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v1.0.0
ICD-10 Guide
ICD-10 CodesL89.501

L89.501

Billable

Pressure ulcer of unspecified ankle, stage 1

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

Code Description

ICD-10 L89.501 is a billable code used to indicate a diagnosis of pressure ulcer of unspecified ankle, stage 1.

Key Diagnostic Point:

L89.501 refers to a pressure ulcer of the unspecified ankle, classified as stage 1. Clinically, a stage 1 pressure ulcer is characterized by non-blanchable erythema of intact skin, indicating localized damage to the skin and underlying tissue due to prolonged pressure. The anatomy involved primarily includes the skin and subcutaneous tissue over the ankle area, which is particularly vulnerable due to its bony prominence. Disease progression can lead to more severe stages of pressure ulcers if not properly managed, potentially resulting in deeper tissue damage, infection, and complications. Diagnostic considerations for L89.501 include a thorough assessment of the ulcer's characteristics, patient history, and risk factors such as immobility, nutritional status, and comorbidities. Accurate staging is crucial for treatment planning and monitoring, as it directly influences the management strategies employed to prevent further deterioration and promote healing.

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 1 ulcers, significantly impact patient quality of life and healthcare costs. They are prevalent in populations with limited mobility, such as the elderly and those with chronic illnesses. Effective management and prevention strategies are crucial for reducing healthcare utilization and improving patient outcomes. Monitoring quality measures related to pressure ulcer prevention is essential for healthcare providers to enhance care delivery and minimize complications.

ICD-9 vs ICD-10

Pressure ulcers, including stage 1 ulcers, significantly impact patient quality of life and healthcare costs. They are prevalent in populations with limited mobility, such as the elderly and those with chronic illnesses. Effective management and prevention strategies are crucial for reducing healthcare utilization and improving patient outcomes. Monitoring quality measures related to pressure ulcer prevention is essential for healthcare providers to enhance care delivery and minimize complications.

Reimbursement & Billing Impact

Reimbursement considerations include the need for comprehensive treatment plans and follow-up assessments. Common denials may arise from insufficient documentation or failure to demonstrate medical necessity for treatments. Best practices include maintaining thorough records of patient assessments, treatment interventions, and progress notes to substantiate claims and reduce 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 L89.501?

L89.501 specifically covers stage 1 pressure ulcers located at the ankle. This includes any localized area of non-blanchable erythema without skin loss, which is critical for identifying early-stage pressure injuries.

When should L89.501 be used instead of related codes?

L89.501 should be used when documenting a stage 1 pressure ulcer at the ankle. It is important to differentiate it from other stages (L89.502 for stage 2, etc.) and from ulcers located at other anatomical sites.

What documentation supports L89.501?

Documentation should include a detailed description of the ulcer's appearance, staging, patient risk factors, and any interventions taken. Photographic evidence and regular assessments can also support the diagnosis.