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ICD-10 Guide
ICD-10 CodesL89.106

L89.106

Billable

Pressure-induced deep tissue damage of unspecified part of back

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

Code Description

ICD-10 L89.106 is a billable code used to indicate a diagnosis of pressure-induced deep tissue damage of unspecified part of back.

Key Diagnostic Point:

Pressure-induced deep tissue damage of the unspecified part of the back refers to localized injury to the skin and underlying soft tissue resulting from prolonged pressure. This condition typically arises in patients with limited mobility, such as those who are bedridden or wheelchair-bound. Clinically, it may present as a non-blanchable erythema or a deeper tissue injury that may not be immediately visible. The anatomy involved includes the skin layers (epidermis, dermis) and subcutaneous tissues, where the damage can extend to muscle and fascia. Disease progression can lead to more severe complications, including necrosis and infection if not properly managed. Diagnostic considerations include a thorough patient history, physical examination, and assessment of risk factors such as immobility, nutritional status, and comorbidities. Early identification and intervention are crucial to prevent further tissue damage and promote healing.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Diagnostic complexity: Requires understanding of pressure ulcer staging and risk assessment.
  • Treatment complexity: Involves multidisciplinary approaches including wound care, nutritional support, and possibly surgical intervention.
  • Documentation requirements: Detailed documentation of the assessment, staging, and treatment plan is necessary.
  • Coding specificity: Requires accurate coding based on the location and severity of the injury.

Audit Risk Factors

  • Common coding errors: Misclassification of the severity or stage of the injury.
  • Documentation gaps: Incomplete records regarding patient mobility and risk factors.
  • Billing challenges: Potential denials due to lack of supporting documentation for the diagnosis.

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

CPT Code

Clinical Scenario

Documentation Requirements

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

Pressure-induced deep tissue damage significantly impacts patient quality of life and healthcare costs. It is a common issue in vulnerable populations, leading to increased morbidity and extended hospital stays. Effective management of this condition is crucial for improving patient outcomes and reducing healthcare utilization. Epidemiologically, the prevalence of pressure ulcers highlights the need for preventive measures and education in both clinical and community settings.

ICD-9 vs ICD-10

Pressure-induced deep tissue damage significantly impacts patient quality of life and healthcare costs. It is a common issue in vulnerable populations, leading to increased morbidity and extended hospital stays. Effective management of this condition is crucial for improving patient outcomes and reducing healthcare utilization. Epidemiologically, the prevalence of pressure ulcers highlights the need for preventive measures and education in both clinical and community settings.

Reimbursement & Billing Impact

Reimbursement considerations include ensuring that the diagnosis is supported by clinical evidence and that the treatment aligns with established guidelines for pressure ulcer management. Common denials may arise from insufficient documentation of the injury's severity or lack of evidence for the necessity of treatment. Best practices include maintaining thorough records of assessments, interventions, and patient progress to support claims.

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 L89.106?

L89.106 covers pressure-induced deep tissue damage that is not localized to a specific anatomical site. It includes injuries that may not yet have progressed to full-thickness skin loss but are indicative of underlying tissue damage.

When should L89.106 be used instead of related codes?

L89.106 should be used when the pressure-induced damage is not confined to a specific anatomical site, and when the injury is identified as deep tissue damage rather than superficial skin damage.

What documentation supports L89.106?

Documentation should include a detailed assessment of the injury, including location, size, depth, and any associated symptoms. Additionally, records of risk factors such as immobility, nutritional status, and previous history of pressure ulcers are essential.