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L89.156 ICD-10-CM Code: Pressure-induced deep tissue damage of sacral region

L89.156 is not a CMS-HCC payment code. MEAT criteria · RAF calculator · HCC coding software

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FY 2026 Apr update / Diseases of the skin and subcutaneous tissue (L00-L99) / Other disorders of the skin and subcutaneous tissue (L80-L99)

L89.156

Billable / SpecificICD-10-CMOfficial ICD-10-CMCodebook guidance

Pressure-induced deep tissue damage of sacral region

A pressure-induced deep tissue injury of the sacral region where damage occurs beneath intact skin, appearing as a purple or maroon discolored area that may indicate underlying tissue death.

CMS-HCC V28

N/A

Not mapped

CMS-HCC V24

N/A

Not mapped

ACA/HHS

N/A

Not mapped

ESRD/PACE

N/A

Not mapped

RXHCC

N/A

Not mapped

Code Book Path

Official
L89.1Pressure ulcer of back
L89.15Pressure ulcer of sacral region
L89.156Pressure-induced deep tissue damage of sacral region

Inclusion Terms

Official
  • Pressure ulcer of coccyx
  • Pressure ulcer of tailbone

Excludes 2

Official

ICD-10-CM does not list Excludes 2 notes for L89.156 in this effective period.

Related Child Codes

Official
L89.150Pressure ulcer of sacral region, unstageable
L89.151Pressure ulcer of sacral region, stage 1
L89.152Pressure ulcer of sacral region, stage 2
L89.153Pressure ulcer of sacral region, stage 3
L89.154Pressure ulcer of sacral region, stage 4

Includes

Official

ICD-10-CM does not list Includes notes for L89.156 in this effective period.

Excludes 1

Official

ICD-10-CM does not list Excludes 1 notes for L89.156 in this effective period.

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for L89.156 in this effective period.

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for L89.156 in this effective period.

Code Also

Official

ICD-10-CM does not list Code Also instructions for L89.156 in this effective period.

Buddy Documentation Tip

HCC Buddy guidance
This code represents deep tissue damage without full-thickness skin loss; document the discoloration and suspected depth of injury
This stage may progress to higher stages; monitor closely and document changes in subsequent encounters

Current with CMS: FY2026 ICD-10-CM Apr 1 update (effective Apr 1 – Sep 30, 2026) · CMS-HCC V28, 100% phased in for payment year 2026. FY2027 code set already staged for October 1, 2026. How HCC Buddy stays current →

Is L89.156 an HCC code?

No. L89.156 is a billable ICD-10-CM code but does not map to any HCC category in V28, V24, ESRD, or RxHCC.

Code
L89.156
Description
Pressure-induced deep tissue damage of sacral region
HCC (V28)
No CMS-HCC V28 mapping
RAF
Billable
Yes
Payment year
2026

Coder workflow notes

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This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).

What This Code Means

L89.156 is the ICD-10-CM diagnosis code for pressure-induced deep tissue damage of sacral region. A pressure-induced deep tissue injury of the sacral region where damage occurs beneath intact skin, appearing as a purple or maroon discolored area that may indicate underlying tissue death. L89.156 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).

L89.156 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.

This code represents deep tissue damage without full-thickness skin loss; document the discoloration and suspected depth of injury.

HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for L89.156 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Coding Tips

  • This code represents deep tissue damage without full-thickness skin loss; document the discoloration and suspected depth of injury
  • This stage may progress to higher stages; monitor closely and document changes in subsequent encounters

Child Codes

Code Hierarchy

L89.156 code history

Code setChange
FY2020 (effective Oct 1, 2019)Added to the code set

Source: official CMS ICD-10-CM order and addenda files, FY2016 through FY2027.

More on L89.156

Related condition guides

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