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Home/Diagnosis/ICD-10 Coding for Sacral Pressure Sore

ICD-10 Coding for Sacral Pressure Sore

L89.151
L89.154

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

Also Known as:
Sacral Pressure Ulcer
Bed Sore on Sacrum
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Key Information: ICD-10 Coding for Sacral Pressure Sore

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

Use ICD-10 code L89.151 for pressure ulcer of sacral region, stage 1, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Pressure ulcer of sacral region, stage 1

Billable Code
L89.151
Billable

Diagnostic Criteria

clinical:
  • Presence of non-blanchable erythema over sacral area

Applicable To

  • • Non-blanchable erythema of intact skin

Important Notes

  • • Ensure documentation specifies 'pressure ulcer' and not 'wound'.

Pressure ulcer of sacral region, stage 4

Billable Code
L89.154
Billable

Diagnostic Criteria

clinical:
  • Documentation of exposed bone or tendon in the sacral region

Applicable To

  • • Full-thickness tissue loss with exposed bone, tendon, or muscle

Important Notes

  • • Ensure depth and tissue involvement are clearly documented.
Ancillary Codes

Additional codes that may be used with this diagnosis

B95.2

Staphylococcus aureus as the cause of diseases classified elsewhere

Use when there is a documented infection of the ulcer.

Frequently Asked Questions

What is the ICD-10 code for a sacral pressure sore?

The ICD-10 code for a sacral pressure sore varies by stage, with L89.15x series covering stages 1 to 4 and unstageable ulcers.

How do you document a sacral pressure ulcer?

Document the ulcer's location, stage, size, exudate, and treatment plan. Use specific terms like 'pressure ulcer' and include detailed descriptions.

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