Coding and coverage · ICD-10-CM

L89 Pressure ulcer

Not billable (header)Chapter 12

Report one of the more specific codes below.

Codes under this one

  • L89.0 Pressure ulcer of elbowHeader
  • L89.1 Pressure ulcer of backHeader
  • L89.2 Pressure ulcer of hipHeader
  • L89.3 Pressure ulcer of buttockHeader
  • L89.4 Pressure ulcer of contiguous site of back, buttock and hipHeader
  • L89.5 Pressure ulcer of ankleHeader
  • L89.6 Pressure ulcer of heelHeader
  • L89.8 Pressure ulcer of other siteHeader
  • L89.9 Pressure ulcer of unspecified siteHeader

Instructional notes

Chapter 12

Excludes2Not included here: the patient may have both; report both when both are present.
  • certain conditions originating in the perinatal period (P04-P96)
  • certain infectious and parasitic diseases (A00-B99)
  • complications of pregnancy, childbirth and the puerperium (O00-O9A)
  • congenital malformations, deformations, and chromosomal abnormalities (Q00-Q99)
  • endocrine, nutritional and metabolic diseases (E00-E88)
  • lipomelanotic reticulosis (I89.8)
  • neoplasms (C00-D49)
  • symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)
  • systemic connective tissue disorders (M30-M36)
  • viral warts (B07.-)

This code

Excludes2Not included here: the patient may have both; report both when both are present.
Code firstSequence the underlying condition first.
  • any associated gangrene (I96)
Includes
  • bed sore
  • decubitus ulcer
  • plaster ulcer
  • pressure area
  • pressure sore

Chapter 12: Diseases of the skin and subcutaneous tissue · L80-L99 Other disorders of the skin and subcutaneous tissue (L80-L99)

Source: ICD-10-CM FY 2027 code descriptions and tabular list (CMS and CDC National Center for Health Statistics), effective 2026-10-01 through 2027-09-30 · CMS ICD-10 files. HCC mapping: CMS-HCC V28, payment year 2027. As of 2026-11-04.

Coverage and payment depend on the claim details; confirm with the Medicare Administrative Contractor.