L89.151
L89.151: Pressure ulcer of sacral region, stage 1
Billable / specific codeICD-10-CM
L89.151 is a billable, specific ICD-10-CM code for pressure ulcer of sacral region, stage 1. It is valid for submission on a claim.
Check L89.151 with the rest of the claim: free scrubberInclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Healing pressure ulcer of sacral region, stage 1
- Pressure pre-ulcer skin changes limited to persistent focal edema, sacral region
Excludes2 inherited from the categories above L89.151
Not part of this code, but both may be coded when both are present.
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
L89.151 is named in 8 Medicare coverage policies: 6 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
- A53057Billing and Coding: Home Health Occupational Therapy
- A53058Billing and Coding: Home Health Physical Therapy
Code history
Unchanged in every release from FY2024 to FY2027.
Other codes under L89.15
- L89.150Pressure ulcer of sacral region, unstageable
- 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