Is L97.1 a billable ICD-10-CM code?

No. L97.1 is a non-billable header code. Code to a higher level of specificity using one of its child codes.

Where does L97.1 sit in the tabular list?

Diseases of the skin and subcutaneous tissue (L00-L99), in the block Other disorders of the skin and subcutaneous tissue (L80-L99).

L97.1

L97.1 — Non-pressure chronic ulcer of thigh

Non-billable headerICD-10-CM

L97.1 is a non-billable header ICD-10-CM code for non-pressure chronic ulcer of thigh. It cannot be billed on its own: choose one of the more specific child codes below.

Risk adjustment

L97.1 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.

Code to one of these instead L97.1

3 child codes. Green means billable.

L97.10Non-pressure chronic ulcer of unspecified thigh
L97.11Non-pressure chronic ulcer of right thigh
L97.12Non-pressure chronic ulcer of left thigh

Related codes at this level

Codes that share L97. If L97.1 is not quite right, the correct code is usually one of these.

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

Questions about L97.1

Is L97.1 a billable ICD-10-CM code?: No. L97.1 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
Where does L97.1 sit in the tabular list?: Diseases of the skin and subcutaneous tissue (L00-L99), in the block Other disorders of the skin and subcutaneous tissue (L80-L99).