L89.150
L89.150: Pressure ulcer of sacral region, unstageable
Billable / specific codeICD-10-CM
L89.150 is a billable, specific ICD-10-CM code for pressure ulcer of sacral region, unstageable. It is valid for submission on a claim.
Check L89.150 with the rest of the claim: free scrubberExcludes2 inherited from the categories above L89.150
Not part of this code, but both may be coded when both are present.
Risk adjustment
L89.150 risk-adjusts. Under the CMS-HCC V28 model it maps to this category:
- HCC 381 Pressure Ulcer of Skin with Full Thickness Skin Loss1.075 RAF
Coefficient shown for the Community Non-dual Aged segment. A higher HCC in the same hierarchy will suppress this one, so capturing it does not always add score. Look up the whole chart to see which of its HCCs the hierarchy would zero.
Medicare coverage
L89.150 is named in 9 Medicare coverage policies: 7 listing it as supporting medical necessity, and 2 listing it as NOT covered. Which one applies depends on your Medicare contractor.
- A56566Billing and Coding: Outpatient Physical and Occupational Therapy Servicesnot covered
- A57067Billing and Coding: Outpatient Physical and Occupational Therapy Servicesnot covered
- A52490Pressure Reducing Support Surfaces - Group 2 - Policy Article
- A53057Billing and Coding: Home Health Occupational Therapy
Code history
Unchanged in every release from FY2024 to FY2027.
Other codes under L89.15
- L89.151Pressure ulcer of sacral region, stage 1
- L89.152Pressure ulcer of sacral region, stage 2
- L89.153Pressure ulcer of sacral region, stage 3
- L89.154Pressure ulcer of sacral region, stage 4
- L89.156Pressure-induced deep tissue damage of sacral region
- L89.159Pressure ulcer of sacral region, unspecified stage