L89.96
L89.96: Pressure-induced deep tissue damage of unspecified site
Billable / specific codeICD-10-CM
L89.96 is a billable, specific ICD-10-CM code for pressure-induced deep tissue damage of unspecified site. It is valid for submission on a claim.
Check L89.96 with the rest of the claim: free scrubberExcludes2 inherited from the categories above L89.96
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
L89.96 is named in 2 Medicare coverage policies: 1 listing it as supporting medical necessity, and 1 listing it as NOT covered. Which one applies depends on your Medicare contractor.
- A56566Billing 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
- L89.91Pressure ulcer of unspecified site, stage 1
- 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