L89.516 vs L97
L89.516 (Pressure-induced deep tissue damage of right ankle) 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).
Can these codes be reported together?
Yes, when both are documented. L89.516 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.
Yes, when both are documented. L97 carries an Excludes2 note covering L89.516: “pressure ulcer (pressure area) (L89.-)”
Excludes2 marks distinct conditions — both may be reported when both are documented.
Side by side
| L89.516Pressure-induced deep tissue damage of right ankle | 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 right ankle is a billable ICD-10-CM diagnosis code (L89.516). | 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