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L89.521 ICD-10-CM Code: Pressure ulcer of left ankle, stage 1

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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)

L89.521

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

Pressure ulcer of left ankle, stage 1

A stage 1 pressure sore on the left ankle, the mildest form showing redness of the skin that does not blanch (turn white) when pressed.

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
L89.5Pressure ulcer of ankle
L89.52Pressure ulcer of left ankle
L89.521Pressure ulcer of left ankle, stage 1

Inclusion Terms

Official
  • Healing pressure ulcer of left ankle, stage 1
  • Pressure pre-ulcer skin changes limited to persistent focal edema, left ankle

Excludes 2

Official

ICD-10-CM does not list Excludes 2 notes for L89.521 in this effective period.

Related Child Codes

Official
L89.520Pressure ulcer of left ankle, unstageable
L89.522Pressure ulcer of left ankle, stage 2
L89.523Pressure ulcer of left ankle, stage 3
L89.524Pressure ulcer of left ankle, stage 4
L89.526Pressure-induced deep tissue damage of left ankle

Includes

Official

ICD-10-CM does not list Includes notes for L89.521 in this effective period.

Excludes 1

Official

ICD-10-CM does not list Excludes 1 notes for L89.521 in this effective period.

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for L89.521 in this effective period.

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for L89.521 in this effective period.

Code Also

Official

ICD-10-CM does not list Code Also instructions for L89.521 in this effective period.

Buddy Documentation Tip

HCC Buddy guidance
Confirm that the erythema is non-blanching and the skin is intact before assigning this code
Early intervention with pressure relief measures may prevent progression to higher stages

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 L89.521 an HCC code?

No. L89.521 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

L89.521 is the ICD-10-CM diagnosis code for pressure ulcer of left ankle, stage 1. A stage 1 pressure sore on the left ankle, the mildest form showing redness of the skin that does not blanch (turn white) when pressed. L89.521 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).

L89.521 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.

Confirm that the erythema is non-blanching and the skin is intact before assigning this code.

HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for L89.521 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Coding Tips

  • Confirm that the erythema is non-blanching and the skin is intact before assigning this code
  • Early intervention with pressure relief measures may prevent progression to higher stages

Child Codes

Code Hierarchy

More on L89.521

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