ICD Code L89.15

ICD code L89.15 is a diagnosis code for a pressure ulcer of the sacral region, stage 5, indicating a severe bedsore with extensive tissue damage in the lower back area near the base of the spine.

1. Presence of a localized area of skin and underlying tissue damage.

2. Ulcer is located on the sacral region.

3. Ulcer has full-thickness tissue loss with exposed bone, tendon, or muscle.

4. Slough or eschar may be present on some parts of the wound bed.

5. Often includes undermining and tunneling.

6. Evidence of severe tissue necrosis or destruction.

7. No evidence of infection involving the bone (osteomyelitis) at the time of diagnosis.

Relevant CPT codes that may be used to treat ICD code L89.15 include:

- 11042: Debridement, subcutaneous tissue (includes epidermis and dermis, if performed); first 20 sq cm or less

- 11043: Debridement, muscle and/or fascia (includes epidermis, dermis, and subcutaneous tissue, if performed); first 20 sq cm or less

- 97597: Removal of devitalized tissue from wound(s); first 20 sq cm or less

- 97598: Removal of devitalized tissue from wound(s); each additional 20 sq cm

- 29580: Application of Unna boot, leg

- 29445: Application of rigid leg cast

- 99213–99215: Evaluation and management (E/M) office or other outpatient visit, established patient

- 99221–99223: Initial hospital care, per day, for the evaluation and management of a patient

Selection of CPT codes should be based on the specific services provided and clinical documentation.

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