L89.814 — Pressure ulcer of head, stage 4
L89.814 is a billable, specific ICD-10-CM code for pressure ulcer of head, stage 4. It is valid for submission on a claim.
Inclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Healing pressure ulcer of head, stage 4
- Pressure ulcer with necrosis of soft tissues through to underlying muscle, tendon, or bone, head
Risk adjustment
L89.814 risk-adjusts. Under the CMS-HCC V28 model it maps to this category:
- HCC 379 Pressure Ulcer of Skin with Necrosis Through to Muscle, Tendon, or Bone1.965 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.
Medicare coverage
L89.814 is named in 10 Medicare coverage policies — 8 listing it as supporting medical necessity, and 2 listing it as NOT covered. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A56566Billing and Coding: Outpatient Physical and Occupational Therapy Servicesnot covered
- A57067Billing and Coding: Outpatient Physical and Occupational Therapy Servicesnot covered
- A52468Pressure Reducing Support Surfaces - Group 3- Policy Article
- A53057Billing and Coding: Home Health Occupational Therapy
Related codes at this level
Codes that share L89.81. If L89.814 is not quite right, the correct code is usually one of these.
Questions about L89.814
- Is L89.814 a billable ICD-10-CM code?
- Yes. L89.814 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does L89.814 sit in the tabular list?
- Diseases of the skin and subcutaneous tissue (L00-L99), in the block Other disorders of the skin and subcutaneous tissue (L80-L99).