ICD-10 Code L89.204 – Pressure ulcer of unspecified hip, stage 4 (2026): Diagnosis, Symptoms & Billing Guide

The ICD-10 code for Pressure ulcer of unspecified hip, stage 4 is L89.204.
2026 ICD-10-CM Diagnosis Code L89.204 – Pressure ulcer of unspecified hip, stage 4

What it is

This code identifies a pressure ulcer on the hip with full-thickness skin and tissue loss, stage 4. The site is unspecified hip, so the documentation does not name left or right.

Clinical signs

Stage 4 pressure injuries show full-thickness tissue loss with exposed or directly palpable fascia, muscle, tendon, ligament, cartilage, or bone. Clinical features vary; refer to documentation.

When to use this code

Use this code when the record clearly documents a stage 4 pressure ulcer on the hip but does not specify laterality. It is appropriate for inpatient, outpatient, or wound-care documentation that confirms the stage and location.

If the note only says “pressure injury” without stage, or if the hip side is documented, code more specifically when supported. Check documentation for laterality, depth, and any additional sites.

Do not use for

Do not use this code for lower-stage pressure ulcers, unstageable ulcers, or pressure injuries at another body site. Do not assign it when the chart does not support stage 4.

Coding tip

Confirm both the stage and the hip location in the provider note before assigning L89.204.

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