L89.622
BillablePressure ulcer of left heel, stage 2
HCC Category Mapping
V28HCC 382 — Pressure Ulcer of Skin with Partial Thickness Skin Loss
0.000V24HCC 159 — Pressure Ulcer of Skin with Partial Thickness Skin Loss
0.000ESRDHCC 159 — Pressure Ulcer of Skin with Partial Thickness Skin Loss
0.000What This Code Means
A stage 2 pressure ulcer on the left heel where the skin is broken, showing blistering or a shallow open wound.
Coding Tips
- •Stage 2 involves partial-thickness skin loss; verify documentation describes blister, abrasion, or shallow crater
- •This stage is often the threshold for increased monitoring and intervention documentation
Clinical Significance
A stage 2 pressure ulcer of the left heel involves partial thickness skin loss with exposed dermis, presenting as a shallow open ulcer or intact/ruptured blister. While less severe than deeper stages, it signals impaired skin integrity requiring vigilant monitoring to prevent progression. Stage 2 pressure ulcers map to lower-tier HCC categories and typically do not carry significant RAF weight, but accurate capture is essential for tracking wound progression.
Documentation Requirements
- ✓Exact anatomical location of the pressure ulcer
- ✓Explicit staging as stage 2 by the provider
- ✓Description of wound appearance (shallow crater, intact or ruptured serum-filled blister)
- ✓Wound dimensions (length x width in centimeters)
- ✓Absence of slough or eschar in the wound bed (presence suggests deeper staging)
- ✓Current treatment plan and wound care interventions
- ✓Risk factors for pressure injury (immobility, incontinence, nutritional status)
- ✓Reassessment frequency and healing trajectory documentation
Commonly Confused Codes
L89.633 — Stage 3 pressure ulcer of left heel has full thickness skin lossL97.4xx — Non-pressure chronic ulcer of heel has different etiology (venous, arterial, diabetic neuropathy)L89.92 — Unspecified site stage 2 should only be used when location is truly undocumentedL89.600 — Unstageable pressure ulcer of left heel implies wound bed is obscured
Code Hierarchy
└L89Pressure ulcer└L89.6Pressure ulcer of heel└L89.62Pressure ulcer of left heel└L89.622Pressure ulcer of left heel, stage 2
└L89.622Pressure ulcer of left heel, stage 2