L97
L97: Non-pressure chronic ulcer of lower limb, not elsewhere classified
Non-billable headerICD-10-CM
L97 is a non-billable header ICD-10-CM code for non-pressure chronic ulcer of lower limb, not elsewhere classified. It cannot be billed on its own: choose one of the more specific child codes below.
Excludes2: not included here, but may coexist
The excluded condition is not part of this code, but a patient can have both. You may code both.
Code first
The underlying condition must be sequenced before this code.
- any associated underlying condition, such as:
- any associated gangrene (I96)
- atherosclerosis of the lower extremities (I70.23-, I70.24-, I70.33-, I70.34-, I70.43-, I70.44-, I70.53-, I70.54-, I70.63-, I70.64-, I70.73-, I70.74-)
- chronic venous hypertension (I87.31-, I87.33-)
- diabetic ulcers (E08.621, E08.622, E09.621, E09.622, E10.621, E10.622, E11.621, E11.622, E13.621, E13.622)
- postphlebitic syndrome (I87.01-, I87.03-)
- postthrombotic syndrome (I87.01-, I87.03-)
- varicose ulcer (I83.0-, I83.2-)
Includes
Conditions this code covers.
- chronic ulcer of skin of lower limb NOS
- non-healing ulcer of skin
- non-infected sinus of skin
- trophic ulcer NOS
- tropical ulcer NOS
- ulcer of skin of lower limb NOS
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Code history
Unchanged in every release from FY2024 to FY2027.
Code to one of these instead L97
7 child codes. Green means billable.
- L97.1Non-pressure chronic ulcer of thigh
- L97.2Non-pressure chronic ulcer of calf
- L97.3Non-pressure chronic ulcer of ankle
- L97.4Non-pressure chronic ulcer of heel and midfoot
- L97.5Non-pressure chronic ulcer of other part of foot
- L97.8Non-pressure chronic ulcer of other part of lower leg
- L97.9Non-pressure chronic ulcer of unspecified part of lower leg