Pressure ulcer of sacral region, stage 3

This code represents a pressure injury located on the sacrum that has progressed to Stage 3. At this stage, there is full-thickness skin loss involving damage or necrosis of subcutaneous tissue, which may extend down to, but not through, underlying fascia. Bone, tendon, or muscle are not yet exposed.

Use this code when documentation clearly indicates a pressure ulcer on the sacral region with full-thickness skin loss and visible subcutaneous fat, but without exposed bone, tendon, or muscle. This code is appropriate for both hospital and outpatient settings when managing or treating such a wound.

• Ensure documentation specifies "sacral region" and "stage 3" for accurate code assignment.
• Do not use this code if bone, tendon, or muscle is exposed; a higher stage code would be appropriate.
• Always sequence this code as a primary or secondary diagnosis based on the encounter's focus of care.