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L89.226 ICD-10-CM Code: Pressure-induced deep tissue damage of left hip

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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)

L89.226

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

Pressure-induced deep tissue damage of left hip

Pressure-induced deep tissue damage of the left hip, characterized by intact or non-intact skin with underlying tissue damage that appears as a dark discoloration or blood-filled blister.

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
L89.2Pressure ulcer of hip
L89.22Pressure ulcer of left hip
L89.226Pressure-induced deep tissue damage of left hip

Inclusion Terms

Official

ICD-10-CM does not list inclusion terms for L89.226 in this effective period.

Excludes 2

Official

ICD-10-CM does not list Excludes 2 notes for L89.226 in this effective period.

Related Child Codes

Official
L89.220Pressure ulcer of left hip, unstageable
L89.221Pressure ulcer of left hip, stage 1
L89.222Pressure ulcer of left hip, stage 2
L89.223Pressure ulcer of left hip, stage 3
L89.224Pressure ulcer of left hip, stage 4

Includes

Official

ICD-10-CM does not list Includes notes for L89.226 in this effective period.

Excludes 1

Official

ICD-10-CM does not list Excludes 1 notes for L89.226 in this effective period.

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for L89.226 in this effective period.

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for L89.226 in this effective period.

Code Also

Official

ICD-10-CM does not list Code Also instructions for L89.226 in this effective period.

Buddy Documentation Tip

HCC Buddy guidance
Deep tissue damage is distinct from stages 1-4; it indicates damage beneath intact skin that may progress to a deeper ulcer
Document the appearance (purple/maroon discoloration, blood-filled blister) and location clearly; this category indicates high risk for progression

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 L89.226 an HCC code?

No. L89.226 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

L89.226 is the ICD-10-CM diagnosis code for pressure-induced deep tissue damage of left hip. Pressure-induced deep tissue damage of the left hip, characterized by intact or non-intact skin with underlying tissue damage that appears as a dark discoloration or blood-filled blister. L89.226 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).

L89.226 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.

Deep tissue damage is distinct from stages 1-4; it indicates damage beneath intact skin that may progress to a deeper ulcer.

HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for L89.226 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Coding Tips

  • Deep tissue damage is distinct from stages 1-4; it indicates damage beneath intact skin that may progress to a deeper ulcer
  • Document the appearance (purple/maroon discoloration, blood-filled blister) and location clearly; this category indicates high risk for progression

Child Codes

Code Hierarchy

More on L89.226

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