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v1.0.0
ICD-10 Guide
DiagnosesPressure Ulcer Coccyx

Pressure Ulcer Coccyx

ICD-10 Coding for Pressure Ulcer on Coccyx(L89.150, L89.151)

PRIMARY SPECIALTYWound Care
COMPLEXITYHigh
LAST UPDATED09/15/2025
Sam Tuffun, PT, DPT
Physical Therapist | Medical Coding & Billing Contributor

Diagnosis Overview

What is Pressure Ulcer Coccyx?
Essential facts and insights about Pressure Ulcer on Coccyx

Key Clinical Considerations:

  • Localized area of skin breakdown over the coccyx
  • Presence of necrotic tissue or eschar
  • Pain or discomfort in the affected area

Clinical Information

Clinical Criteria & Documentation Requirements

  • Patient history including risk factors (immobility, incontinence)
  • Detailed description of ulcer stage (I-IV)
  • Photographic evidence of the ulcer's condition

Coding Guidelines

Usage Guidelines & Examples

  • Follow guidelines for staging pressure ulcers to avoid misclassification.
  • Common errors include using outdated codes or incorrect staging.

Code Exclusions

Important Exclusions

  • Other skin conditions such as dermatitis or infections.
  • Alternative codes for non-pressure related skin injuries.

Related ICD-10 Codes

Primary Codes
L89.154
Pressure ulcer of the coccyx, stage 4
L89.153
Pressure ulcer of the coccyx, stage 3
L89.152
Pressure ulcer of the coccyx, stage 2
L89.151
Pressure ulcer of the coccyx, stage 1
Ancillary Codes
B95.6
Differential Codes
L89.309

Related CPT Codes

CPT codes will be available in a future update.

Specialty Focus

Primary Specialty

Wound Care

Specialty Applications

  • Patients with limited mobility, elderly populations, and those with chronic illnesses.
  • Clinical settings include hospitals, long-term care facilities, and outpatient wound care clinics.

Coding Complexity

High Complexity

This diagnosis requires careful attention to:

  • Comprehensive clinical documentation
  • Accurate code selection based on clinical criteria
  • Proper exclusion considerations
  • Specialty-specific coding guidelines

Documentation

Documentation Templates

Billing Information

Billing Considerations

  • Ensure proper documentation for billing
  • Verify code specificity requirements
  • Check for any additional codes needed
  • Review payer-specific guidelines

Common Issues

  • Insufficient clinical documentation
  • Incorrect code selection
  • Missing supporting diagnoses
  • Timing and frequency documentation

Frequently Asked Questions

What are the documentation requirements?

Document the ulcer stage, size, location, and any treatment provided.

What are the billing considerations?

Ensure accurate coding based on ulcer stage and associated treatments.