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ICD-10 Guide
ICD-10 CodesL89.22

L89.22

Non-billable

Pressure ulcer of left hip

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

Code Description

ICD-10 L89.22 is a used to indicate a diagnosis of pressure ulcer of left hip.

Key Diagnostic Point:

L89.22 refers to a pressure ulcer located on the left hip, which is a localized injury to the skin and/or underlying tissue, typically over a bony prominence, resulting from prolonged pressure, or pressure in combination with shear and/or friction. Clinically, pressure ulcers can present in various stages, from non-blanchable erythema of intact skin (Stage I) to full-thickness tissue loss (Stage IV) involving muscle, bone, or supporting structures. The anatomy involved primarily includes the skin and subcutaneous tissue, with potential involvement of deeper structures depending on the ulcer's severity. Disease progression can occur rapidly, especially in patients with limited mobility, poor nutrition, or underlying health conditions such as diabetes or vascular disease. Diagnostic considerations include a thorough clinical assessment of the ulcer's stage, size, and characteristics, as well as evaluating the patient's overall health status and risk factors for pressure ulcer development. Effective management requires a multidisciplinary approach, including wound care, nutritional support, and pressure relief strategies.

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 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

CPT Code

Clinical Scenario

Documentation Requirements

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

Pressure ulcers significantly impact patient morbidity and healthcare costs, leading to increased hospital stays and resource utilization. They are a critical quality measure in healthcare settings, as their prevention and management are essential for patient safety and quality of care. Understanding the epidemiology of pressure ulcers, particularly in vulnerable populations, can help healthcare providers implement effective prevention strategies and improve overall patient outcomes.

ICD-9 vs ICD-10

Pressure ulcers significantly impact patient morbidity and healthcare costs, leading to increased hospital stays and resource utilization. They are a critical quality measure in healthcare settings, as their prevention and management are essential for patient safety and quality of care. Understanding the epidemiology of pressure ulcers, particularly in vulnerable populations, can help healthcare providers implement effective prevention strategies and improve overall patient outcomes.

Reimbursement & Billing Impact

Reimbursement considerations include the severity of the ulcer, the complexity of care, and adherence to clinical guidelines. Common denials may arise from insufficient documentation or incorrect staging of the ulcer. Best practices include ensuring that all relevant clinical notes, treatment plans, and patient assessments are included in the medical record to support the coding and billing process.

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 L89.22?

L89.22 specifically covers pressure ulcers located on the left hip, which may vary in severity from Stage I to Stage IV. It is essential to document the stage and characteristics of the ulcer for accurate coding.

When should L89.22 be used instead of related codes?

L89.22 should be used when documenting a pressure ulcer specifically located on the left hip. If the ulcer is on the right hip, L89.21 should be used. Accurate staging of the ulcer is also critical for code selection.

What documentation supports L89.22?

Documentation should include a detailed description of the ulcer's location, stage, size, and any associated symptoms. Additionally, the patient's risk factors and overall health status should be documented to support the diagnosis.