L89.500
L89.500: Pressure ulcer of unspecified ankle, unstageable
Billable / specific codeICD-10-CMunspecified
L89.500 is a billable, specific ICD-10-CM code for pressure ulcer of unspecified ankle, unstageable. It is valid for submission on a claim.
Check L89.500 with the rest of the claim: free scrubberExcludes2 inherited from the categories above L89.500
Not part of this code, but both may be coded when both are present.
Risk adjustment
L89.500 risk-adjusts. Under the CMS-HCC V28 model it maps to this category:
- HCC 381 Pressure Ulcer of Skin with Full Thickness Skin Loss1.075 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. Look up the whole chart to see which of its HCCs the hierarchy would zero.
Medicare coverage
L89.500 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 L89.50
- L89.501Pressure ulcer of unspecified ankle, stage 1
- L89.502Pressure ulcer of unspecified ankle, stage 2
- L89.503Pressure ulcer of unspecified ankle, stage 3
- L89.504Pressure ulcer of unspecified ankle, stage 4
- L89.506Pressure-induced deep tissue damage of unspecified ankle
- L89.509Pressure ulcer of unspecified ankle, unspecified stage