L89.612: Pressure ulcer of right heel, stage 2
L89.612 is a billable, specific ICD-10-CM code for pressure ulcer of right heel, stage 2. It is valid for submission on a claim.
Check L89.612 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 2
- Pressure ulcer with abrasion, blister, partial thickness skin loss involving epidermis and/or dermis, right heel
Excludes2 inherited from the categories above L89.612
Not part of this code, but both may be coded when both are present.
Risk adjustment
L89.612 risk-adjusts. Under the CMS-HCC V28 model it maps to this category:
- HCC 382 Pressure Ulcer of Skin with Partial Thickness Skin Loss0.838 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
L89.612 is named in 10 Medicare coverage policies: 8 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.