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v1.0.0
ICD-10 Guide
ICD-10 CodesL89.222

L89.222

Billable

Pressure ulcer of left hip, stage 2

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

Code Description

ICD-10 L89.222 is a billable code used to indicate a diagnosis of pressure ulcer of left hip, stage 2.

Key Diagnostic Point:

L89.222 refers to a stage 2 pressure ulcer located on the left hip. Clinically, a stage 2 pressure ulcer is characterized by partial-thickness loss of skin, which may present as a shallow open ulcer with a red-pink wound bed, without slough. The ulcer may also present as an intact or ruptured serum-filled blister. The anatomy involved includes the skin and subcutaneous tissue over the left hip, which is particularly susceptible to pressure due to its bony prominence. Disease progression can occur if pressure is not relieved, potentially leading to deeper tissue damage and higher stage ulcers. Diagnostic considerations include a thorough assessment of the ulcer's characteristics, patient history, and risk factors such as immobility, malnutrition, and moisture exposure. Accurate staging is crucial for appropriate management and treatment planning.

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

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

Pressure ulcers, including stage 2 ulcers, significantly impact patient health, leading to increased morbidity and healthcare costs. They are prevalent in populations with limited mobility, such as the elderly and those with chronic illnesses. Quality measures often include the prevention and management of pressure ulcers, making accurate coding essential for healthcare utilization patterns and epidemiological tracking.

ICD-9 vs ICD-10

Pressure ulcers, including stage 2 ulcers, significantly impact patient health, leading to increased morbidity and healthcare costs. They are prevalent in populations with limited mobility, such as the elderly and those with chronic illnesses. Quality measures often include the prevention and management of pressure ulcers, making accurate coding essential for healthcare utilization patterns and epidemiological tracking.

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 coding of the ulcer's stage. Best practices include ensuring that all clinical notes reflect the patient's condition and treatment plan, as well as regular training on coding updates and documentation standards.

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 L89.222?

L89.222 specifically covers stage 2 pressure ulcers on the left hip, which are defined by partial-thickness skin loss. It does not cover ulcers at other stages or locations.

When should L89.222 be used instead of related codes?

L89.222 should be used when documenting a stage 2 pressure ulcer specifically located on the left hip. It is important to differentiate it from stage 1 or stage 3 ulcers and ulcers located on other body parts.

What documentation supports L89.222?

Documentation should include a detailed description of the ulcer's stage, location, size, and any associated symptoms. Clinical assessments, treatment plans, and patient history related to risk factors are also essential.