L97.104
L97.104: Non-pressure chronic ulcer of unspecified thigh with necrosis of bone
Billable / specific codeICD-10-CM
L97.104 is a billable, specific ICD-10-CM code for non-pressure chronic ulcer of unspecified thigh with necrosis of bone. It is valid for submission on a claim.
Check L97.104 with the rest of the claim: free scrubberExcludes2 inherited from the categories above L97.104
Not part of this code, but both may be coded when both are present.
Risk adjustment
L97.104 risk-adjusts. Under the CMS-HCC V28 model it maps to this category:
- HCC 380 Chronic Ulcer of Skin, Except Pressure, Through to Bone or Muscle1.078 RAF
Coefficient shown for the Community Non-dual Aged segment. A higher HCC in the same hierarchy will suppress this one, so capturing it does not always add score. Look up the whole chart to see which of its HCCs the hierarchy would zero.
Alphabetic index entries that lead here
- Ulcer, ulcerated, ulcerating, ulceration, ulcerative›lower limb›thigh›with›bone necrosis
Code history
Unchanged in every release from FY2024 to FY2027.
Other codes under L97.10
- L97.101Non-pressure chronic ulcer of unspecified thigh limited to breakdown of skin
- L97.102Non-pressure chronic ulcer of unspecified thigh with fat layer exposed
- L97.103Non-pressure chronic ulcer of unspecified thigh with necrosis of muscle
- L97.105Non-pressure chronic ulcer of unspecified thigh with muscle involvement without evidence of necrosis
- L97.106Non-pressure chronic ulcer of unspecified thigh with bone involvement without evidence of necrosis
- L97.108Non-pressure chronic ulcer of unspecified thigh with other specified severity
- L97.109Non-pressure chronic ulcer of unspecified thigh with unspecified severity