Kennedy Ulcers

Hello! Any input on any alternately compliant way to code Kennedy Ulcers? I know that the coding clinic directs towards the L89 category - Pressure Ulcers. 
Here's a clinical scenario: Provider linked a sacral ulcer to malnutrition, not amenable to malnutrition treatment, now a stage 4 ulcer with exposed bone. Patient not a good flap candidate. 
Any suggestions on how to code/ whether to query?
Thanks! 
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