L89.611
L89.611: Pressure ulcer of right heel, stage 1
Billable / specific codeICD-10-CMright
L89.611 is a billable, specific ICD-10-CM code for pressure ulcer of right heel, stage 1. It is valid for submission on a claim.
Check L89.611 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 right heel, stage 1
- Pressure pre-ulcer skin changes limited to persistent focal edema, right heel
Excludes2 inherited from the categories above L89.611
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
L89.611 is named in 8 Medicare coverage policies: 6 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
- A53057Billing and Coding: Home Health Occupational Therapy
- A53058Billing and Coding: Home Health Physical Therapy
Code history
Unchanged in every release from FY2024 to FY2027.