{"code":"L89.4","type":"code","title":"Pressure ulcer of contiguous site of back, buttock and hip","codeAlso":[],"includes":["bed sore","decubitus ulcer","plaster ulcer","pressure area","pressure sore"],"modern_v":"official26","codeFirst":["any associated gangrene (I96)"],"excludes1":[],"excludes2":["decubitus (trophic) ulcer of cervix (uteri) (N86)","diabetic ulcers (E08.621, E08.622, E09.621, E09.622, E10.621, E10.622, E11.621, E11.622, E13.621, E13.622)","non-pressure chronic ulcer of skin (L97.-)","skin infections (L00-L08)","varicose ulcer (I83.0, I83.2)"],"isBillable":false,"fyEffectivity":{"fy2026":true,"fy2027":true,"billableFy2026":false,"billableFy2027":false},"inclusionTerms":[],"useAdditionalCode":[],"clinicalDefinition":"Pressure ulcer of contiguous site of back, buttock and hip is a non-billable ICD-10-CM category code (L89.4). A more specific billable subcode must be selected for claims submission. Includes: bed sore; decubitus ulcer; plaster ulcer; pressure area; pressure sore. Excludes2 (not included here): decubitus (trophic) ulcer of cervix (uteri) (N86); diabetic ulcers (E08.621, E08.622, E09.621, E09.622, E10.621, E10.622, E11.621, E11.622, E13.621, E13.622); non-pressure chronic ulcer of skin (L97.-); skin infections (L00-L08); varicose ulcer (I83.0, I83.2). Code first: any associated gangrene (I96).","officialDefinition":"Pressure ulcer of contiguous site of back, buttock and hip is a non-billable ICD-10-CM category code (L89.4). A more specific billable subcode must be selected for claims submission. Includes: bed sore; decubitus ulcer; plaster ulcer; pressure area; pressure sore. Excludes2 (not included here): decubitus (trophic) ulcer of cervix (uteri) (N86); diabetic ulcers (E08.621, E08.622, E09.621, E09.622, E10.621, E10.622, E11.621, E11.622, E13.621, E13.622); non-pressure chronic ulcer of skin (L97.-); skin infections (L00-L08); varicose ulcer (I83.0, I83.2). Code first: any associated gangrene (I96).","seventhCharacterInstructions":[],"workflowProtocols":[],"guidelines":{"whenToUse":[],"whenNotToUse":[],"commonBillingMistakes":[],"codeComparisons":[],"documentationChecklist":[]},"domainLandscape":{"summary":"Primary diagnostic domain and clinical landscape evaluation.","keyCategories":[],"diagnosticContinuum":"Progression continuum from acute presentation to resolution."},"children":[],"hierarchy":[],"relatedCodes":[],"relevantCPTCodes":[],"documentationTips":[],"caseStudies":[],"description":"","overview":""}