Is L97.119 a billable ICD-10-CM code?

Yes. L97.119 is a billable, specific ICD-10-CM code and is valid for submission on a claim.

Where does L97.119 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).

L97.119

L97.119 — Non-pressure chronic ulcer of right thigh with unspecified severity

Billable / specific codeICD-10-CMright

L97.119 is a billable, specific ICD-10-CM code for non-pressure chronic ulcer of right thigh with unspecified severity. It is valid for submission on a claim.

Risk adjustment

L97.119 risk-adjusts. Under the CMS-HCC V28 model it maps to this category:

HCC 383 Chronic Ulcer of Skin, Except Pressure, Not Specified as Through to Bone or Muscle0.646 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.

Medicare coverage

L97.119 is named in 3 Medicare coverage policies — 3 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.

A52993Billing and Coding: Peripheral Venous Ultrasound
A56758Billing and Coding: Non-Invasive Vascular Studies
A57125Billing and Coding: Peripheral Venous Ultrasound

How L97.119 is indexed

Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to L97.119.

Ulcer, ulcerated, ulcerating, ulceration, ulcerative›lower limb›thigh›right

Related codes at this level

Codes that share L97.11. If L97.119 is not quite right, the correct code is usually one of these.

Questions about L97.119

Is L97.119 a billable ICD-10-CM code?: Yes. L97.119 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does L97.119 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).