-CM code?
- Yes. L89.42 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does L89.42 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).