L97.129
L97.129: Non-pressure chronic ulcer of left thigh with unspecified severity
Billable / specific codeICD-10-CMleft
L97.129 is a billable, specific ICD-10-CM code for non-pressure chronic ulcer of left thigh with unspecified severity. It is valid for submission on a claim.
Check L97.129 with the rest of the claim: free scrubberExcludes2 inherited from the categories above L97.129
Not part of this code, but both may be coded when both are present.
Risk adjustment
L97.129 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. Look up the whole chart to see which of its HCCs the hierarchy would zero.
Medicare coverage
L97.129 is named in 3 Medicare coverage policies: 3 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A52993Billing and Coding: Peripheral Venous Ultrasound
- A56758Billing and Coding: Non-Invasive Vascular Studies
- A57125Billing and Coding: Peripheral Venous Ultrasound
Alphabetic index entries that lead here
- Ulcer, ulcerated, ulcerating, ulceration, ulcerative›lower limb›thigh›left
Code history
Unchanged in every release from FY2024 to FY2027.
Other codes under L97.12
- L97.121Non-pressure chronic ulcer of left thigh limited to breakdown of skin
- L97.122Non-pressure chronic ulcer of left thigh with fat layer exposed
- L97.123Non-pressure chronic ulcer of left thigh with necrosis of muscle
- L97.124Non-pressure chronic ulcer of left thigh with necrosis of bone
- L97.125Non-pressure chronic ulcer of left thigh with muscle involvement without evidence of necrosis
- L97.126Non-pressure chronic ulcer of left thigh with bone involvement without evidence of necrosis
- L97.128Non-pressure chronic ulcer of left thigh with other specified severity