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 guidancePressure-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
Inclusion Terms
Official- Pressure ulcer of coccyx
- Pressure ulcer of tailbone
Excludes 2
OfficialICD-10-CM does not list Excludes 2 notes for L89.156 in this effective period.
Related Child Codes
Includes
OfficialICD-10-CM does not list Includes notes for L89.156 in this effective period.
Excludes 1
OfficialICD-10-CM does not list Excludes 1 notes for L89.156 in this effective period.
Code First
OfficialICD-10-CM does not list Code First sequencing instructions for L89.156 in this effective period.
Use Additional
OfficialICD-10-CM does not list Use Additional Code instructions for L89.156 in this effective period.
Code Also
OfficialICD-10-CM does not list Code Also instructions for L89.156 in this effective period.
Buddy Documentation Tip
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

