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ICD-10 Guide
ICD-10 CodesL89.202

L89.202

Billable

Pressure ulcer of unspecified hip, stage 2

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

Code Description

ICD-10 L89.202 is a billable code used to indicate a diagnosis of pressure ulcer of unspecified hip, stage 2.

Key Diagnostic Point:

L89.202 refers to a stage 2 pressure ulcer located on the unspecified hip. Pressure ulcers, also known as bedsores or decubitus ulcers, occur when sustained pressure on the skin reduces blood flow to the area, 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 or pink wound bed, without slough. The anatomy involved includes the skin and subcutaneous tissue, particularly over bony prominences such as the hip. Disease progression can lead to deeper tissue damage if not managed properly, potentially advancing to stage 3 or 4 ulcers. Diagnostic considerations include a thorough clinical assessment of the ulcer's appearance, patient history, and risk factors such as immobility, malnutrition, and moisture. Accurate staging is crucial for treatment planning and monitoring healing progress, making it essential for healthcare providers to document findings meticulously.

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

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

Pressure ulcers significantly impact patient quality of life, leading to increased morbidity and healthcare costs. They are prevalent in populations with limited mobility, such as the elderly or those with chronic illnesses. Effective management and prevention of pressure ulcers are critical quality measures in healthcare, influencing hospital readmission rates and overall patient outcomes. Understanding the epidemiology of pressure ulcers can help healthcare providers implement better prevention strategies and allocate resources effectively.

ICD-9 vs ICD-10

Pressure ulcers significantly impact patient quality of life, leading to increased morbidity and healthcare costs. They are prevalent in populations with limited mobility, such as the elderly or those with chronic illnesses. Effective management and prevention of pressure ulcers are critical quality measures in healthcare, influencing hospital readmission rates and overall patient outcomes. Understanding the epidemiology of pressure ulcers can help healthcare providers implement better prevention strategies and allocate resources effectively.

Reimbursement & Billing Impact

Reimbursement considerations include verifying that the ulcer is not a result of improper care or negligence. Common denials may arise from insufficient documentation or failure to demonstrate medical necessity for treatment. Best practices include maintaining thorough records of assessments, treatment plans, 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 L89.202?

L89.202 specifically covers stage 2 pressure ulcers on the unspecified hip. It is important to differentiate this from other stages of pressure ulcers and other skin conditions that may present similarly.

When should L89.202 be used instead of related codes?

L89.202 should be used when documenting a stage 2 pressure ulcer on the hip that has not progressed to deeper tissue damage. It is crucial to utilize this code when the ulcer is confirmed to be at this specific stage.

What documentation supports L89.202?

Documentation should include a detailed description of the ulcer's appearance, size, depth, and any associated symptoms. Additionally, the patient's risk factors and treatment plan should be clearly outlined to support the diagnosis.