L89.213 ICD-10-CM Code: Pressure ulcer of right hip, stage 3
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 (FY2026), 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.
Risk Adjustment (CMS-HCC)
Payment categories this diagnosis maps to under CMS-HCC V28, payment year 2026.
- HCC 381 — Pressure Ulcer of Skin with Full Thickness Skin Loss (supersedes HCC 382, HCC 383)
Other models: CMS-HCC V22 HCC 158
Risk scores depend on the enrollee's full accepted diagnosis set and segment; a category mapping alone does not determine payment.
Code Set: Valid FY2026 and FY2027. FY2026 took effect October 1, 2025.
Official Registry Overview & Definition
Official Tabular Instructional Notes
Sequencing, inclusion, and exclusion notes published for L89.213 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
Inclusion Terms
Alternative terms the tabular list files under this code.
- Healing pressure ulcer of right hip, stage 3
- Pressure ulcer with full thickness skin loss involving damage or necrosis of subcutaneous tissue, right hip
Excludes2 — Not Included Here
Conditions not covered by this code, but which may be reported alongside it when both are present.
- 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
Underlying conditions that must be sequenced before this code.
- any associated gangrene (I96)
Nearest Codes in This Family
Official ICD-10-CM classifications closest to L89.213 in its code family, with their registry titles.
- L89.209 — Pressure ulcer of unspecified hip, unspecified stage
- L89.21 — Pressure ulcer of right hip
- L89.210 — Pressure ulcer of right hip, unstageable
- L89.211 — Pressure ulcer of right hip, stage 1
- L89.212 — Pressure ulcer of right hip, stage 2
- L89.214 — Pressure ulcer of right hip, stage 4
- L89.216 — Pressure-induced deep tissue damage of right hip
- L89.219 — Pressure ulcer of right hip, unspecified stage
- L89.22 — Pressure ulcer of left hip
- L89.220 — Pressure ulcer of left hip, unstageable