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.
Check L89.46 with the rest of the claim: free scrubberExcludes2 inherited from the categories above L89.46
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
L89.46 is named in 8 Medicare coverage policies: 7 listing it as supporting medical necessity, and 1 listing it as NOT covered. Which one applies depends on your Medicare contractor.
- 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
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
- L89.41Pressure 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