L89.150 — Pressure ulcer of sacral region, unstageable
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.
Excludes2 inherited from the categories above L89.150
Also inherited, and the opposite of Excludes1: these conditions are not part of L89.150, but a patient can have both, so you may code both.
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.
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 of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- 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
L89.150 has not changed since FY2024 — no addition, revision or deletion across the three most recent ICD-10-CM releases.
Related codes at this level
Codes that share L89.15. If L89.150 is not quite right, the correct code is usually one of these.
- 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
Questions about L89.150
- Is L89.150 a billable ICD-10-CM code?
- Yes. L89.150 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does L89.150 sit in the tabular list?
- Diseases of the skin and subcutaneous tissue (L00-L99), in the block Other disorders of the skin and subcutaneous tissue (L80-L99).