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

ICD-10 L89.502

Billable / Specific HCC v28: 159

Pressure ulcer of unspecified ankle, stage 2

L89
Block
2
Synonyms
79
LCDs
1
Payer Policies
0
Linked CPTs

About ICD-10-CM L89.502

ICD-10-CM code L89.502 represents Pressure ulcer of unspecified ankle, stage 2. This is a billable/specific code in the Skin and Subcutaneous Tissue chapter (block L89). The 2026 edition of ICD-10-CM L89.502 became effective on October 1, 2025.

Coding Tips for L89.502

Specialist guidance from the PayerReady Medical Coding Team. Specificity warnings, HCC capture rules, sequencing notes.

HCC capture: document with MEAT each year

L89.502 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 L89.502. Per CMS ICD-10-CM Tabular 2026.

  • Healing pressure ulcer of unspecified ankle, stage 2
  • Pressure ulcer with abrasion, blister, partial thickness skin loss involving epidermis and/or dermis, unspecified ankle

Medicare Advantage HCC Impact

CMS-HCC v28 (current)
Category 159
ESRD-HCC
Category 159

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 L89.502

Local Coverage Determinations (LCDs) from CMS MACs that list L89.502 as a covered diagnosis.

79 LCDs

Showing top 10 of 79 total . Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: Outpatient Physical Therapy
Article ID: 53065, Effective: 2026-01-01 00:00:00, 22208 covered, 0 non-covered
CPT 29131 →
CMS LCD: Billing and Coding: Outpatient Physical Therapy
Article ID: 53065, Effective: 2026-01-01 00:00:00, 22208 covered, 0 non-covered
CPT 29260 →
CMS LCD: Billing and Coding: Outpatient Physical Therapy
Article ID: 53065, Effective: 2026-01-01 00:00:00, 22208 covered, 0 non-covered
CPT 29580 →
CMS LCD: Billing and Coding: Outpatient Physical Therapy
Article ID: 53065, Effective: 2026-01-01 00:00:00, 22208 covered, 0 non-covered
CPT 97036 →
CMS LCD: Billing and Coding: Outpatient Physical Therapy
Article ID: 53065, Effective: 2026-01-01 00:00:00, 22208 covered, 0 non-covered
CPT 29445 →
CMS LCD: Billing and Coding: Outpatient Physical Therapy
Article ID: 53065, Effective: 2026-01-01 00:00:00, 22208 covered, 0 non-covered
CPT 97542 →
CMS LCD: Billing and Coding: Outpatient Physical Therapy
Article ID: 53065, Effective: 2026-01-01 00:00:00, 22208 covered, 0 non-covered
CPT 97110 →
CMS LCD: Billing and Coding: Outpatient Physical Therapy
Article ID: 53065, Effective: 2026-01-01 00:00:00, 22208 covered, 0 non-covered
CPT 97533 →
CMS LCD: Billing and Coding: Outpatient Physical Therapy
Article ID: 53065, Effective: 2026-01-01 00:00:00, 22208 covered, 0 non-covered
CPT 29130 →
CMS LCD: Billing and Coding: Outpatient Physical Therapy
Article ID: 53065, Effective: 2026-01-01 00:00:00, 22208 covered, 0 non-covered
CPT 29405 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing L89.502.

1 policies

1 Medicare

Billing and Coding: Outpatient Physical Therapy
Policy ID: ART-53065

CPT Codes Commonly Billed with L89.502

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

No procedure linkages on file for L89.502

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 L89.502 to ICD-9-CM

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

ICD-10ICD-9Mapping Flags
L89.502 70706 10111
L89.502 70722 10112

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

ICD-10 L89.502, Billing FAQ

Is ICD-10 code L89.502 billable? +

Yes, L89.502 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 L89.502? +

ICD-10 L89.502 includes: Healing pressure ulcer of unspecified ankle, stage 2; Pressure ulcer with abrasion, blister, partial thickness skin loss involving epidermis and/or dermis, unspecified ankle.

Does L89.502 affect Medicare Advantage HCC risk adjustment? +

Yes. L89.502 maps to CMS-HCC v28 category 159. Capture this diagnosis annually for accurate Medicare Advantage risk score.

What ICD-9 codes does L89.502 map to? +

Per CMS GEMs, L89.502 maps to ICD-9 codes: 70706, 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 May 31, 2026.

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