Pressure ulcer of sacral region, unspecified stage

This code identifies a pressure injury located on the sacrum where the specific stage of the ulceration has not been documented by the provider. It indicates tissue damage resulting from sustained pressure, typically over a bony prominence, affecting the sacral area.

Use this code when documentation clearly states a pressure ulcer of the sacral region but does not specify the stage (e.g., "sacral pressure ulcer," "decubitus ulcer of sacrum"). This code is appropriate when the provider has not yet determined or recorded the depth of tissue involvement.

• Always query the provider for the specific stage of the pressure ulcer if not documented, as more specific codes exist.
• Do not use this code if any stage (e.g., Stage 1, Stage 2, unstageable) is documented; select the appropriate staged code.
• Sequence this code after any underlying condition or cause, if applicable, such as immobility or malnutrition.