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Home/Diagnosis/ICD-10 Coding for Sacral Sore

ICD-10 Coding for Sacral Sore

L89.150
L89.153

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

Also Known as:
Sacral Pressure Ulcer
Sacral Pressure Injury
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Key Information: ICD-10 Coding for Sacral Sore

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

Use ICD-10 code L89.150 for unstageable pressure ulcer of sacral region, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Unstageable pressure ulcer of sacral region

Billable Code
L89.150
Billable

Diagnostic Criteria

  • • Presence of eschar or slough covering the ulcer

Applicable To

  • • Pressure ulcer covered by eschar

Important Notes

  • • Ensure documentation specifies eschar or slough to justify unstageable classification.

Pressure ulcer of sacral region, stage 3

Billable Code
L89.153
Billable

Diagnostic Criteria

  • • Documentation of full thickness skin loss with visible subcutaneous tissue

Applicable To

  • • Full thickness skin loss involving damage or necrosis of subcutaneous tissue

Important Notes

  • • Ensure stage 3 is clearly documented with specific measurements and tissue description.
Ancillary Codes

Additional codes that may be used with this diagnosis

I96

Gangrene

Code first if gangrene is present with the ulcer.

E11.9

Type 2 diabetes mellitus without complications

Use if diabetes is a contributing factor to ulcer development.

Frequently Asked Questions

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

The ICD-10 code for a sacral sore, specifically a pressure ulcer, is in the L89.1- series, which includes various stages from unstageable to stage 4.

How do you document a sacral pressure ulcer?

Document a sacral pressure ulcer by specifying the location, stage, measurements, exudate type, and surrounding skin condition, using NPIAP terminology.

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