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ICD-10 Guide
ICD-10 CodesL89.2

L89.2

Non-billable

Pressure ulcer of hip

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

Code Description

ICD-10 L89.2 is a used to indicate a diagnosis of pressure ulcer of hip.

Key Diagnostic Point:

L89.2 refers to a pressure ulcer of the hip, a localized injury to the skin and/or underlying tissue, typically over a bony prominence, resulting from prolonged pressure, shear, or friction. The hip region, being a common site for pressure ulcers, is particularly vulnerable in patients with limited mobility, such as those in long-term care or post-surgical recovery. Clinically, these ulcers can present as non-blanchable erythema, open sores, or deep tissue injury, depending on the severity. The anatomy involved includes the skin layers (epidermis, dermis) and subcutaneous tissue, which can become necrotic if the pressure is not relieved. Disease progression can lead to serious complications, including infection, sepsis, and increased morbidity. Diagnostic considerations involve a thorough assessment of the ulcer's stage, size, and depth, as well as the patient's overall health status and risk factors, such as immobility, malnutrition, and comorbidities. Regular monitoring and appropriate interventions are essential to prevent further deterioration.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

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

Audit Risk Factors

  • Common coding errors
  • Documentation gaps
  • Billing challenges

Specialty Focus

Medical Specialties

Wound Care

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

Geriatrics

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

Pressure ulcers, including those classified under L89.2, significantly impact patient quality of life and healthcare costs. They are prevalent in populations with limited mobility, such as the elderly and those with chronic illnesses. Effective management of pressure ulcers is crucial for reducing hospital stays, improving patient outcomes, and minimizing healthcare utilization. Quality measures often include the prevention and treatment of pressure ulcers, highlighting their importance in healthcare delivery.

ICD-9 vs ICD-10

Pressure ulcers, including those classified under L89.2, significantly impact patient quality of life and healthcare costs. They are prevalent in populations with limited mobility, such as the elderly and those with chronic illnesses. Effective management of pressure ulcers is crucial for reducing hospital stays, improving patient outcomes, and minimizing healthcare utilization. Quality measures often include the prevention and treatment of pressure ulcers, highlighting their importance in healthcare delivery.

Reimbursement & Billing Impact

Reimbursement considerations include the severity of the ulcer and the complexity of care required. Common denials may arise from insufficient documentation or failure to demonstrate medical necessity for treatment. Best practices include maintaining thorough records of assessments, interventions, and patient progress to support claims and reduce audit risks.

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 L89.2?

L89.2 specifically covers pressure ulcers that occur on the hip region. This includes various stages of ulcers, from stage I (non-blanchable erythema) to stage IV (full-thickness tissue loss with exposed bone, tendon, or muscle). It is crucial to assess the ulcer's stage for accurate coding and treatment planning.

When should L89.2 be used instead of related codes?

L89.2 should be used when the pressure ulcer is specifically located on the hip. If the ulcer is located on another body part, such as the sacrum or heel, the appropriate related code should be selected. Accurate localization is essential for proper coding and treatment.

What documentation supports L89.2?

Documentation for L89.2 should include a detailed description of the ulcer's location, stage, size, and any associated symptoms. Additionally, the patient's risk factors, treatment plan, and progress notes should be documented to support the diagnosis and ensure compliance with coding guidelines.