L89.46
L89.46 — Pressure-induced deep tissue damage of contiguous site of back, buttock and hip
Billable / specific codeICD-10-CM
L89.46 is a billable, specific ICD-10-CM code for pressure-induced deep tissue damage of contiguous site of back, buttock and hip. It is valid for submission on a claim.
Risk adjustment
L89.46 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
L89.46 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
Related codes at this level
Codes that share L89.4. If L89.46 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
- L89.42Pressure 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
Questions about L89.46
- Is L89.46 a billable ICD-10-CM code?
- Yes. L89.46 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does L89.46 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).