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ICD-10-CM 2027 diagnosis code

L89.224Pressure ulcer of left hip, stage 4

✓ Billable / specificMCC — major complication/comorbidity

L89.224 is a valid, billable ICD-10-CM code for pressure ulcer of left hip, stage 4. It can be reported on claims for dates of service from October 1, 2026 – September 30, 2027.

Code unchanged since ICD-10-CM took effect on October 1, 2015. Source: official FY2027 ICD-10-CM release from CDC/NCHS and CMS. Page updated September 29, 2026. About our data

About L89.224

L89.224 is the ICD-10-CM diagnosis code for pressure ulcer of left hip, stage 4. It belongs to category L89 (pressure ulcer), block L80-L99 (other disorders of the skin and subcutaneous tissue) and chapter 12 (diseases of the skin and subcutaneous tissue). It is billable, so it can be reported on its own for dates of service from October 1, 2026 through September 30, 2027.

Within L89.22 (pressure ulcer of left hip), L89.224 is specifically for pressure ulcer of left hip, stage 4. Related codes cover unstageable (L89.220), stage 1 (L89.221), stage 2 (L89.222), stage 3 (L89.223), Pressure-induced deep tissue damage of left hip (L89.226) and unspecified stage (L89.229).

Code first: any associated gangrene (I96).

As a secondary diagnosis it is an MCC (major complication or comorbidity), which can move an inpatient stay into the highest-paying "with MCC" MS-DRG of its family, unless the principal diagnosis excludes it.

In MS-DRG v44.0, it is part of the grouping logic for DRG 573 (Skin Graft for Skin Ulcer or Cellulitis with MCC, relative weight 6.3575), DRG 574 (Skin Graft for Skin Ulcer or Cellulitis with CC, relative weight 3.5674), DRG 575 (Skin Graft for Skin Ulcer or Cellulitis without CC/MCC, relative weight 1.8797), DRG 592 (Skin Ulcers with MCC, relative weight 1.9101), DRG 593 (Skin Ulcers with CC, relative weight 1.1575) and DRG 594 (Skin Ulcers without CC/MCC, relative weight 0.7801), in MDC 09 (Diseases and Disorders of the Skin, Subcutaneous Tissue and Breast), as a principal or secondary diagnosis. The DRG a claim lands in depends on the principal diagnosis, procedures and any CC/MCC secondary diagnoses.

It has been part of ICD-10-CM since the code set took effect on October 1, 2015 and hasn't changed since.

Before ICD-10, this condition was coded in ICD-9-CM as 707.04 (pressure ulcer, hip) and 707.24 (pressure ulcer, stage IV).

Coding notes

Applicable toConditions and synonyms classified to this code
  • Healing pressure ulcer of left hip, stage 4
  • Pressure ulcer with necrosis of soft tissues through to underlying muscle, tendon, or bone, left hip

Notes that apply from higher levels

Instructions written at a parent level also apply to L89.224.

› From L89 Pressure ulcer
Includes
  • bed sore
  • decubitus ulcer
  • plaster ulcer
  • pressure area
  • pressure sore
Excludes2
Code first
  • any associated gangrene (I96)

Broader instructions also apply from Chapter 12: Diseases of the skin and subcutaneous tissue.

MS-DRG v44.0 grouping

All DRGs →

Inpatient MS-DRGs this diagnosis can group to, as the principal or a secondary diagnosis, depending on the rest of the claim.

MDC 09 · Diseases and Disorders of the Skin, Subcutaneous Tissue and Breast

ICD-9-CM equivalent

Converter →
  • 707.04Pressure ulcer, hipapproximate, combination
  • 707.24Pressure ulcer, stage IVapproximate, combination

From the CMS 2018 General Equivalence Mappings (GEMs), the final GEMs release.

Code history

  1. 2016
  2. 2017
  3. 2018
  4. 2019
  5. 2020
  6. 2021
  7. 2022
  8. 2023
  9. 2024
  10. 2025
  11. 2026
  12. 2027
  • FY2016 (effective 10/1/2015): Added (first year of ICD-10-CM)
  • No changes since FY2016.

Common questions about L89.224

Is L89.224 billable?

Yes. L89.224 is a billable/specific ICD-10-CM code valid for FY2027 (October 1, 2026 – September 30, 2027).

Can L89.224 be used as a principal diagnosis?

Yes. The Medicare Code Editor doesn't restrict L89.224 as a principal diagnosis.

Is L89.224 a CC or MCC?

L89.224 is an MCC (major complication or comorbidity) under MS-DRG v44.0, unless excluded by the principal diagnosis.

What DRG does L89.224 group to?

L89.224 is used in the MS-DRG v44.0 logic for 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), MS-DRG 592 (Skin Ulcers with MCC), MS-DRG 593 (Skin Ulcers with CC) and MS-DRG 594 (Skin Ulcers without CC/MCC). Which one applies depends on whether it is the principal diagnosis and on the rest of the claim.

What is the ICD-9 code for L89.224?

The CMS General Equivalence Mappings map L89.224 to ICD-9-CM 707.04 and 707.24.