L97.912 — Non-pressure chronic ulcer of unspecified part of right lower leg with fat layer exposed
L97.912 is a billable, specific ICD-10-CM code for non-pressure chronic ulcer of unspecified part of right lower leg with fat layer exposed. It is valid for submission on a claim.
Risk adjustment
L97.912 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
L97.912 is named in 7 Medicare coverage policies — 7 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A53057Billing and Coding: Home Health Occupational Therapy
- A53064Billing and Coding: Outpatient Occupational Therapy
- A56459Billing and Coding: Debridement Services
- A56697Billing and Coding: Non-Invasive Vascular Studies
How L97.912 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 L97.912.
- Ulcer, ulcerated, ulcerating, ulceration, ulcerative›lower limb›right›with›exposed fat layer
- Ulcer, ulcerated, ulcerating, ulceration, ulcerative›lower limb›lower leg NOS›right›with›exposed fat layer
Related codes at this level
Codes that share L97.91. If L97.912 is not quite right, the correct code is usually one of these.
- L97.911Non-pressure chronic ulcer of unspecified part of right lower leg limited to breakdown of skin
- L97.913Non-pressure chronic ulcer of unspecified part of right lower leg with necrosis of muscle
- L97.914Non-pressure chronic ulcer of unspecified part of right lower leg with necrosis of bone
- L97.915Non-pressure chronic ulcer of unspecified part of right lower leg with muscle involvement without evidence of necrosis
- L97.916Non-pressure chronic ulcer of unspecified part of right lower leg with bone involvement without evidence of necrosis
- L97.918Non-pressure chronic ulcer of unspecified part of right lower leg with other specified severity
- L97.919Non-pressure chronic ulcer of unspecified part of right lower leg with unspecified severity
Questions about L97.912
- Is L97.912 a billable ICD-10-CM code?
- Yes. L97.912 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does L97.912 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).