Sacral Wound ICD-10-CM Codes

Explore this short guide to ICD-10 codes for sacral wounds and their billability, synonyms, and clinical descriptions.

By Patricia Buenaventura on Aug 8, 2025.

What ICD-10 codes are used for sacral wound?

Currently, physicians may use the list of ICD codes used for sacral wounds or sores in the sacral region:

L89.150: Pressure ulcer of sacral region, unstageable
L89.151: Pressure ulcer of sacral region, stage 1
L89.152: Pressure ulcer of sacral region, stage 2
L89.153: Pressure ulcer of sacral region, stage 3
L89.154: Pressure ulcer of sacral region, stage 4
L89.156: Pressure-induced deep tissue damage of sacral region
L89.159: Pressure ulcer of sacral region, unspecified stage

However, it is essential to note that there is a difference between a wound and an ulcer. Therefore, you should conduct further examination and double-check by reviewing other ICD-10 codes.

Which sacral wound ICD codes are billable?

Yes, L89.150 - Pressure ulcer of sacral region, unstageable, is billable.
Yes, L89.151 - Pressure ulcer of sacral region, stage 1, is billable.
Yes, L89.152 - Pressure ulcer of sacral region, stage 2, is billable.
Yes, L89.153 - Pressure ulcer of sacral region, stage 3, is billable.
Yes, L89.154 - Pressure ulcer of sacral region, stage 4, is billable.
Yes, L89.156 - Pressure-induced deep tissue damage of the sacral region is billable.
Yes, L89.159 - Pressure ulcer of sacral region, unspecified stage is billable.

Clinical information

Sacral wounds, also known as sacral ulcers, are skin injuries in the body's sacral region, near the lower back and spine. It's considered a pressure sore, also known as a bed sore.
Patients who have low mobility, have excessive moisture in the sacral area, have the area exposed to friction often, or have a poor diet are at risk of developing sacral wounds.
There are four stages of sacral wounds, each showing a worsening severity, and treatment depends on what stage the wound is at. Treatment includes cleaning and scheduled rotation or movement if the wound is at Stage 1 or 2. However, if the wound is at stage 3, surgery is highly recommended to treat the wound cause it is highly susceptible to skin infections.

Synonyms include

Sacral wounds
Pressure injury of deep tissue on sacral region on back
Pressure injury on sacral region on back
Pressure injury on coccygeal region on back
Injury of coccyx
Pressure ulcer of unspecified stage (sacral region)
Healing pressure ulcer of sacral region, NOS

Commonly asked questions

You can use a sacral wound ICD code once you’ve ensured, through tests and examination, that the patient has a sacral wound and determined its stage.

Yes, sacral wound diagnosis codes are billable.

Common treatments for stage 1 or 2 sacral wounds are cleaning and a constant schedule of movement or rotation. For stage 3 sacral wounds, treatment is usually surgery.

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