Sacral Decubitus Ulcer ICD-10-CM Codes | 2025

Which sacral decubitus ulcer ICD codes are billable?

All of the sacral decubitus ulcer ICD codes mentioned above are billable.

Clinical information

Sacral decubitus ulcers develop due to prolonged pressure on the sacrum, which can compress blood flow to the subcutaneous tissue and skin. These ulcers often occur in patients with limited mobility, such as those confined to bed or wheelchair-bound.

Causes and risk factors

• Pressure over bony prominences (coccyx, left hip, right hip, unspecified hip)
• Friction and shear forces
• Excess moisture from sweat or incontinence
• Diabetes mellitus, which increases susceptibility to diabetic ulcers
• Poor nutrition and circulation
• Lying in one position too long

Symptoms

• Redness, swelling, or tenderness in the sacral region
• Skin breakdown, visible ulcer or open wound
• Pus-like drainage or foul odor
• Changes in skin texture, color, or temperature
• Skin lichen or skin lichen sclerosus in chronic or severe cases

Diagnosing pressure ulcers

A physical exam is typically performed to evaluate the pressure area. Healthcare providers assess:

• The ulcer stage (from stage 1 to stage 4 or unstageable)
• Any presence of pressure-induced deep tissue damage
• Whether the wound qualifies such as a coccyx pressure ulcer or an ulcer of an unspecified site.

Treatment and management

Management of a pressure ulcer of unspecified site depends on the stage and location. Common interventions include:

• Debridement of necrotic tissue
• Wound care with dressings
• Pressure offloading using cushions or turning schedules
• Addressing comorbidities such as diabetes mellitus
• Monitoring for associated gangrene or worsening tissue damage

Synonyms

• Pressure wounds
• Decubitus ulcers
• Bedsores
• Pressure sores
• Injury of back
• Pressure injury of sacral region of the back