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ICD-10 Guide
ICD-10 CodesL89.136

L89.136

Billable

Pressure-induced deep tissue damage of right lower back

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

Code Description

ICD-10 L89.136 is a billable code used to indicate a diagnosis of pressure-induced deep tissue damage of right lower back.

Key Diagnostic Point:

Pressure-induced deep tissue damage, also known as deep tissue injury, occurs when sustained pressure impairs blood flow to the skin and underlying tissues, particularly in areas over bony prominences. The right lower back is a common site for such injuries, especially in individuals with limited mobility or those who are bedridden. Clinically, this condition may present as a localized area of persistent redness, swelling, or a darkened area of skin that may or may not be painful. As the condition progresses, the skin may break down, leading to more severe tissue damage. The anatomy involved includes the skin layers (epidermis, dermis) and subcutaneous tissue, which can become necrotic if blood supply is compromised for extended periods. Diagnosis typically involves a thorough clinical examination and may require imaging studies to assess the extent of tissue damage. Early identification and intervention are crucial to prevent further complications, including infections and systemic issues.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Diagnostic complexity: Requires clinical assessment and differentiation from other skin conditions.
  • Treatment complexity: May involve multidisciplinary approaches including wound care, nutritional support, and possibly surgical intervention.
  • Documentation requirements: Detailed documentation of the injury's stage, location, and treatment plan is essential.
  • Coding specificity: Requires precise coding to reflect the specific location and nature of the injury.

Audit Risk Factors

  • Common coding errors: Misidentification of the injury stage or location.
  • Documentation gaps: Incomplete records regarding the assessment and treatment plan.
  • Billing challenges: Potential denials due to insufficient evidence of medical necessity or lack of detailed documentation.

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

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

Pressure-induced deep tissue damage significantly impacts patient quality of life and healthcare utilization. It is prevalent among populations with limited mobility, such as the elderly and those with chronic illnesses. Effective management of these injuries is crucial for preventing complications, reducing hospital stays, and improving overall patient outcomes. Quality measures related to pressure injury prevention and management are increasingly emphasized in healthcare settings to enhance patient safety and care standards.

ICD-9 vs ICD-10

Pressure-induced deep tissue damage significantly impacts patient quality of life and healthcare utilization. It is prevalent among populations with limited mobility, such as the elderly and those with chronic illnesses. Effective management of these injuries is crucial for preventing complications, reducing hospital stays, and improving overall patient outcomes. Quality measures related to pressure injury prevention and management are increasingly emphasized in healthcare settings to enhance patient safety and care standards.

Reimbursement & Billing Impact

Reimbursement considerations include ensuring that the medical necessity of the treatment is clearly documented. Common denials may occur if the documentation does not adequately reflect the severity of the injury or if the treatment provided is not aligned with the diagnosis. Best practices include maintaining thorough records of assessments, treatment plans, and patient progress to support claims.

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 L89.136?

L89.136 specifically covers pressure-induced deep tissue damage localized to the right lower back. This includes conditions where tissue injury occurs due to prolonged pressure, leading to ischemia and potential necrosis.

When should L89.136 be used instead of related codes?

L89.136 should be used when documenting deep tissue damage specifically located in the right lower back. It is important to differentiate it from other codes that may pertain to different locations or stages of pressure injuries.

What documentation supports L89.136?

Documentation should include a detailed clinical assessment of the injury, including its stage, size, and any associated symptoms. Treatment plans and progress notes should also be included to demonstrate ongoing management of the condition.