L89.609
L89.609: Pressure ulcer of unspecified heel, unspecified stage
Billable / specific codeICD-10-CM
L89.609 is a billable, specific ICD-10-CM code for pressure ulcer of unspecified heel, unspecified stage. It is valid for submission on a claim.
Check L89.609 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 unspecified heel NOS
- Healing pressure ulcer of unspecified heel, unspecified stage
Excludes2 inherited from the categories above L89.609
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
L89.609 is named in 2 Medicare coverage policies: 0 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
Code history
Unchanged in every release from FY2024 to FY2027.
Other codes under L89.60
- L89.600Pressure ulcer of unspecified heel, unstageable
- L89.601Pressure ulcer of unspecified heel, stage 1
- L89.602Pressure ulcer of unspecified heel, stage 2
- L89.603Pressure ulcer of unspecified heel, stage 3
- L89.604Pressure ulcer of unspecified heel, stage 4
- L89.606Pressure-induced deep tissue damage of unspecified heel