L89.229 ICD-10-CM Code: Pressure ulcer of left hip, unspecified stage
HCC Buddy Code Card
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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)
L89.229
Billable / SpecificICD-10-CMOfficial ICD-10-CMCodebook guidancePressure ulcer of left hip, unspecified stage
A pressure ulcer on the left hip where the specific stage cannot be determined or is not documented.
CMS-HCC V28
00
RAF 0
CMS-HCC V24
00
RAF 0
ACA/HHS
00
RAF 0
ESRD/PACE
00
RAF 0
RXHCC
00
RAF 0
Code Trumping
Basket needed
Code Book Path
Inclusion Terms
Official- Healing pressure ulcer of left hip NOS
- Healing pressure ulcer of left hip, unspecified stage
Excludes 2
OfficialICD-10-CM does not list Excludes 2 notes for L89.229 in this effective period.
Related Child Codes
Includes
OfficialICD-10-CM does not list Includes notes for L89.229 in this effective period.
Excludes 1
OfficialICD-10-CM does not list Excludes 1 notes for L89.229 in this effective period.
Code First
OfficialICD-10-CM does not list Code First sequencing instructions for L89.229 in this effective period.
Use Additional
OfficialICD-10-CM does not list Use Additional Code instructions for L89.229 in this effective period.
Code Also
OfficialICD-10-CM does not list Code Also instructions for L89.229 in this effective period.
Buddy Documentation Tip
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 L89.229 an HCC code?
No. L89.229 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
L89.229 is the ICD-10-CM diagnosis code for pressure ulcer of left hip, unspecified stage. A pressure ulcer on the left hip where the specific stage cannot be determined or is not documented. L89.229 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).
L89.229 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.
Use this code only when the stage is truly unspecified or undocumented; query the provider for stage documentation when possible.
HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for L89.229 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.
Coding Tips
- •Use this code only when the stage is truly unspecified or undocumented; query the provider for stage documentation when possible
- •This is a default code; attempt to obtain stage information from clinical documentation before defaulting to unspecified