ICD-10 L89.90
Billable / SpecificPressure ulcer of unspecified site, unspecified stage
About ICD-10-CM L89.90
ICD-10-CM code L89.90 represents Pressure ulcer of unspecified site, unspecified stage. This is a billable/specific code in the Skin and Subcutaneous Tissue chapter (block L89). The 2026 edition of ICD-10-CM L89.90 became effective on October 1, 2025.
Inclusion Terms / Approximate Synonyms
Clinical terms and conditions classified under L89.90. Per CMS ICD-10-CM Tabular 2026.
- Healing pressure ulcer of unspecified site NOS
- Healing pressure ulcer of unspecified site, 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 L89.90
Local Coverage Determinations (LCDs) from CMS MACs that list L89.90 as a covered diagnosis.
This doesn't mean the code isn't covered, it means no MAC has issued a Local Coverage Determination naming this specific code. Coverage may still apply under National Coverage Determinations or general medical-necessity rules.
Commercial Payer Coverage
Coverage policies from major commercial payers referencing L89.90.
Our payer policy database covers Aetna, Cigna, Anthem, BCBS, Humana, and Medicare Advantage plans, but L89.90 doesn't currently appear in any indexed policy. The code may still be covered under standard plan benefits.
CPT Codes Commonly Billed with L89.90
Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.
- 11042 Debridement subcutaneous — pressure ulcers all stages, diabetic ulcer, venous ulcer, wound dehiscence General Surgery
- 11043 Debridement muscle/fascia — advanced pressure ulcers, diabetic foot ulcer, stump complication General Surgery
- 11044 Debridement bone — stage 4 pressure ulcer, diabetic osteomyelitis, necrotizing fasciitis, compartment syndrome General Surgery
Convert L89.90 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 |
|---|---|---|
| L89.90 | 70700 | 10111 |
| L89.90 | 70720 | 10112 |
Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).
Codes Adjacent To L89.90
Other codes in section L80-L99 (Other disorders of the skin and subcutaneous tissue).
ICD-10 L89.90, Billing FAQ
Is ICD-10 code L89.90 billable? +
Yes, L89.90 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 L89.90? +
ICD-10 L89.90 includes: Healing pressure ulcer of unspecified site NOS; Healing pressure ulcer of unspecified site, unspecified stage.
What CPT codes are commonly billed with L89.90? +
Procedures frequently paired with L89.90 include: 11042, 11043, 11044.
What ICD-9 codes does L89.90 map to? +
Per CMS GEMs, L89.90 maps to ICD-9 codes: 70700, 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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