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Home/Diagnosis/ICD-10 Coding for Pressure Ulcer

ICD-10 Coding for Pressure Ulcer

L89.0-
L89.1-
L89.2-

Complete ICD-10-CM coding and documentation guide for icd-10 coding for pressure ulcer includes clinical validation requirements, medical necessity guidelines, and coding policies.

Also Known as:
Decubitus Ulcer
Bed Sore
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Key Information: ICD-10 Coding for Pressure Ulcer

Essential facts and insights about ICD-10 Coding for Pressure Ulcer

Use ICD-10 code L89.0- for pressure ulcer, unstageable, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Pressure ulcer, unstageable

Non-Billable
L89.0-
Non-Billable

Diagnostic Criteria

documentation:
  • Presence of eschar or slough covering the wound bed

Applicable To

  • • Pressure ulcer with eschar or slough obscuring the wound bed

Pressure ulcer, stage 1

Non-Billable
L89.1-
Non-Billable

Diagnostic Criteria

documentation:
  • Documentation of non-blanchable redness

Applicable To

  • • Non-blanchable erythema of intact skin

Pressure ulcer, stage 2

Non-Billable
L89.2-
Non-Billable

Diagnostic Criteria

documentation:
  • Documentation of partial thickness skin loss

Applicable To

  • • Partial thickness skin loss with exposed dermis

Pressure ulcer, stage 3

Non-Billable
L89.3-
Non-Billable

Diagnostic Criteria

documentation:
  • Documentation of full thickness skin loss

Applicable To

  • • Full thickness skin loss

Pressure ulcer, stage 4

Non-Billable
L89.4-
Non-Billable

Diagnostic Criteria

documentation:
  • Documentation of exposed bone, tendon, or muscle

Applicable To

  • • Full thickness skin and tissue loss with exposed bone, tendon, or muscle

Gangrene, not elsewhere classified

Billable Code
I96
Billable

Diagnostic Criteria

documentation:
  • Documentation of gangrene presence

Applicable To

  • • Gangrene complicating a pressure ulcer
Frequently Asked Questions

How do you code a pressure ulcer in ICD-10?

Pressure ulcers are coded under ICD-10 category L89, with specific codes based on site, laterality, and stage. Ensure documentation specifies these details for accurate coding.

What is the ICD-10 code for a stage 4 pressure ulcer?

The ICD-10 code for a stage 4 pressure ulcer varies by location, such as L89.314 for a sacral ulcer. Documentation must include the stage and location.

What documentation is required for coding pressure ulcers?

Documentation must include the ulcer's location, stage, and any complicating factors like gangrene. Accurate staging is crucial for proper coding.

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