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L89.204 vs L89.224

L89.204 (Pressure ulcer of unspecified hip, stage 4) compared with L89.224 (Pressure ulcer of left hip, stage 4), from the official CMS tabular data. L89.204 and L89.224 code the same condition on opposite sides.

Relationship

Review

Laterality relationship

L89.204
Unspecified
Pressure ulcer of unspecified hip, stage 4
L89.224
Left
Pressure ulcer of left hip, stage 4

Same condition; these differ only in which side is documented.

These codes share a category and title and differ only in the side affected. The documentation decides which applies, and a bilateral code is reported only where the code set provides one.

Source: ICD-10-CM tabular list (laterality variant derived from the code title)

Can these codes be reported together?

Same condition, opposite side. L89.204 and L89.224 name the same condition on opposite sides of the body.

Same category and title, differing only in which side is affected — the documentation decides which one applies, and a bilateral code is reported only where the code set provides one.

Side by side

L89.204Pressure ulcer of unspecified hip, stage 4L89.224Pressure ulcer of left hip, stage 4
Billing statusBillableBillable
ClassificationL00-L99 — Diseases of the Skin and Subcutaneous Tissue (L00-L99)L00-L99 — Diseases of the Skin and Subcutaneous Tissue (L00-L99)
DefinitionPressure ulcer of unspecified hip, stage 4 is a billable ICD-10-CM diagnosis code (L89.204).Pressure ulcer of left hip, stage 4 is a billable ICD-10-CM diagnosis code (L89.224).
Includes
bed sore
decubitus ulcer
plaster ulcer
pressure area
bed sore
decubitus ulcer
plaster ulcer
pressure area
Code first
any associated gangrene (I96)
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