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ICD-10 Guide
ICD-10 CodesL89.143

L89.143

Billable

Pressure ulcer of left lower back, stage 3

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

Code Description

ICD-10 L89.143 is a billable code used to indicate a diagnosis of pressure ulcer of left lower back, stage 3.

Key Diagnostic Point:

L89.143 refers to a stage 3 pressure ulcer located on the left lower back. Pressure ulcers, also known as bedsores or decubitus ulcers, occur when sustained pressure on the skin reduces blood flow, leading to tissue damage. The left lower back, an area often subjected to prolonged pressure in immobile patients, is particularly vulnerable. Stage 3 pressure ulcers are characterized by full-thickness skin loss, where the ulcer extends through the dermis and into the subcutaneous tissue, potentially exposing underlying fascia. Clinical presentation may include a deep crater with possible necrotic tissue, and the ulcer may be accompanied by exudate. Disease progression can lead to more severe stages if not properly managed, potentially resulting in infections or systemic complications. Diagnostic considerations include a thorough assessment of the ulcer's size, depth, and any signs of infection, as well as evaluating the patient's overall health status and mobility. Proper staging is crucial for treatment planning and monitoring healing progress.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Diagnostic complexity
  • Treatment complexity
  • Documentation requirements
  • Coding specificity

Audit Risk Factors

  • Common coding errors include misclassification of ulcer stage
  • Documentation gaps may arise from insufficient detail on ulcer assessment
  • Billing challenges can occur if treatment plans are not clearly documented

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

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The clinical significance of L89.143 lies in its association with increased morbidity and healthcare costs. Pressure ulcers can lead to serious complications, including infections and prolonged hospital stays, impacting population health. Quality measures often focus on the prevention and management of pressure ulcers, influencing healthcare utilization patterns. Epidemiologically, pressure ulcers are prevalent in vulnerable populations, such as the elderly and those with limited mobility, highlighting the need for effective prevention strategies.

ICD-9 vs ICD-10

The clinical significance of L89.143 lies in its association with increased morbidity and healthcare costs. Pressure ulcers can lead to serious complications, including infections and prolonged hospital stays, impacting population health. Quality measures often focus on the prevention and management of pressure ulcers, influencing healthcare utilization patterns. Epidemiologically, pressure ulcers are prevalent in vulnerable populations, such as the elderly and those with limited mobility, highlighting the need for effective prevention strategies.

Reimbursement & Billing Impact

Reimbursement considerations include the need for clear evidence of the ulcer's stage and treatment plan. Common denials may arise from insufficient documentation or failure to demonstrate medical necessity for procedures related to ulcer care. Best practices include maintaining thorough records of assessments, treatment interventions, and patient progress to ensure compliance and minimize audit risks.

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 L89.143?

L89.143 specifically covers stage 3 pressure ulcers located on the left lower back. It is essential to document the ulcer's characteristics, including depth, presence of necrotic tissue, and any signs of infection.

When should L89.143 be used instead of related codes?

L89.143 should be used when documenting a stage 3 pressure ulcer on the left lower back. It is crucial to differentiate from other stages (L89.141 for stage 1 and L89.142 for stage 2) based on the depth and extent of tissue damage.

What documentation supports L89.143?

Documentation must include a detailed assessment of the ulcer, including size, depth, and any necrotic tissue. Additionally, the patient's overall health status, mobility limitations, and treatment plan should be clearly outlined.