ICD-10 L89.142
Billable / Specific HCC v28: 159Pressure ulcer of left lower back, stage 2
About ICD-10-CM L89.142
ICD-10-CM code L89.142 represents Pressure ulcer of left lower back, stage 2. This is a billable/specific code in the Skin and Subcutaneous Tissue chapter (block L89). The 2026 edition of ICD-10-CM L89.142 became effective on October 1, 2025.
Coding Tips for L89.142
Specialist guidance from the PayerReady Medical Coding Team. Specificity warnings, HCC capture rules, sequencing notes.
L89.142 is a CMS-HCC v28 risk-adjustment code (category 159). To count for the patient Risk Adjustment Factor (RAF), document the diagnosis with MEAT language each calendar year: Monitored, Evaluated, Assessed, Treated. A diagnosis on the problem list alone does not satisfy CMS RADV audit standards. Include the diagnosis in the assessment with current status and current treatment plan.
Inclusion Terms / Approximate Synonyms
Clinical terms and conditions classified under L89.142. Per CMS ICD-10-CM Tabular 2026.
- Healing pressure ulcer of left lower back, stage 2
- Pressure ulcer with abrasion, blister, partial thickness skin loss involving epidermis and/or dermis, left lower back
Medicare Advantage HCC Impact
Capture this diagnosis annually for accurate risk adjustment. Missed HCC captures are the #1 revenue leak in Medicare Advantage risk programs.
Medicare LCD Coverage for L89.142
Local Coverage Determinations (LCDs) from CMS MACs that list L89.142 as a covered diagnosis.
Showing top 10 of 390 total . Click a CPT for full coverage scope.
Commercial Payer Coverage
Coverage policies from major commercial payers referencing L89.142.
5 Medicare
1 NY Medicaid
CPT Codes Commonly Billed with L89.142
Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.
We don't have CPT pairings indexed for this specific code yet. Use the CPT search above to find common procedures, or check your payer's published medical policy for code-specific guidance.
Convert L89.142 to ICD-9-CM
Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.
| ICD-10 | ICD-9 | Mapping Flags |
|---|---|---|
| L89.142 | 70703 | 10111 |
| L89.142 | 70722 | 10112 |
Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).
Codes Adjacent To L89.142
Other codes in section L80-L99 (Other disorders of the skin and subcutaneous tissue).
ICD-10 L89.142, Billing FAQ
Is ICD-10 code L89.142 billable? +
Yes, L89.142 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.
What other names or terms map to L89.142? +
ICD-10 L89.142 includes: Healing pressure ulcer of left lower back, stage 2; Pressure ulcer with abrasion, blister, partial thickness skin loss involving epidermis and/or dermis, left lower back.
Does L89.142 affect Medicare Advantage HCC risk adjustment? +
Yes. L89.142 maps to CMS-HCC v28 category 159. Capture this diagnosis annually for accurate Medicare Advantage risk score.
What ICD-9 codes does L89.142 map to? +
Per CMS GEMs, L89.142 maps to ICD-9 codes: 70703, 70722. Useful for legacy data review and historical claim analysis.
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Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on July 16, 2026.
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