L89.226 ICD-10-CM Code: Pressure-induced deep tissue damage of left hip
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
Official Tabular Instructional Notes
Sequencing, inclusion, and exclusion notes published for L89.226 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.
- decubitus (trophic) ulcer of cervix (uteri) (N86) Compare L89.226 vs N86 →
- diabetic ulcers (E08.621, E08.622, E09.621, E09.622, E10.621, E10.622, E11.621, E11.622, E13.621, E13.622) Compare L89.226 vs E08.621 →
- non-pressure chronic ulcer of skin (L97.-) Compare L89.226 vs L97 →
- skin infections (L00-L08) Compare L89.226 vs L00 →
- varicose ulcer (I83.0, I83.2) Compare L89.226 vs I83.0 →
Code First
Underlying conditions that must be sequenced before this code.
- any associated gangrene (I96)
Change history
- FY2020 — 2019-10-01Added to the code setPressure-induced deep tissue damage of left hipFY2020 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.
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 L89.226 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 L89.226 in its code family, with their registry titles.
- L89.220 — Pressure ulcer of left hip, unstageable
- L89.221 — Pressure ulcer of left hip, stage 1
- L89.222 — Pressure ulcer of left hip, stage 2
- L89.223 — Pressure ulcer of left hip, stage 3
- L89.224 — Pressure ulcer of left hip, stage 4
- L89.229 — Pressure ulcer of left hip, unspecified stage
- L89.3 — Pressure ulcer of buttock
- L89.30 — Pressure ulcer of unspecified buttock
- L89.300 — Pressure ulcer of unspecified buttock, unstageable
- L89.301 — Pressure ulcer of unspecified buttock, stage 1