ICD-10 Logo
ICDxICD-10 Medical Coding
ICD-10 Logo
ICDxICD-10 Medical Coding
ICD 10 CodesDiagnoses
ICD 10 CodesDiagnoses
ICD-10 Logo
ICDxICD-10 Medical Coding

Comprehensive ICD-10-CM code reference with AI-powered search capabilities.

© 2025 ICD Code Compass. All rights reserved.

Browse

  • All Chapters
  • All Categories
  • Diagnoses

Tools

  • AI Code Search
ICD-10-CM codes are maintained by the CDC and CMS. This tool is for reference purposes only.
v1.0.0
ICD-10 Guide
ICD-10 CodesL89.216

L89.216

Billable

Pressure-induced deep tissue damage of right hip

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

Code Description

ICD-10 L89.216 is a billable code used to indicate a diagnosis of pressure-induced deep tissue damage of right hip.

Key Diagnostic Point:

Pressure-induced deep tissue damage of the right hip, classified under ICD-10 code L89.216, refers to localized damage to the skin and underlying soft tissue resulting from prolonged pressure, typically over bony prominences. Clinically, this condition presents as a non-blanchable erythema or a deeper tissue injury that may not be visible on the surface. The anatomy involved includes the skin layers (epidermis, dermis) and subcutaneous tissue, particularly around the hip joint where pressure is commonly exerted in immobile patients. Disease progression can lead to more severe complications, including full-thickness skin loss and potential infection if not properly managed. Diagnostic considerations include a thorough clinical assessment, evaluation of risk factors such as immobility, malnutrition, and moisture, and the use of standardized pressure ulcer assessment tools. 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 clinical assessment and understanding of pressure ulcer staging.
  • Treatment complexity: Involves multidisciplinary approaches including wound care, nutritional support, and possibly surgical intervention.
  • Documentation requirements: Detailed documentation of the wound assessment, treatment plan, and patient progress is essential.
  • Coding specificity: Requires precise coding based on the location and severity of the tissue damage.

Audit Risk Factors

  • Common coding errors: Misclassification of the stage of pressure injury.
  • Documentation gaps: Incomplete records of wound assessment and treatment plans.
  • Billing challenges: Potential denials due to lack of supporting documentation for severity and treatment.

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

The clinical significance of L89.216 lies in its association with immobility and chronic conditions, impacting patient quality of life and healthcare costs. Pressure injuries contribute to increased hospital stays, higher rates of infection, and additional treatment needs. Understanding the epidemiology of pressure injuries can help healthcare providers implement preventive measures, improve patient outcomes, and enhance overall population health.

ICD-9 vs ICD-10

The clinical significance of L89.216 lies in its association with immobility and chronic conditions, impacting patient quality of life and healthcare costs. Pressure injuries contribute to increased hospital stays, higher rates of infection, and additional treatment needs. Understanding the epidemiology of pressure injuries can help healthcare providers implement preventive measures, improve patient outcomes, and enhance overall population health.

Reimbursement & Billing Impact

Reimbursement considerations may vary based on the severity and treatment complexity, with potential denials arising from insufficient documentation. Common best practices include maintaining clear records of the patient's condition, treatment interventions, and progress notes. Additionally, ensure that the coding accurately reflects the depth and location of the injury to avoid billing discrepancies.

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 L89.216?

L89.216 specifically covers pressure-induced deep tissue damage at the right hip, which may manifest as non-blanchable erythema or deeper tissue injury. It is important to differentiate this from superficial pressure ulcers and other skin conditions.

When should L89.216 be used instead of related codes?

L89.216 should be used when there is clear evidence of deep tissue damage at the right hip, particularly when the injury is not visible on the surface. It is essential to document the depth and severity of the injury to justify this specific code.

What documentation supports L89.216?

Documentation should include a detailed wound assessment, including size, depth, and characteristics of the injury, as well as the patient's risk factors for pressure injuries. Regular updates on the treatment plan and patient progress are also necessary.