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Home/Diagnosis/ICD-10 Coding for Stage 4 Sacral Ulcer

ICD-10 Coding for Stage 4 Sacral Ulcer

L89.154

Complete ICD-10-CM coding and documentation guide for icd-10 coding for stage 4 sacral ulcer includes clinical validation requirements, medical necessity guidelines, and coding policies.

Also Known as:
Stage IV Sacral Pressure Ulcer
Full-thickness Sacral Ulcer
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Key Information: ICD-10 Coding for Stage 4 Sacral Ulcer

Essential facts and insights about ICD-10 Coding for Stage 4 Sacral Ulcer

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

clinical:
  • • Presence of exposed bone, tendon, or muscle
documentation:
  • • Detailed wound measurements and description

Applicable To

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

Important Notes

  • • Ensure documentation specifies the stage and exposed structures to validate L89.154.
Ancillary Codes

Additional codes that may be used with this diagnosis

I96

Gangrene

Use when gangrene is present with the ulcer.

B95.62

MRSA infection

Use when MRSA infection is confirmed in the ulcer.

Frequently Asked Questions

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

The ICD-10 code for a stage 4 sacral ulcer is L89.154, indicating full-thickness tissue loss with exposed bone, tendon, or muscle.

How should a stage 4 sacral ulcer be documented?

Document a stage 4 sacral ulcer with specific details on size, exposed structures, and any signs of infection or necrosis.

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