L89.91
L89.91: Pressure ulcer of unspecified site, stage 1
Billable / specific codeICD-10-CM
L89.91 is a billable, specific ICD-10-CM code for pressure ulcer of unspecified site, stage 1. It is valid for submission on a claim.
Check L89.91 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 site, stage 1
- Pressure pre-ulcer skin changes limited to persistent focal edema, unspecified site
Excludes2 inherited from the categories above L89.91
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
L89.91 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 L89.9
- L89.90Pressure ulcer of unspecified site, unspecified stage
- L89.92Pressure ulcer of unspecified site, stage 2
- L89.93Pressure ulcer of unspecified site, stage 3
- L89.94Pressure ulcer of unspecified site, stage 4
- L89.95Pressure ulcer of unspecified site, unstageable
- L89.96Pressure-induced deep tissue damage of unspecified site