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L89 ICD-10-CM Code: Pressure ulcer

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FY 2026 Apr update / Diseases of the skin and subcutaneous tissue (L00-L99) / Other disorders of the skin and subcutaneous tissue (L80-L99)

L89

Header CodeICD-10-CMOfficial ICD-10-CMCodebook guidance

Pressure ulcer

Pressure ulcer

CMS-HCC V28

N/A

Not mapped

CMS-HCC V24

N/A

Not mapped

ACA/HHS

N/A

Not mapped

ESRD/PACE

N/A

Not mapped

RXHCC

N/A

Not mapped

Code Book Path

Official
L8Other disorders of the skin and subcutaneous tissue (L80-L99)
L89Pressure ulcer

Inclusion Terms

Official

ICD-10-CM does not list inclusion terms for L89 in this effective period.

Excludes 2

Official
  • decubitus (trophic) ulcer of cervix (uteri) (N86)
  • diabetic ulcers (E08.621, E08.622, E09.621, E09.622, E10.621, E10.622, E11.621, E11.622, E13.621, E13.622)
  • non-pressure chronic ulcer of skin (L97.-)
  • skin infections (L00-L08)
  • varicose ulcer (I83.0, I83.2)

Related Child Codes

Official
L89.0Pressure ulcer of elbow
L89.1Pressure ulcer of back
L89.2Pressure ulcer of hip
L89.3Pressure ulcer of buttock
L89.4Pressure ulcer of contiguous site of back, buttock and hip

Includes

Official
  • bed sore
  • decubitus ulcer
  • plaster ulcer
  • pressure area
  • pressure sore

Excludes 1

Official

ICD-10-CM does not list Excludes 1 notes for L89 in this effective period.

Code First

Official
  • any associated gangrene (I96)

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for L89 in this effective period.

Code Also

Official

ICD-10-CM does not list Code Also instructions for L89 in this effective period.

Last updated: FY2026 ICD-10-CM Apr update, Apr 1, 2026 through Sep 30, 2026. CMS-HCC V28 is 100% phased in for payment year 2026.

Coder workflow notes

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What This Code Means

L89 is the ICD-10-CM diagnosis code for pressure ulcer. L89 sits in the ICD-10-CM chapter for diseases of the skin and subcutaneous tissue (l00-l99), within the section covering other disorders of the skin and subcutaneous tissue (l80-l99).

Header codes like L89 cannot be reported on claims directly, they organize child codes that share clinical context but the actual diagnosis must be coded to the highest level of specificity supported by the documentation. Coders should look at L89's child codes and select the one that matches the patient's documented presentation, since payers reject header codes submitted as the primary diagnosis. For risk adjustment workflows, header codes never contribute to a Medicare Advantage member's RAF score on their own; only billable child codes that happen to map to a payment HCC affect risk-adjusted plan payments.

HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for L89 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Includes

  • bed sore
  • decubitus ulcer
  • plaster ulcer
  • pressure area
  • pressure sore

Excludes 2, Not included here, may code separately

Code First

  • any associated gangrene (I96)

Child Codes

Code Hierarchy

L89Pressure ulcer
L89Pressure ulcer

More on L89

Related condition guides

Referenced in blog posts

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