ICD-10 L89.40
Billable / SpecificPressure ulcer of contiguous site of back, buttock and hip, unspecified stage
About ICD-10-CM L89.40
ICD-10-CM code L89.40 represents Pressure ulcer of contiguous site of back, buttock and 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 L89.40 became effective on October 1, 2025.
Inclusion Terms / Approximate Synonyms
Clinical terms and conditions classified under L89.40. Per CMS ICD-10-CM Tabular 2026.
- Healing pressure ulcer of contiguous site of back, buttock and hip NOS
- Healing pressure ulcer of contiguous site of back, buttock and hip, unspecified stage
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 L89.40
Local Coverage Determinations (LCDs) from CMS MACs that list L89.40 as a covered diagnosis.
Showing top 8. Click a CPT for full coverage scope.
Commercial Payer Coverage
Coverage policies from major commercial payers referencing L89.40.
1 Medicare
2 Aetna
1 NY Medicaid
CPT Codes Commonly Billed with L89.40
Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.
- 11044 Debridement bone — stage 4 pressure ulcer, diabetic osteomyelitis, necrotizing fasciitis, compartment syndrome General Surgery
Convert L89.40 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 |
|---|---|---|
| L89.40 | 70703 | 10111 |
| L89.40 | 70704 | 10113 |
| L89.40 | 70705 | 10112 |
| L89.40 | 70720 | 10114 |
Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).
Codes Adjacent To L89.40
Other codes in section L80-L99 (Other disorders of the skin and subcutaneous tissue).
ICD-10 L89.40, Billing FAQ
Is ICD-10 code L89.40 billable? +
Yes, L89.40 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 L89.40? +
ICD-10 L89.40 includes: Healing pressure ulcer of contiguous site of back, buttock and hip NOS; Healing pressure ulcer of contiguous site of back, buttock and hip, unspecified stage.
What CPT codes are commonly billed with L89.40? +
Procedures frequently paired with L89.40 include: 11044.
What ICD-9 codes does L89.40 map to? +
Per CMS GEMs, L89.40 maps to ICD-9 codes: 70703, 70704, 70705, 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 July 16, 2026.
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