L89.151
BillablePressure ulcer of sacral region, stage 1
Last updated: FY2026 ICD-10-CM (Oct 1, 2025 – Sep 30, 2026) | CMS-HCC V28 (100% phase-in, PY2026)
Is L89.151 an HCC code?
No. L89.151 is a billable ICD-10-CM code but does not map to any HCC category in V28, V24, ESRD, or RxHCC.
This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).
What This Code Means
L89.151 is the ICD-10-CM diagnosis code for pressure ulcer of sacral region, stage 1. A stage 1 pressure sore in the sacral region showing redness of the skin that does not blanch when pressed, with intact skin. L89.151 sits in the ICD-10-CM chapter for diseases of the skin and subcutaneous tissue (l00-l99), within the section covering other disorders of the skin and subcutaneous tissue (l80-l99).
L89.151 is a billable ICD-10-CM code but does not map to a payment HCC under the CMS-HCC V28, V24, ESRD, or RxHCC risk adjustment models. It can be reported on Medicare Advantage encounter data submissions but it does not contribute to a beneficiary's RAF score and therefore does not affect risk-adjusted payments to the plan.
Confirm non-blanching erythema and intact skin integrity to accurately assign stage 1 classification.
HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for L89.151 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.
Coding Tips
- •Confirm non-blanching erythema and intact skin integrity to accurately assign stage 1 classification
- •Sacral ulcers are high-risk areas due to bony prominence and frequent pressure; early intervention is critical