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Home/Diagnosis/ICD-10 Coding for Pressure Sore

ICD-10 Coding for Pressure Sore

L89.154
L89.620

Complete ICD-10-CM coding and documentation guide for icd-10 coding for pressure sore includes clinical validation requirements, medical necessity guidelines, and coding policies.

Also Known as:
Pressure Ulcer
Decubitus Ulcer
Bed Sore
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Key Information: ICD-10 Coding for Pressure Sore

Essential facts and insights about ICD-10 Coding for Pressure Sore

Use ICD-10 code L89.154 for pressure ulcer of sacral region, stage 4, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Pressure ulcer of sacral region, stage 4

Billable Code
L89.154
Billable

Diagnostic Criteria

  • • Presence of exposed bone or muscle in the sacral region

Applicable To

  • • Stage 4 sacral pressure ulcer

Important Notes

  • • Ensure accurate documentation of the ulcer stage and location.

Pressure ulcer of unspecified heel, unstageable

Billable Code
L89.620
Billable

Diagnostic Criteria

  • • Documentation indicating the ulcer is covered by eschar or slough

Applicable To

  • • Unstageable heel ulcer due to eschar

Important Notes

  • • Document the reason for the ulcer being unstageable.
Ancillary Codes

Additional codes that may be used with this diagnosis

I96

Gangrene

Use when gangrene is present with the ulcer.

Frequently Asked Questions

What is the ICD-10 code for a stage 4 pressure ulcer?

The ICD-10 code for a stage 4 pressure ulcer of the sacral region is L89.154. This code is used when the ulcer has exposed bone or muscle.

How do you document a pressure sore?

Document the location, stage, dimensions, tissue type, and any exudate or infection signs. Physician confirmation of the stage is essential.

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