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ICD-10-CM L89.200: Pressure ulcer of unspecified hip, unstageable

L89.200 is the billable ICD-10-CM code for pressure ulcer of unspecified hip, unstageable, in category L89 (Pressure ulcer) of the Other disorders of the skin and subcutaneous tissue section. As a principal diagnosis it groups to MS-DRG 573 Skin Graft for Skin Ulcer or Cellulitis with MCC, MS-DRG 574 Skin Graft for Skin Ulcer or Cellulitis with CC, MS-DRG 575 Skin Graft for Skin Ulcer or Cellulitis without CC/MCC (MDC 09 MDC 09: Diseases and Disorders of the Skin, Subcutaneous Tissue and Breast). It maps to HCC 381 (Pressure Ulcer of Skin with Full Thickness Skin Loss) in CMS-HCC V28. 3 LCD billing and coding articles list it as covered.

Compiled from CMS files by the QuickIntell RCM Editorial Team · Data effective · Method: reference methodology · Report a data correction

Data currency: ICD-10-CM code descriptions: FY2027 (effective October 1, 2026); IPPS Table 5 (MS-DRG weights): v44 FY2027 (final rule + CN3) (effective October 1, 2026); ICD-10-CM to HCC mapping: PY2027 initial ICD-10-CM mappings (dates of service 2026) (payment year 2027); Medicare Coverage Database billing and coding articles: MCD release October 8, 2026 (effective October 4, 2026). Next CMS release: FY2028 code files, effective October 1, 2027 for the ICD-10-CM code descriptions; FY2028 final rule (August 2027), effective October 1, 2027; an April 1 interim grouper update when CMS issues one for the IPPS Table 5 (MS-DRG weights); PY2028 advance notice (February 2027) and the PY2027 midyear final mapping (spring 2027) for the ICD-10-CM to HCC mapping; weekly, every Thursday for the Medicare Coverage Database billing and coding articles.

Code
L89.200
billable FY2027 ICD-10-CM code
Category
L89 Pressure ulcer
Chapter
12: Diseases of the skin and subcutaneous tissue (L00-L99)
CC/MCC (MS-DRG v44)
Neither
CMS-HCC V28
HCC 381
POA reporting
Required

Tabular list notes for L89.200

The tabular list has no notes on L89.200 itself; the notes below apply from its parent headings.

Inherited from L89 (Pressure ulcer)

Includes
  • bed sore
  • decubitus ulcer
  • plaster ulcer
  • pressure area
  • pressure sore
Excludes2 (not part of this condition, may be coded together)
  • 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
  • any associated gangrene (I96)

MS-DRG grouping when L89.200 is the principal diagnosis

MS-DRG v44 groups for L89.200 as principal diagnosis
MDCMS-DRGs
09 MDC 09: Diseases and Disorders of the Skin, Subcutaneous Tissue and Breast573574575592593594

The final group also depends on procedures, secondary diagnoses and discharge status; the MS-DRG lookup for L89.200 shows the full grouping logic.

CC/MCC status and inpatient edits

L89.200 is neither a CC nor an MCC under MS-DRG v44, so as a secondary diagnosis it does not raise the MS-DRG severity level. Check L89.200 against a principal diagnosis.

  • Present on admission: a POA indicator is required on inpatient claims.

CMS-HCC V28 risk adjustment

In the PY2027 mapping, L89.200 maps to HCC 381 (Pressure Ulcer of Skin with Full Thickness Skin Loss). The HCC lookup shows the RAF weight and the hierarchy.

LCD billing and coding articles that list L89.200

3 current Medicare billing and coding articles list L89.200 among the diagnoses that support medical necessity for the services they cover.

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Frequently asked questions

What does ICD-10-CM L89.200 mean?

L89.200 means pressure ulcer of unspecified hip, unstageable. It is one of 25 billable codes under L89, pressure ulcer.

Which MS-DRG does L89.200 group to?

As the principal diagnosis, L89.200 groups to MS-DRG 573 Skin Graft for Skin Ulcer or Cellulitis with MCC, MS-DRG 574 Skin Graft for Skin Ulcer or Cellulitis with CC, MS-DRG 575 Skin Graft for Skin Ulcer or Cellulitis without CC/MCC (MDC 09 MDC 09: Diseases and Disorders of the Skin, Subcutaneous Tissue and Breast) under MS-DRG v44, before procedures and secondary diagnoses are applied.

Does L89.200 map to an HCC?

Yes: HCC 381, Pressure Ulcer of Skin with Full Thickness Skin Loss, in the PY2027 CMS-HCC V28 mapping.

Sources

Every figure on this page is taken from the CMS publications below, as released by the Centers for Medicare & Medicaid Services. Projection built 2026-10-10. Verify against the primary file before billing or contracting decisions. The reference methodology explains how each figure is computed from these files.

Disclaimer

The descriptor and notes are reproduced from the FY2027 ICD-10-CM files; MS-DRG, CC/MCC and HCC facts come from the CMS FY2027 and PY2027 tables. Code from the medical record and the ICD-10-CM Official Guidelines. Not legal, clinical or billing advice.

Found a figure that does not match the CMS file? Report a data correction with the CMS file and the value you expected; the request reaches the editorial team through the contact form.