L89.95 — Pressure ulcer of unspecified site, unstageable
Is L89.95 billable?
Yes, but L89.95 is an unspecified code. L89.95 is a valid, billable ICD-10-CM code for encounters from October 1, 2026 through September 30, 2027. However, L89.95 is an unspecified or catch-all code. Payers apply additional scrutiny to unspecified codes and many deny them when the medical record supports a more specific option, so check the documentation before selecting L89.95 — the more specific alternatives are listed below.
More specific alternatives
- L89.90Pressure ulcer of unspecified site, unspecified stage
- L89.91Pressure ulcer of unspecified site, stage 1
- L89.92Pressure ulcer of unspecified site, stage 2
- L89.93Pressure ulcer of unspecified site, stage 3
- L89.94Pressure ulcer of unspecified site, stage 4
- L89.96Pressure-induced deep tissue damage of unspecified site
L89.95 at a glance
| Code | L89.95 |
|---|---|
| Description | Pressure ulcer of unspecified site, unstageable |
| Billable | Yes |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
Which MS-DRGs does L89.95 group to?
L89.95 sits in MDC 09 and helps define the logic of 3 MS-DRGs (version 44, FY2027). Which one a stay actually groups to also depends on procedures and secondary diagnoses.
- 573Skin Graft for Skin Ulcer or Cellulitis with MCCsurgical
- 574Skin Graft for Skin Ulcer or Cellulitis with CCsurgical
- 575Skin Graft for Skin Ulcer or Cellulitis without CC/MCCsurgical
How is L89.95 listed in the Alphabetic Index?
The Alphabetic Index lists these routes under L89.9, the nearest indexed parent of L89.95. Use them to find the family, then select the specific code.
- Ulcer, ulcerated, ulcerating, ulceration, ulcerative › pressure
Code first — inherited from L89
The underlying condition below must be sequenced before L89.95. L89.95 describes a manifestation and cannot be the principal or first-listed diagnosis.
- any associated gangrene (I96)
Excludes2 — not included here — inherited from Chapter 12
The conditions below are not part of L89.95, but a patient may have both at the same time. When documentation supports it, L89.95 and the excluded code may both be reported.
- certain conditions originating in the perinatal period (P04-P96)
- certain infectious and parasitic diseases (A00-B99)
- complications of pregnancy, childbirth and the puerperium (O00-O9A)
- congenital malformations, deformations, and chromosomal abnormalities (Q00-Q99)
- endocrine, nutritional and metabolic diseases (E00-E88)
- lipomelanotic reticulosis (I89.8)
- neoplasms (C00-D49)
- symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)
- systemic connective tissue disorders (M30-M36)
- viral warts (B07.-)
Excludes2 — not included here — inherited from L89
The conditions below are not part of L89.95, but a patient may have both at the same time. When documentation supports it, L89.95 and the excluded code may both be reported.
How long has L89.95 existed?
L89.95 has been in ICD-10-CM since at least FY2016, the earliest fiscal year on record here.
Derived from the official order files for FY2016–FY2026. FY2017 and FY2020 publish no order file, so those years are not covered.
What other codes are in the L89.9 family? (6)
- L89.90Pressure ulcer of unspecified site, unspecified stage
- L89.91Pressure ulcer of unspecified site, stage 1
- L89.92Pressure ulcer of unspecified site, stage 2
- L89.93Pressure ulcer of unspecified site, stage 3
- L89.94Pressure ulcer of unspecified site, stage 4
- L89.96Pressure-induced deep tissue damage of unspecified site