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ICD-10 Guide
ICD-10 CodesL89.102

L89.102

Billable

Pressure ulcer of unspecified part of back, stage 2

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/06/2025

Code Description

ICD-10 L89.102 is a billable code used to indicate a diagnosis of pressure ulcer of unspecified part of back, stage 2.

Key Diagnostic Point:

L89.102 refers to a stage 2 pressure ulcer located on an unspecified part of the back. Pressure ulcers, also known as bedsores or decubitus ulcers, occur when sustained pressure on the skin impairs blood flow, leading to tissue damage. Stage 2 pressure ulcers are characterized by partial-thickness loss of skin, presenting as a shallow open ulcer with a red-pink wound bed, without slough. The anatomy involved primarily includes the skin and subcutaneous tissue, particularly over bony prominences where pressure is most concentrated. Disease progression can lead to deeper tissue damage if not properly managed, potentially advancing to stage 3 or 4 ulcers. Diagnostic considerations include a thorough clinical assessment of the ulcer's characteristics, patient history, and risk factors such as immobility, malnutrition, and moisture. Proper identification and staging are crucial for effective treatment planning and prevention strategies.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Diagnostic complexity: Requires accurate staging and assessment of ulcer depth.
  • Treatment complexity: Involves multidisciplinary approaches including wound care, nutrition, and possibly surgical intervention.
  • Documentation requirements: Detailed documentation of ulcer characteristics, patient risk factors, and treatment plans is essential.
  • Coding specificity: Requires precise coding to reflect the stage and location of the ulcer.

Audit Risk Factors

  • Common coding errors: Misclassification of ulcer stage or location.
  • Documentation gaps: Incomplete records regarding ulcer assessment and treatment.
  • Billing challenges: Potential denials due to lack of supporting documentation for the severity and treatment of the ulcer.

Specialty Focus

Medical Specialties

Primary medical specialty: Dermatology

Documentation Requirements

Standard ICD-10-CM documentation requirements apply

Common Clinical Scenarios

Various clinical presentations within this specialty area

Billing Considerations

Follow specialty-specific billing guidelines

Secondary specialty: Wound care management

Documentation Requirements

Standard ICD-10-CM documentation requirements apply

Common Clinical Scenarios

Various clinical presentations within this specialty area

Billing Considerations

Follow specialty-specific billing guidelines

Related ICD-10 Codes

Related CPT Codes

CPT Code

Clinical Scenario

Documentation Requirements

CPT Code

Clinical Scenario

Documentation Requirements

CPT Code

Clinical Scenario

Documentation Requirements

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

Pressure ulcers significantly impact patient quality of life and healthcare costs. They are associated with increased morbidity, prolonged hospital stays, and higher rates of readmission. Understanding the epidemiology of pressure ulcers, particularly in vulnerable populations such as the elderly or those with limited mobility, is crucial for developing effective prevention strategies and improving overall healthcare outcomes.

ICD-9 vs ICD-10

Pressure ulcers significantly impact patient quality of life and healthcare costs. They are associated with increased morbidity, prolonged hospital stays, and higher rates of readmission. Understanding the epidemiology of pressure ulcers, particularly in vulnerable populations such as the elderly or those with limited mobility, is crucial for developing effective prevention strategies and improving overall healthcare outcomes.

Reimbursement & Billing Impact

Reimbursement considerations include the need for detailed records of the ulcer's characteristics, treatment modalities, and patient progress. Common denials may arise from insufficient documentation or failure to demonstrate medical necessity for the treatment provided. Best practices include regular updates to the patient's medical record, clear communication of the treatment plan, and adherence to coding guidelines to ensure accurate billing.

Resources

Clinical References

  • •
    ICD-10 Official Guidelines for L00-L99
  • •
    Clinical Documentation Requirements

Coding & Billing References

  • •
    ICD-10 Official Guidelines for L00-L99
  • •
    Clinical Documentation Requirements

Frequently Asked Questions

What specific conditions are covered by L89.102?

L89.102 specifically covers stage 2 pressure ulcers on the back, characterized by partial-thickness skin loss. It does not include other types of ulcers or wounds, which may require different codes.

When should L89.102 be used instead of related codes?

L89.102 should be used when documenting a stage 2 pressure ulcer on the back. If the ulcer is at a different stage or located elsewhere, the appropriate code should be selected based on the specific characteristics and location.

What documentation supports L89.102?

Documentation should include a detailed description of the ulcer's appearance, depth, and location, as well as patient risk factors, treatment plans, and any interventions performed to manage the ulcer.