ICD Code L89.154

ICD code L89.154 is a stage 4 pressure ulcer located on the sacral region, indicating a severe bedsore with full-thickness tissue loss and exposed bone, tendon, or muscle.

1. Presence of a pressure ulcer located on the sacral region

2. Full-thickness tissue loss with exposed bone, tendon, or muscle

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

4. Often includes undermining and tunneling

5. Evidence of extensive destruction, tissue necrosis, or damage to muscle, bone, or supporting structures (e.g., tendons or joint capsules)

Relevant CPT codes for ICD-10 code L89.154 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

- 11044: Debridement, bone (includes epidermis, dermis, subcutaneous tissue, muscle and/or fascia, 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

- 97605: Negative pressure wound therapy (NPWT), durable medical equipment, including topical application(s), wound assessment, and instruction(s) for ongoing care, per session; total wound(s) surface area less than or equal to 50 sq cm

- 97606: NPWT, total wound(s) surface area greater than 50 sq cm

- 15570: Formation of direct or tubed pedicle, with or without transfer; trunk

- 15734: Muscle, myocutaneous, or fasciocutaneous flap; trunk

These CPT codes may be applicable for treatment and management of L89.154.

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