ICD-10-CM 2026 · Effective October 1, 2025

ICD-10 L89.229

Billable / Specific

Pressure ulcer of left hip, unspecified stage

L89
Block
2
Synonyms
8
LCDs
3
Payer Policies
0
Linked CPTs

About ICD-10-CM L89.229

ICD-10-CM code L89.229 represents Pressure ulcer of left hip, unspecified stage. This is a billable/specific code in the Skin and Subcutaneous Tissue chapter (block L89). The 2026 edition of ICD-10-CM L89.229 became effective on October 1, 2025.

Inclusion Terms / Approximate Synonyms

Clinical terms and conditions classified under L89.229. Per CMS ICD-10-CM Tabular 2026.

  • Healing pressure ulcer of left hip NOS
  • Healing pressure ulcer of left hip, unspecified stage

Medicare Advantage HCC Impact

ESRD-HCC
Category 160

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 L89.229

Local Coverage Determinations (LCDs) from CMS MACs that list L89.229 as a covered diagnosis.

8 LCDs

Showing top 8. Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: Debridement Services
Article ID: 56459, Effective: 2025-11-06 00:00:00, 4117 covered, 0 non-covered
CPT 11001 →
CMS LCD: Billing and Coding: Debridement Services
Article ID: 56459, Effective: 2025-11-06 00:00:00, 4117 covered, 0 non-covered
CPT 11045 →
CMS LCD: Billing and Coding: Debridement Services
Article ID: 56459, Effective: 2025-11-06 00:00:00, 4117 covered, 0 non-covered
CPT 11042 →
CMS LCD: Billing and Coding: Debridement Services
Article ID: 56459, Effective: 2025-11-06 00:00:00, 4117 covered, 0 non-covered
CPT 11043 →
CMS LCD: Billing and Coding: Debridement Services
Article ID: 56459, Effective: 2025-11-06 00:00:00, 4117 covered, 0 non-covered
CPT 11044 →
CMS LCD: Billing and Coding: Debridement Services
Article ID: 56459, Effective: 2025-11-06 00:00:00, 4117 covered, 0 non-covered
CPT 11047 →
CMS LCD: Billing and Coding: Debridement Services
Article ID: 56459, Effective: 2025-11-06 00:00:00, 4117 covered, 0 non-covered
CPT 11000 →
CMS LCD: Billing and Coding: Debridement Services
Article ID: 56459, Effective: 2025-11-06 00:00:00, 4117 covered, 0 non-covered
CPT 11046 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing L89.229.

3 policies

1 Medicare

Billing and Coding: Debridement Services
Policy ID: ART-56459

1 Aetna

Pressure Reducing Support Surfaces
Policy ID: CPB-0430

1 NY Medicaid

NY Medicaid — DME — DME Procedure Codes
Policy ID: NYMED-DME-DME_Procedure_Codes

CPT Codes Commonly Billed with L89.229

Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.

No procedure linkages on file for L89.229

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 L89.229 to ICD-9-CM

Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.

ICD-10ICD-9Mapping Flags
L89.229 70704 10111
L89.229 70720 10112

Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).

ICD-10 L89.229, Billing FAQ

Is ICD-10 code L89.229 billable? +

Yes, L89.229 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 L89.229? +

ICD-10 L89.229 includes: Healing pressure ulcer of left hip NOS; Healing pressure ulcer of left hip, unspecified stage.

What ICD-9 codes does L89.229 map to? +

Per CMS GEMs, L89.229 maps to ICD-9 codes: 70704, 70720. 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 May 31, 2026.

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