T87.54: Necrosis of amputation stump, left lower extremity
T87.54, necrosis of amputation stump, left lower extremity, is listed as a covered diagnosis in 3 Medicare billing and coding articles that apply to 7 HCPCS Level II codes, including G0281 (Electrical stimulation, (unattended), to one or more…), G0329 (Electromagnetic therapy, to one or more areas for chronic…), G0283 (Electrical stimulation (unattended), to one or more areas…). The articles come from 2 Medicare contractors. A listed diagnosis supports medical necessity only; coverage still depends on the LCD's criteria and on documentation in the medical record.
HCPCS Level II codes with T87.54 as a covered diagnosis
| Code | Description | Medicare coverage | DMEPOS fee 2026 (state range) | Articles listing it |
|---|---|---|---|---|
| G0281 | Electrical stimulation, (unattended), to one or more areas, for chronic stage iii and stage iv pressure ulcers, arterial ulcers, diabetic ulcers, and venous stasis ulcers not demonstrating measurable signs of healing after 30 days of conventional care, as part of a therapy plan of care | Carrier judgment | — | 2 |
| G0329 | Electromagnetic therapy, to one or more areas for chronic stage iii and stage iv pressure ulcers, arterial ulcers, diabetic ulcers and venous stasis ulcers not demonstrating measurable signs of healing after 30 days of conventional care as part of a therapy plan of care | Carrier judgment | — | 2 |
| G0283 | Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care | Carrier judgment | — | 2 |
| G0152 | Services performed by a qualified occupational therapist in the home health or hospice setting, each 15 minutes | Carrier judgment | — | 1 |
| G0158 | Services performed by a qualified occupational therapist assistant in the home health or hospice setting, each 15 minutes | Carrier judgment | — | 1 |
| G0160 | Services performed by a qualified occupational therapist, in the home health setting, in the establishment or delivery of a safe and effective occupational therapy maintenance program, each 15 minutes | Carrier judgment | — | 1 |
| G2169 | Services performed by an occupational therapist assistant in the home health setting in the delivery of a safe and effective occupational therapy maintenance program, each 15 minutes | Carrier judgment | — | 1 |
Medicare policy articles listing T87.54
- A55909: Billing and Coding: Wound Care (WPS Insurance Corporation (MAC - Part A, MAC - Part B); 2 Level II codes). LCD with the same title: L35125, L37166, L37228
- A53057: Billing and Coding: Home Health Occupational Therapy (Palmetto GBA (HHH MAC); 5 Level II codes). LCD with the same title: L34560
- A53064: Billing and Coding: Outpatient Occupational Therapy (Palmetto GBA (MAC - Part A); 3 Level II codes). LCD with the same title: L34427
A diagnosis listed as covered in a billing and coding article supports medical necessity for the article's codes; it does not guarantee payment. Coverage depends on the LCD's criteria, the contractor's jurisdiction and documentation in the medical record.
Other T87 diagnoses (Complications peculiar to reattachment and amputation)
- T87.51 — Necrosis of amputation stump, right upper extremity
- T87.53 — Necrosis of amputation stump, right lower extremity
- T87.0X1 — Complications of reattached (part of) right upper extremity
- T87.0X2 — Complications of reattached (part of) left upper extremity
- T87.31 — Neuroma of amputation stump, right upper extremity
- T87.32 — Neuroma of amputation stump, left upper extremity
- T87.33 — Neuroma of amputation stump, right lower extremity
- T87.34 — Neuroma of amputation stump, left lower extremity
- T87.41 — Infection of amputation stump, right upper extremity
- T87.42 — Infection of amputation stump, left upper extremity
- T87.43 — Infection of amputation stump, right lower extremity
- T87.44 — Infection of amputation stump, left lower extremity
- T87.81 — Dehiscence of amputation stump
- T87.89 — Other complications of amputation stump
Frequently asked questions
Does Medicare cover T87.54 (Necrosis of amputation stump, left lower extremity)?
Medicare covers items and services, not diagnoses. 3 Medicare billing and coding articles list T87.54 as a covered diagnosis for 7 HCPCS Level II codes: the diagnosis can support medical necessity for those codes, but payment still depends on the LCD's coverage criteria and the medical record.
Which HCPCS codes can be billed with ICD-10 T87.54?
The Level II codes from the policies most specific to this diagnosis are G0281 (Electrical stimulation, (unattended), to one or more…, 2 articles); G0329 (Electromagnetic therapy, to one or more areas for chronic…, 2 articles); G0283 (Electrical stimulation (unattended), to one or more areas…, 2 articles); G0152 (Services performed by a qualified occupational therapist…, 1 article); G0158 (Services performed by a qualified occupational therapist…, 1 article). Code choice depends on the item supplied; check each code's descriptor.
Which Medicare policy articles list T87.54?
A55909 (Billing and Coding: Wound Care); A53057 (Billing and Coding: Home Health Occupational Therapy); A53064 (Billing and Coding: Outpatient Occupational Therapy).
What is ICD-10-CM code T87.54?
T87.54 is the ICD-10-CM code for necrosis of amputation stump, left lower extremity, in category T87 (Complications peculiar to reattachment and amputation), chapter 19: Injury, poisoning and other consequences of external causes.
Next steps
- Run a reimbursement report for a device billed under G0281
- Watch G0281 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for G0281
Sources: CMS Medicare Coverage Database billing and coding articles (covered ICD-10 code lists and HCPCS links); ICD-10-CM FY2026; CMS HCPCS Level II release October 2026; CMS DMEPOS fee schedule 2026 (non-rural state fees). Not billing or legal advice.
Chapter 19: Injury, poisoning and other consequences of external causes · All diagnoses · HCPCS lookup