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ICD-10 Guide
ICD-10 CodesL89.30

L89.30

Non-billable

Pressure ulcer of unspecified buttock

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

Code Description

ICD-10 L89.30 is a used to indicate a diagnosis of pressure ulcer of unspecified buttock.

Key Diagnostic Point:

Pressure ulcers, also known as bedsores or decubitus ulcers, are localized injuries to the skin and underlying tissue, primarily caused by prolonged pressure on the skin. The L89.30 code specifically refers to pressure ulcers of the unspecified buttock, indicating that the exact location within the buttock region is not specified. Clinically, these ulcers can present as intact skin with localized non-blanchable redness or as open wounds with varying degrees of tissue loss. The anatomy involved includes the skin layers (epidermis, dermis) and subcutaneous tissue, which can become necrotic if pressure is not relieved. Disease progression can lead to serious complications such as infections, sepsis, and increased morbidity, particularly in vulnerable populations such as the elderly or those with limited mobility. Diagnostic considerations include a thorough patient history, physical examination, and assessment of risk factors such as immobility, nutritional status, and comorbid conditions. Accurate staging of the ulcer is crucial for appropriate management and coding.

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 and location.
  • Documentation gaps may arise from insufficient detail in clinical notes regarding ulcer assessment.
  • Billing challenges can occur if the medical necessity for treatment is 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

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 quality of life and can lead to increased healthcare utilization, including hospital admissions and extended care needs. They are prevalent in populations with limited mobility, such as the elderly and those with chronic illnesses. Addressing pressure ulcers is critical for improving patient outcomes, reducing healthcare costs, and meeting quality measures in healthcare settings.

ICD-9 vs ICD-10

Pressure ulcers significantly impact patient quality of life and can lead to increased healthcare utilization, including hospital admissions and extended care needs. They are prevalent in populations with limited mobility, such as the elderly and those with chronic illnesses. Addressing pressure ulcers is critical for improving patient outcomes, reducing healthcare costs, and meeting quality measures in healthcare settings.

Reimbursement & Billing Impact

Reimbursement considerations include the need for comprehensive documentation that supports the medical necessity of treatments such as debridement or wound care supplies. Common denials may arise from insufficient detail in the clinical notes or failure to demonstrate the need for ongoing treatment. Coding best practices involve using the most specific codes available and ensuring that all documentation aligns with the coding submitted.

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 L89.30?

L89.30 covers pressure ulcers located on the buttock region that are not further specified. This includes any stage of pressure ulcer that has not been classified by location or severity.

When should L89.30 be used instead of related codes?

L89.30 should be used when the specific location of the pressure ulcer on the buttock is unknown or unspecified. If the ulcer can be more precisely identified, related codes such as L89.31 or L89.32 should be used.

What documentation supports L89.30?

Documentation should include a detailed description of the ulcer's characteristics, staging, and location, as well as the patient's risk factors and any treatment provided. Regular assessments and updates on the ulcer's condition are also essential.