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L89.136 ICD-10-CM Code: Pressure-induced deep tissue damage of right lower back

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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)

L89.136

Billable / SpecificICD-10-CMOfficial ICD-10-CMCodebook guidance

Pressure-induced deep tissue damage of right lower back

Deep tissue damage from pressure on the right lower back that may not yet be visible on the skin surface but involves underlying tissue injury.

CMS-HCC V28

0

0

RAF 0

CMS-HCC V24

0

0

RAF 0

ACA/HHS

0

0

RAF 0

ESRD/PACE

0

0

RAF 0

RXHCC

0

0

RAF 0

Code Trumping

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Code Book Path

Official
L89.1Pressure ulcer of back
L89.13Pressure ulcer of right lower back
L89.136Pressure-induced deep tissue damage of right lower back

Inclusion Terms

Official

ICD-10-CM does not list inclusion terms for L89.136 in this effective period.

Excludes 2

Official

ICD-10-CM does not list Excludes 2 notes for L89.136 in this effective period.

Related Child Codes

Official
L89.130Pressure ulcer of right lower back, unstageable
L89.131Pressure ulcer of right lower back, stage 1
L89.132Pressure ulcer of right lower back, stage 2
L89.133Pressure ulcer of right lower back, stage 3
L89.134Pressure ulcer of right lower back, stage 4

Includes

Official

ICD-10-CM does not list Includes notes for L89.136 in this effective period.

Excludes 1

Official

ICD-10-CM does not list Excludes 1 notes for L89.136 in this effective period.

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for L89.136 in this effective period.

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for L89.136 in this effective period.

Code Also

Official

ICD-10-CM does not list Code Also instructions for L89.136 in this effective period.

Buddy Documentation Tip

HCC Buddy guidance
Document clinical indicators of deep tissue injury such as purple discoloration or tissue firmness
These injuries require close monitoring as they can rapidly progress to open ulcers

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.

Is L89.136 an HCC code?

No. L89.136 is a billable ICD-10-CM code but does not map to any HCC category in V28, V24, ESRD, or RxHCC.

This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).

What This Code Means

L89.136 is the ICD-10-CM diagnosis code for pressure-induced deep tissue damage of right lower back. Deep tissue damage from pressure on the right lower back that may not yet be visible on the skin surface but involves underlying tissue injury. L89.136 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).

L89.136 is a billable ICD-10-CM code but does not map to a payment HCC under the CMS-HCC V28, V24, ESRD, or RxHCC risk adjustment models. It can be reported on Medicare Advantage encounter data submissions but it does not contribute to a beneficiary's RAF score and therefore does not affect risk-adjusted payments to the plan.

Document clinical indicators of deep tissue injury such as purple discoloration or tissue firmness.

HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for L89.136 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Coding Tips

  • Document clinical indicators of deep tissue injury such as purple discoloration or tissue firmness
  • These injuries require close monitoring as they can rapidly progress to open ulcers

Child Codes

Code Hierarchy

More on L89.136

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