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ICD-10 Guide
ICD-10 CodesL89.141

L89.141

Billable

Pressure ulcer of left lower back, stage 1

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

Code Description

ICD-10 L89.141 is a billable code used to indicate a diagnosis of pressure ulcer of left lower back, stage 1.

Key Diagnostic Point:

L89.141 refers to a stage 1 pressure ulcer located on the left lower back. Clinically, a stage 1 pressure ulcer is characterized by non-blanchable erythema of intact skin, indicating localized redness that does not fade when pressure is applied. This condition arises from prolonged pressure on the skin, often due to immobility or inadequate repositioning in patients, particularly those with limited mobility or chronic illnesses. The left lower back area is anatomically significant as it is a common site for pressure ulcers due to the bony prominence of the sacrum and the weight of the body when seated or lying down. Disease progression can lead to more severe stages of pressure ulcers if not properly managed, potentially resulting in skin breakdown and infection. Diagnostic considerations include a thorough skin assessment, patient history, and risk assessment tools such as the Braden Scale. Early identification and intervention are crucial to prevent further deterioration of the ulcer and associated complications.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Diagnostic complexity: Requires careful assessment of skin integrity and staging
  • Treatment complexity: Involves multidisciplinary care including wound care specialists
  • Documentation requirements: Detailed records of ulcer assessment and treatment plans are necessary
  • Coding specificity: Requires precise coding to reflect the stage and location of the ulcer

Audit Risk Factors

  • Common coding errors: Misclassification of ulcer stage or location
  • Documentation gaps: Incomplete records of ulcer assessments or treatment plans
  • Billing challenges: Potential denials if documentation does not support the severity or treatment provided

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

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ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The clinical significance of accurately coding L89.141 lies in its role in preventing further complications associated with pressure ulcers, such as infections and increased healthcare costs. Population health impact includes the need for effective management strategies in at-risk populations, such as the elderly or those with mobility issues. Quality measures often focus on the prevention and management of pressure ulcers, influencing healthcare utilization patterns and resource allocation in clinical settings.

ICD-9 vs ICD-10

The clinical significance of accurately coding L89.141 lies in its role in preventing further complications associated with pressure ulcers, such as infections and increased healthcare costs. Population health impact includes the need for effective management strategies in at-risk populations, such as the elderly or those with mobility issues. Quality measures often focus on the prevention and management of pressure ulcers, influencing healthcare utilization patterns and resource allocation in clinical settings.

Reimbursement & Billing Impact

Reimbursement considerations include ensuring that the treatment plan aligns with the documented stage of the ulcer. Common denials may arise from insufficient documentation or failure to demonstrate medical necessity for the interventions. It is essential to follow coding best practices, including accurate coding of the ulcer stage and location, and to maintain clear communication with payers regarding the treatment provided.

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 L89.141?

L89.141 specifically covers stage 1 pressure ulcers located on the left lower back. It indicates the initial stage of skin breakdown due to pressure, characterized by non-blanchable erythema without skin loss.

When should L89.141 be used instead of related codes?

L89.141 should be used when documenting a stage 1 pressure ulcer on the left lower back. It is important to differentiate it from other stages (L89.142 for stage 2, etc.) and from ulcers located on different body parts.

What documentation supports L89.141?

Documentation should include a detailed assessment of the ulcer, including its size, appearance, and any interventions taken. Risk assessment tools, patient history, and ongoing treatment plans should also be documented to support the coding.