Pressure ulcer

Not billableICD-10-CM diagnosis code.

This code exists but cannot be submitted on its own. It groups the more specific codes beneath it.

A category header for its whole life, FY2016 onwards. It has never been valid for submission on its own.

Submit one of these 9 more specific codes instead:

L89.0 Pressure ulcer of elbow (also a header)
L89.1 Pressure ulcer of back (also a header)
L89.2 Pressure ulcer of hip (also a header)
L89.3 Pressure ulcer of buttock (also a header)
L89.4 Pressure ulcer of contiguous site of back, buttock and hip (also a header)
L89.5 Pressure ulcer of ankle (also a header)
L89.6 Pressure ulcer of heel (also a header)
L89.8 Pressure ulcer of other site (also a header)
L89.9 Pressure ulcer of unspecified site (also a header)

What has happened to this code

Every change the publisher made, from 2012 to now. Entries marked draft are from the pre-implementation releases: ICD-10 took effect on 1 October 2015, so nothing before FY2016 was ever valid on a claim.

FY2012 Added to the draft code set draft Pressure ulcer

Official coding rules

Published by CDC for FY2027. A rule attached to a category binds every code beneath it, so the rules inherited from this code's ancestors are shown with the code they come from.

This code

Excludes2 - not included here

decubitus (trophic) ulcer of cervix (uteri) (N86)
diabetic ulcers (E08.621, E08.622, E09.621, E09.622, E10.621, E10.622, E11.621, E11.622, E13.621, E13.622)
non-pressure chronic ulcer of skin (L97.-)
skin infections (L00-L08)
varicose ulcer (I83.0, I83.2)

Code first

any associated gangrene (I96)

Includes

bed sore
decubitus ulcer
plaster ulcer
pressure area
pressure sore