L89.146 (Pressure-induced deep tissue damage of left lower back) compared with L97 (Non-pressure chronic ulcer of lower limb, not elsewhere classified), from the official CMS tabular data. Both may be reported when both conditions are documented (Excludes2).
Distinct conditions — both may be reported.
“non-pressure chronic ulcer of skin (L97.-)”
An Excludes2 note means the excluded condition is not part of the code above it, but a patient can have both. Report both when both are documented.
Source: CMS ICD-10-CM tabular instructional notes
Yes, when both are documented. L89.146 carries an Excludes2 note covering L97: “non-pressure chronic ulcer of skin (L97.-)”
Excludes2 marks distinct conditions — both may be reported when both are documented.
| L89.146Pressure-induced deep tissue damage of left lower back | L97Non-pressure chronic ulcer of lower limb, not elsewhere classified | |
|---|---|---|
| Billing status | Billable | Non-billable header |
| Classification | L00-L99 — Diseases of the Skin and Subcutaneous Tissue (L00-L99) | L00-L99 — Diseases of the Skin and Subcutaneous Tissue (L00-L99) |
| Definition | Pressure-induced deep tissue damage of left lower back is a billable ICD-10-CM diagnosis code (L89.146). | Non-pressure chronic ulcer of lower limb, not elsewhere classified is a non-billable ICD-10-CM category code (L97). |
| Includes | bed sore decubitus ulcer plaster ulcer pressure area | chronic ulcer of skin of lower limb NOS non-healing ulcer of skin non-infected sinus of skin trophic ulcer NOS |
| Code first | any associated gangrene (I96) | any associated underlying condition, such as: any associated gangrene (I96) |
Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources