2017/18 ICD-10-CM Diagnosis Code L89

Pressure ulcer

Code First
Code First Help
Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology. For such conditions, ICD-10-CM has a coding convention that requires the underlying condition be sequenced first followed by the manifestation. Wherever such a combination exists there is a "use additional code" note at the etiology code, and a "code first" note at the manifestation code. These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation. In most cases the manifestation codes will have in the code title, "in diseases classified elsewhere." Codes with this title are a component of the etiology/manifestation convention. The code title indicates that it is a manifestation code. "In diseases classified elsewhere" codes are never permitted to be used as first listed or principle diagnosis codes. They must be used in conjunction with an underlying condition code and they must be listed following the underlying condition.
  • any associated gangrene (
    ICD-10-CM Diagnosis Code I96

    Gangrene, not elsewhere classified

      2016 2017 2018 Billable/Specific Code
    Applicable To
    • Gangrenous cellulitis
    Type 1 Excludes
    Type 2 Excludes
    • gangrene in diabetes mellitus (E08-E13 with .52)
    I96
    )
Type 2 Excludes
Type 2 Excludes Help
A type 2 excludes note represents "not included here". A type 2 excludes note indicates that the condition excluded is not part of the condition it is excluded from but a patient may have both conditions at the same time. When a type 2 excludes note appears under a code it is acceptable to use both the code (L89) and the excluded code together.
  • decubitus (trophic) ulcer of cervix (uteri) (
    ICD-10-CM Diagnosis Code N86

    Erosion and ectropion of cervix uteri

      2016 2017 2018 Billable/Specific Code Female Dx
    Applicable To
    • Decubitus (trophic) ulcer of cervix
    • Eversion of cervix
    Type 1 Excludes
    • erosion and ectropion of cervix with cervicitis (N72)
    N86
    )
  • diabetic ulcers (
    ICD-10-CM Diagnosis Code E08.621

    Diabetes mellitus due to underlying condition with foot ulcer

      2016 2017 2018 Billable/Specific Code Manifestation Code
    Use Additional
    E08.621
    ,
    ICD-10-CM Diagnosis Code E08.622

    Diabetes mellitus due to underlying condition with other skin ulcer

      2016 2017 2018 Billable/Specific Code Manifestation Code
    Use Additional
    E08.622
    ,
    ICD-10-CM Diagnosis Code E09.621

    Drug or chemical induced diabetes mellitus with foot ulcer

      2016 2017 2018 Billable/Specific Code
    Use Additional
    E09.621
    ,
    ICD-10-CM Diagnosis Code E09.622

    Drug or chemical induced diabetes mellitus with other skin ulcer

      2016 2017 2018 Billable/Specific Code
    Use Additional
    E09.622
    ,
    ICD-10-CM Diagnosis Code E10.621

    Type 1 diabetes mellitus with foot ulcer

      2016 2017 2018 Billable/Specific Code
    Use Additional
    E10.621
    ,
    ICD-10-CM Diagnosis Code E10.622

    Type 1 diabetes mellitus with other skin ulcer

      2016 2017 2018 Billable/Specific Code
    Use Additional
    E10.622
    ,
    ICD-10-CM Diagnosis Code E11.621

    Type 2 diabetes mellitus with foot ulcer

      2016 2017 2018 Billable/Specific Code
    Use Additional
    E11.621
    ,
    ICD-10-CM Diagnosis Code E11.622

    Type 2 diabetes mellitus with other skin ulcer

      2016 2017 2018 Billable/Specific Code
    Use Additional
    E11.622
    ,
    ICD-10-CM Diagnosis Code E13.621

    Other specified diabetes mellitus with foot ulcer

      2016 2017 2018 Billable/Specific Code
    Use Additional
    E13.621
    ,
    ICD-10-CM Diagnosis Code E13.622

    Other specified diabetes mellitus with other skin ulcer

      2016 2017 2018 Billable/Specific Code
    Use Additional
    E13.622
    )
  • non-pressure chronic ulcer of skin (
    ICD-10-CM Diagnosis Code L97
    • L97 Non-pressure chronic ulcer of lower limb, not...
      • L97.1 Non-pressure chronic ulcer of thigh
        • L97.10 Non-pressure chronic ulcer of unspecified thi...
          • L97.101 Non-pressure chronic ulcer of unspecified thi...
          • L97.102 Non-pressure chronic ulcer of unspecified thi...
          • L97.103 Non-pressure chronic ulcer of unspecified thi...
          • L97.104 Non-pressure chronic ulcer of unspecified thi...
          • L97.105 Non-pressure chronic ulcer of unspecified thi...
          • L97.106 Non-pressure chronic ulcer of unspecified thi...
          • L97.108 Non-pressure chronic ulcer of unspecified thi...
          • L97.109 Non-pressure chronic ulcer of unspecified thi...
        • L97.11 Non-pressure chronic ulcer of right thigh
          • L97.111 Non-pressure chronic ulcer of right thigh lim...
          • L97.112 Non-pressure chronic ulcer of right thigh wit...
          • L97.113 Non-pressure chronic ulcer of right thigh wit...
          • L97.114 Non-pressure chronic ulcer of right thigh wit...
          • L97.115 Non-pressure chronic ulcer of right thigh wit...
          • L97.116 Non-pressure chronic ulcer of right thigh wit...
          • L97.118 Non-pressure chronic ulcer of right thigh wit...
          • L97.119 Non-pressure chronic ulcer of right thigh wit...
        • L97.12 Non-pressure chronic ulcer of left thigh
          • L97.121 Non-pressure chronic ulcer of left thigh limi...
          • L97.122 Non-pressure chronic ulcer of left thigh with...
          • L97.123 Non-pressure chronic ulcer of left thigh with...
          • L97.124 Non-pressure chronic ulcer of left thigh with...
          • L97.125 Non-pressure chronic ulcer of left thigh with...
          • L97.126 Non-pressure chronic ulcer of left thigh with...
          • L97.128 Non-pressure chronic ulcer of left thigh with...
          • L97.129 Non-pressure chronic ulcer of left thigh with...
      • L97.2 Non-pressure chronic ulcer of calf
        • L97.20 Non-pressure chronic ulcer of unspecified cal...
          • L97.201 Non-pressure chronic ulcer of unspecified cal...
          • L97.202 Non-pressure chronic ulcer of unspecified cal...
          • L97.203 Non-pressure chronic ulcer of unspecified cal...
          • L97.204 Non-pressure chronic ulcer of unspecified cal...
          • L97.205 Non-pressure chronic ulcer of unspecified cal...
          • L97.206 Non-pressure chronic ulcer of unspecified cal...
          • L97.208 Non-pressure chronic ulcer of unspecified cal...
          • L97.209 Non-pressure chronic ulcer of unspecified cal...
        • L97.21 Non-pressure chronic ulcer of right calf
          • L97.211 Non-pressure chronic ulcer of right calf limi...
          • L97.212 Non-pressure chronic ulcer of right calf with...
          • L97.213 Non-pressure chronic ulcer of right calf with...
          • L97.214 Non-pressure chronic ulcer of right calf with...
          • L97.215 Non-pressure chronic ulcer of right calf with...
          • L97.216 Non-pressure chronic ulcer of right calf with...
          • L97.218 Non-pressure chronic ulcer of right calf with...
          • L97.219 Non-pressure chronic ulcer of right calf with...
        • L97.22 Non-pressure chronic ulcer of left calf
          • L97.221 Non-pressure chronic ulcer of left calf limit...
          • L97.222 Non-pressure chronic ulcer of left calf with ...
          • L97.223 Non-pressure chronic ulcer of left calf with ...
          • L97.224 Non-pressure chronic ulcer of left calf with ...
          • L97.225 Non-pressure chronic ulcer of left calf with ...
          • L97.226 Non-pressure chronic ulcer of left calf with ...
          • L97.228 Non-pressure chronic ulcer of left calf with ...
          • L97.229 Non-pressure chronic ulcer of left calf with ...
      • L97.3 Non-pressure chronic ulcer of ankle
        • L97.30 Non-pressure chronic ulcer of unspecified ank...
          • L97.301 Non-pressure chronic ulcer of unspecified ank...
          • L97.302 Non-pressure chronic ulcer of unspecified ank...
          • L97.303 Non-pressure chronic ulcer of unspecified ank...
          • L97.304 Non-pressure chronic ulcer of unspecified ank...
          • L97.305 Non-pressure chronic ulcer of unspecified ank...
          • L97.306 Non-pressure chronic ulcer of unspecified ank...
          • L97.308 Non-pressure chronic ulcer of unspecified ank...
          • L97.309 Non-pressure chronic ulcer of unspecified ank...
        • L97.31 Non-pressure chronic ulcer of right ankle
          • L97.311 Non-pressure chronic ulcer of right ankle lim...
          • L97.312 Non-pressure chronic ulcer of right ankle wit...
          • L97.313 Non-pressure chronic ulcer of right ankle wit...
          • L97.314 Non-pressure chronic ulcer of right ankle wit...
          • L97.315 Non-pressure chronic ulcer of right ankle wit...
          • L97.316 Non-pressure chronic ulcer of right ankle wit...
          • L97.318 Non-pressure chronic ulcer of right ankle wit...
          • L97.319 Non-pressure chronic ulcer of right ankle wit...
        • L97.32 Non-pressure chronic ulcer of left ankle
          • L97.321 Non-pressure chronic ulcer of left ankle limi...
          • L97.322 Non-pressure chronic ulcer of left ankle with...
          • L97.323 Non-pressure chronic ulcer of left ankle with...
          • L97.324 Non-pressure chronic ulcer of left ankle with...
          • L97.325 Non-pressure chronic ulcer of left ankle with...
          • L97.326 Non-pressure chronic ulcer of left ankle with...
          • L97.328 Non-pressure chronic ulcer of left ankle with...
          • L97.329 Non-pressure chronic ulcer of left ankle with...
      • L97.4 Non-pressure chronic ulcer of heel and midfoo...
        • L97.40 Non-pressure chronic ulcer of unspecified hee...
          • L97.401 Non-pressure chronic ulcer of unspecified hee...
          • L97.402 Non-pressure chronic ulcer of unspecified hee...
          • L97.403 Non-pressure chronic ulcer of unspecified hee...
          • L97.404 Non-pressure chronic ulcer of unspecified hee...
          • L97.405 Non-pressure chronic ulcer of unspecified hee...
          • L97.406 Non-pressure chronic ulcer of unspecified hee...
          • L97.408 Non-pressure chronic ulcer of unspecified hee...
          • L97.409 Non-pressure chronic ulcer of unspecified hee...
        • L97.41 Non-pressure chronic ulcer of right heel and ...
          • L97.411 Non-pressure chronic ulcer of right heel and ...
          • L97.412 Non-pressure chronic ulcer of right heel and ...
          • L97.413 Non-pressure chronic ulcer of right heel and ...
          • L97.414 Non-pressure chronic ulcer of right heel and ...
          • L97.415 Non-pressure chronic ulcer of right heel and ...
          • L97.416 Non-pressure chronic ulcer of right heel and ...
          • L97.418 Non-pressure chronic ulcer of right heel and ...
          • L97.419 Non-pressure chronic ulcer of right heel and ...
        • L97.42 Non-pressure chronic ulcer of left heel and m...
          • L97.421 Non-pressure chronic ulcer of left heel and m...
          • L97.422 Non-pressure chronic ulcer of left heel and m...
          • L97.423 Non-pressure chronic ulcer of left heel and m...
          • L97.424 Non-pressure chronic ulcer of left heel and m...
          • L97.425 Non-pressure chronic ulcer of left heel and m...
          • L97.426 Non-pressure chronic ulcer of left heel and m...
          • L97.428 Non-pressure chronic ulcer of left heel and m...
          • L97.429 Non-pressure chronic ulcer of left heel and m...
      • L97.5 Non-pressure chronic ulcer of other part of f...
        • L97.50 Non-pressure chronic ulcer of other part of u...
          • L97.501 Non-pressure chronic ulcer of other part of u...
          • L97.502 Non-pressure chronic ulcer of other part of u...
          • L97.503 Non-pressure chronic ulcer of other part of u...
          • L97.504 Non-pressure chronic ulcer of other part of u...
          • L97.505 Non-pressure chronic ulcer of other part of u...
          • L97.506 Non-pressure chronic ulcer of other part of u...
          • L97.508 Non-pressure chronic ulcer of other part of u...
          • L97.509 Non-pressure chronic ulcer of other part of u...
        • L97.51 Non-pressure chronic ulcer of other part of r...
          • L97.511 Non-pressure chronic ulcer of other part of r...
          • L97.512 Non-pressure chronic ulcer of other part of r...
          • L97.513 Non-pressure chronic ulcer of other part of r...
          • L97.514 Non-pressure chronic ulcer of other part of r...
          • L97.515 Non-pressure chronic ulcer of other part of r...
          • L97.516 Non-pressure chronic ulcer of other part of r...
          • L97.518 Non-pressure chronic ulcer of other part of r...
          • L97.519 Non-pressure chronic ulcer of other part of r...
        • L97.52 Non-pressure chronic ulcer of other part of l...
          • L97.521 Non-pressure chronic ulcer of other part of l...
          • L97.522 Non-pressure chronic ulcer of other part of l...
          • L97.523 Non-pressure chronic ulcer of other part of l...
          • L97.524 Non-pressure chronic ulcer of other part of l...
          • L97.525 Non-pressure chronic ulcer of other part of l...
          • L97.526 Non-pressure chronic ulcer of other part of l...
          • L97.528 Non-pressure chronic ulcer of other part of l...
          • L97.529 Non-pressure chronic ulcer of other part of l...
      • L97.8 Non-pressure chronic ulcer of other part of l...
        • L97.80 Non-pressure chronic ulcer of other part of u...
          • L97.801 Non-pressure chronic ulcer of other part of u...
          • L97.802 Non-pressure chronic ulcer of other part of u...
          • L97.803 Non-pressure chronic ulcer of other part of u...
          • L97.804 Non-pressure chronic ulcer of other part of u...
          • L97.805 Non-pressure chronic ulcer of other part of u...
          • L97.806 Non-pressure chronic ulcer of other part of u...
          • L97.808 Non-pressure chronic ulcer of other part of u...
          • L97.809 Non-pressure chronic ulcer of other part of u...
        • L97.81 Non-pressure chronic ulcer of other part of r...
          • L97.811 Non-pressure chronic ulcer of other part of r...
          • L97.812 Non-pressure chronic ulcer of other part of r...
          • L97.813 Non-pressure chronic ulcer of other part of r...
          • L97.814 Non-pressure chronic ulcer of other part of r...
          • L97.815 Non-pressure chronic ulcer of other part of r...
          • L97.816 Non-pressure chronic ulcer of other part of r...
          • L97.818 Non-pressure chronic ulcer of other part of r...
          • L97.819 Non-pressure chronic ulcer of other part of r...
        • L97.82 Non-pressure chronic ulcer of other part of l...
          • L97.821 Non-pressure chronic ulcer of other part of l...
          • L97.822 Non-pressure chronic ulcer of other part of l...
          • L97.823 Non-pressure chronic ulcer of other part of l...
          • L97.824 Non-pressure chronic ulcer of other part of l...
          • L97.825 Non-pressure chronic ulcer of other part of l...
          • L97.826 Non-pressure chronic ulcer of other part of l...
          • L97.828 Non-pressure chronic ulcer of other part of l...
          • L97.829 Non-pressure chronic ulcer of other part of l...
      • L97.9 Non-pressure chronic ulcer of unspecified par...
        • L97.90 Non-pressure chronic ulcer of unspecified par...
          • L97.901 Non-pressure chronic ulcer of unspecified par...
          • L97.902 Non-pressure chronic ulcer of unspecified par...
          • L97.903 Non-pressure chronic ulcer of unspecified par...
          • L97.904 Non-pressure chronic ulcer of unspecified par...
          • L97.905 Non-pressure chronic ulcer of unspecified par...
          • L97.906 Non-pressure chronic ulcer of unspecified par...
          • L97.908 Non-pressure chronic ulcer of unspecified par...
          • L97.909 Non-pressure chronic ulcer of unspecified par...
        • L97.91 Non-pressure chronic ulcer of unspecified par...
          • L97.911 Non-pressure chronic ulcer of unspecified par...
          • L97.912 Non-pressure chronic ulcer of unspecified par...
          • L97.913 Non-pressure chronic ulcer of unspecified par...
          • L97.914 Non-pressure chronic ulcer of unspecified par...
          • L97.915 Non-pressure chronic ulcer of unspecified par...
          • L97.916 Non-pressure chronic ulcer of unspecified par...
          • L97.918 Non-pressure chronic ulcer of unspecified par...
          • L97.919 Non-pressure chronic ulcer of unspecified par...
        • L97.92 Non-pressure chronic ulcer of unspecified par...
          • L97.921 Non-pressure chronic ulcer of unspecified par...
          • L97.922 Non-pressure chronic ulcer of unspecified par...
          • L97.923 Non-pressure chronic ulcer of unspecified par...
          • L97.924 Non-pressure chronic ulcer of unspecified par...
          • L97.925 Non-pressure chronic ulcer of unspecified par...
          • L97.926 Non-pressure chronic ulcer of unspecified par...
          • L97.928 Non-pressure chronic ulcer of unspecified par...
          • L97.929 Non-pressure chronic ulcer of unspecified par...
    L97.-
    )
  • skin infections (L00-L08
    ICD-10-CM Range L00-L08

    Infections of the skin and subcutaneous tissue

    Type 2 Excludes
    • hordeolum (H00.0)
    • infective dermatitis (L30.3)
    • local infections of skin classified in Chapter 1
    • lupus panniculitis (L93.2)
    • panniculitis NOS (M79.3)
    • panniculitis of neck and back (M54.0-)
    • Perlèche NOS (K13.0)
    • Perlèche due to candidiasis (B37.0)
    • Perlèche due to riboflavin deficiency (E53.0)
    • pyogenic granuloma (L98.0)
    • relapsing panniculitis [Weber-Christian] (M35.6)
    • viral warts (B07.-)
    • zoster (B02.-)
    Use Additional
    • code (B95-B97) to identify infectious agent.
    • L00 Staphylococcal scalded skin syndrome
    • L01 Impetigo
    • L02 Cutaneous abscess, furuncle and carbuncl...
    • L03 Cellulitis and acute lymphangitis
    • L04 Acute lymphadenitis
    • L05 Pilonidal cyst and sinus
    • L08 Other local infections of skin and subcu...
    )
  • varicose ulcer (
    ICD-10-CM Diagnosis Code I83.0

    Varicose veins of lower extremities with ulcer

      2016 2017 2018 Non-Billable/Non-Specific Code
    Use Additional
    • code to identify severity of ulcer (L97.-)
    I83.0
    ,
    ICD-10-CM Diagnosis Code I83.2

    Varicose veins of lower extremities with both ulcer and inflammation

      2016 2017 2018 Non-Billable/Non-Specific Code
    Use Additional
    • code to identify severity of ulcer (L97.-)
    I83.2
    )
Includes
Includes Help
"Includes" further defines, or give examples of, the content of the code or category.
  • bed sore
  • decubitus ulcer
  • plaster ulcer
  • pressure area
  • pressure sore
The following code(s) above L89 contain annotation back-references
Annotation Back-References
In this context, annotation back-references refer to codes that contain:
  • Applicable To annotations, or
  • Code Also annotations, or
  • Code First annotations, or
  • Excludes1 annotations, or
  • Excludes2 annotations, or
  • Includes annotations, or
  • Note annotations, or
  • Use Additional annotations
that may be applicable to L89:
  • L00-L99
    2018 ICD-10-CM Range L00-L99

    Diseases of the skin and subcutaneous tissue

    Type 2 Excludes
    • certain conditions originating in the perinatal period (P04-P96)
    • certain infectious and parasitic diseases (A00-B99)
    • complications of pregnancy, childbirth and the puerperium (O00-O9A)
    • congenital malformations, deformations, and chromosomal abnormalities (Q00-Q99)
    • endocrine, nutritional and metabolic diseases (E00-E88)
    • lipomelanotic reticulosis (I89.8)
    • neoplasms (C00-D49)
    • symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)
    • systemic connective tissue disorders (M30-M36)
    • viral warts (B07.-)
    Diseases of the skin and subcutaneous tissue
Clinical Information Code History
Code annotations containing back-references to L89:
ICD-10-CM Codes Adjacent To L89
L85.8 Other specified epidermal thickening
L85.9 Epidermal thickening, unspecified
L86 Keratoderma in diseases classified elsewhere
L87 Transepidermal elimination disorders
L87.0 Keratosis follicularis et parafollicularis in cutem penetrans
L87.1 Reactive perforating collagenosis
L87.2 Elastosis perforans serpiginosa
L87.8 Other transepidermal elimination disorders
L87.9 Transepidermal elimination disorder, unspecified
L88 Pyoderma gangrenosum
L89 Pressure ulcer
L89.0 Pressure ulcer of elbow
L89.00 Pressure ulcer of unspecified elbow
L89.000 …… unstageable
L89.001 …… stage 1
L89.002 …… stage 2
L89.003 …… stage 3
L89.004 …… stage 4
L89.009 …… unspecified stage
L89.01 Pressure ulcer of right elbow
L89.010 …… unstageable

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.