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ICD-10/L89.016

L89.016 ICD-10-CM Code: Pressure-induced deep tissue damage of right elbow

Billing Status: YES. This is a valid, specific, and billable ICD-10-CM reference.

Inpatient Payment Groups (MS-DRG)

MS-DRGs this diagnosis helps define, as principal or secondary, per the CMS ICD-10-CM/PCS MS-DRG Definitions Manual v43.0, Appendix B.

  • MS-DRG 573 — SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC (MDC 09)
  • MS-DRG 574 — SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC (MDC 09)
  • MS-DRG 575 — SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC (MDC 09)
  • MS-DRG 592 — SKIN ULCERS WITH MCC (MDC 09)
  • MS-DRG 593 — SKIN ULCERS WITH CC (MDC 09)
  • MS-DRG 594 — SKIN ULCERS WITHOUT CC/MCC (MDC 09)

A diagnosis appearing in a group's logic does not by itself determine the DRG assigned to a stay; the grouper uses the full claim.

Official Registry Overview & Definition

Pressure-induced deep tissue damage of right elbow is a billable ICD-10-CM diagnosis code (L89.016).

Official Tabular Instructional Notes

Sequencing, inclusion, and exclusion notes published for L89.016 in the official ICD-10-CM tabular list.

Includes

Conditions the official ICD-10-CM tabular list includes under this code.

  • bed sore
  • decubitus ulcer
  • plaster ulcer
  • pressure area
  • pressure sore

Excludes2 — Not Included Here

Conditions not covered by this code, but which may be reported alongside it when both are present.

Code First

Underlying conditions that must be sequenced before this code.

  • any associated gangrene (I96)

Change history

  • FY2020 — 2019-10-01
    Added to the code set
    Pressure-induced deep tissue damage of right elbow
    FY2020 changes

Verify Before Coding

  • Billable — reportable as written.

From the code registry, the Medicare Code Editor, and the MS-DRG Definitions Manual. Check it against a full claim.

Contextual Map

Every relationship of L89.016 in one view: hierarchy, official tabular instructions in both directions, clinical classification, risk adjustment, MS-DRG participation, index terms and change history — each edge carrying the CMS source it derives from.

Hierarchy

  • L89.01 — Pressure ulcer of right elbow [Hierarchy]

Referenced by Excludes2 notes

  • L97 — Non-pressure chronic ulcer of lower limb, not elsewhere classified [Excludes2](via L89.-): “pressure ulcer (pressure area) (L89.-)”
  • L98.4 — Non-pressure chronic ulcer of skin, not elsewhere classified [Excludes2](via L89.-): “pressure ulcer (pressure area) (L89.-)”
  • L98.A — Non-pressure chronic ulcer of upper limb, not elsewhere classified [Excludes2](via L89.-): “pressure ulcer (pressure area) (L89.-)”
  • M70 — Soft tissue disorders related to use, overuse and pressure [Excludes2](via L89.-): “pressure ulcer (pressure area) (L89.-)”

Referenced by Use Additional Code instructions

  • G90.4 — Autonomic dysreflexia [Use Additional Code](via L89.-): “pressure ulcer (pressure area) (L89.-)”

Clinical classification (CCSR)

  • SKN003 — Pressure ulcer of skin [CCSR]

Potential MS-DRG

  • DRG 573 — SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC [MS-DRG]: “SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC (MDC 09)”
  • DRG 574 — SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC [MS-DRG]: “SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC (MDC 09)”
  • DRG 575 — SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC [MS-DRG]: “SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC (MDC 09)”
  • DRG 592 — SKIN ULCERS WITH MCC [MS-DRG]: “SKIN ULCERS WITH MCC (MDC 09)”
  • DRG 593 — SKIN ULCERS WITH CC [MS-DRG]: “SKIN ULCERS WITH CC (MDC 09)”
  • DRG 594 — SKIN ULCERS WITHOUT CC/MCC [MS-DRG]: “SKIN ULCERS WITHOUT CC/MCC (MDC 09)”

Nearest codes (40)

  • L89 — Pressure ulcer [Sibling]
  • L89.0 — Pressure ulcer of elbow [Sibling]
  • L89.00 — Pressure ulcer of unspecified elbow [Sibling]
  • L89.000 — Pressure ulcer of unspecified elbow, unstageable [Sibling]
  • L89.001 — Pressure ulcer of unspecified elbow, stage 1 [Sibling]
  • L89.002 — Pressure ulcer of unspecified elbow, stage 2 [Sibling]
  • L89.003 — Pressure ulcer of unspecified elbow, stage 3 [Sibling]
  • L89.004 — Pressure ulcer of unspecified elbow, stage 4 [Sibling]
  • and 32 more

Change history

  • FY2020 — Added to the code set [Change history]

Referenced by Other Codes

Clinical classification (AHRQ CCSR):SKN003 — Pressure ulcer of skin (default).

Clinical Classifications Software Refined (CCSR) for ICD-10-CM Diagnoses. Healthcare Cost and Utilization Project (HCUP), Agency for Healthcare Research and Quality.

Potential MS-DRG Relationships (FY2026)

Not on the CMS CC/MCC list — as a secondary diagnosis this code does not change MS-DRG severity.

Named in the grouper logic of 6 MS-DRGs: DRG 573 (MDC 09), DRG 574 (MDC 09), DRG 575 (MDC 09), DRG 592 (MDC 09), DRG 593 (MDC 09), DRG 594 (MDC 09).

From the CMS MS-DRG Definitions Manual (Appendices B and C). Actual DRG assignment depends on the complete claim.

Official ICD-10-CM tabular notes on other codes that name L89.016 or its code family.

4 Excludes2 notes across 2 chapters: L97 (via L89.-), L98.4 (via L89.-), L98.A (via L89.-), M70 (via L89.-).

1 Use Additional Code instructions: G90.4 (via L89.-).

Nearest Codes in This Family

Official ICD-10-CM classifications closest to L89.016 in its code family, with their registry titles.

  • L89.010 — Pressure ulcer of right elbow, unstageable
  • L89.011 — Pressure ulcer of right elbow, stage 1
  • L89.012 — Pressure ulcer of right elbow, stage 2
  • L89.013 — Pressure ulcer of right elbow, stage 3
  • L89.014 — Pressure ulcer of right elbow, stage 4
  • L89.019 — Pressure ulcer of right elbow, unspecified stage
  • L89.02 — Pressure ulcer of left elbow
  • L89.020 — Pressure ulcer of left elbow, unstageable
  • L89.021 — Pressure ulcer of left elbow, stage 1
  • L89.022 — Pressure ulcer of left elbow, stage 2

View all codes in the L89 family