Pressure-induced deep tissue damage of sacral region

This code signifies a severe form of pressure injury affecting the sacrum, characterized by persistent non-blanchable deep red, maroon, or purple discoloration, or epidermal separation revealing a dark wound bed or blood-filled blister. It indicates damage to the underlying soft tissue from pressure and/or shear, where the full extent of the injury is not visible at the skin surface.

Assign this code when documentation explicitly states "deep tissue injury," "DTI," or "suspected deep tissue injury" of the sacral region due to pressure. This diagnosis is typically made when the skin is intact but discolored, or when a blood-filled blister is present, indicating damage to deeper tissues.

• Do not use this code if the wound has progressed to an open ulcer; instead, code the appropriate stage of pressure ulcer.
• Ensure documentation clearly specifies the sacral region as the anatomical site of the deep tissue injury.
• This code represents the initial presentation of deep tissue injury; subsequent encounters for the same injury should still use this code unless the injury progresses to an open ulcer.