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ICD-10 Guide
ICD-10 CodesL89.144

L89.144

Billable

Pressure ulcer of left lower back, stage 4

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

Code Description

ICD-10 L89.144 is a billable code used to indicate a diagnosis of pressure ulcer of left lower back, stage 4.

Key Diagnostic Point:

L89.144 refers to a stage 4 pressure ulcer located on the left lower back. This condition is characterized by full-thickness skin loss, which may involve damage to the underlying soft tissue, muscle, or bone. Clinically, stage 4 pressure ulcers present as deep wounds that expose underlying structures, often accompanied by necrotic tissue and potential infection. The left lower back, anatomically, is a region that can be particularly susceptible to pressure ulcers due to prolonged pressure, friction, or shear forces, especially in patients with limited mobility or those who are bedridden. Disease progression can lead to serious complications, including systemic infections, sepsis, and significant morbidity. Diagnostic considerations include a thorough clinical examination, assessment of the ulcer's depth, and evaluation of surrounding tissue integrity. Proper staging and documentation are critical for effective treatment planning and reimbursement purposes.

Code Complexity Analysis

Complexity Rating: High

High Complexity

Complexity Factors

  • Diagnostic complexity
  • Treatment complexity
  • Documentation requirements
  • Coding specificity

Audit Risk Factors

  • Common coding errors include misclassification of ulcer stage.
  • Documentation gaps may arise from insufficient detail in clinical notes.
  • Billing challenges can occur if the severity of the ulcer is not adequately supported by documentation.

Specialty Focus

Medical Specialties

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

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

Related ICD-10 Codes

Related CPT Codes

CPT Code

Clinical Scenario

Documentation Requirements

CPT Code

Clinical Scenario

Documentation Requirements

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The clinical significance of L89.144 is profound, as stage 4 pressure ulcers can lead to severe complications, increased healthcare costs, and prolonged hospital stays. Population health impact is notable, particularly among elderly and immobile patients, as these ulcers are prevalent in long-term care settings. Quality measures related to pressure ulcer management are critical for healthcare facilities, influencing reimbursement and care quality metrics. Understanding epidemiological trends can help in developing preventive strategies and improving patient outcomes.

ICD-9 vs ICD-10

The clinical significance of L89.144 is profound, as stage 4 pressure ulcers can lead to severe complications, increased healthcare costs, and prolonged hospital stays. Population health impact is notable, particularly among elderly and immobile patients, as these ulcers are prevalent in long-term care settings. Quality measures related to pressure ulcer management are critical for healthcare facilities, influencing reimbursement and care quality metrics. Understanding epidemiological trends can help in developing preventive strategies and improving patient outcomes.

Reimbursement & Billing Impact

reimbursement and care quality metrics. Understanding epidemiological trends can help in developing preventive strategies and improving patient outcomes.

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 L89.144?

L89.144 specifically covers stage 4 pressure ulcers located on the left lower back, characterized by full-thickness skin loss and potential exposure of underlying structures.

When should L89.144 be used instead of related codes?

L89.144 should be used when the pressure ulcer is confirmed as stage 4, indicating severe tissue damage, as opposed to lower stages which denote less severe conditions.

What documentation supports L89.144?

Documentation should include a detailed assessment of the ulcer's size, depth, stage, and any associated complications, along with treatment plans and progress notes.