Non-pressure chronic ulcer of unspecified heel and midfoot

Not billableICD-10-CM diagnosis code.

This code exists but cannot be submitted on its own. It groups the more specific codes beneath it.

A category header for its whole life, FY2016 onwards. It has never been valid for submission on its own.

Submit one of these 8 more specific codes instead:

L97.401 Non-pressure chronic ulcer of unspecified heel and midfoot limited to breakdown of skin
L97.402 Non-pressure chronic ulcer of unspecified heel and midfoot with fat layer exposed
L97.403 Non-pressure chronic ulcer of unspecified heel and midfoot with necrosis of muscle
L97.404 Non-pressure chronic ulcer of unspecified heel and midfoot with necrosis of bone
L97.405 Non-pressure chronic ulcer of unspecified heel and midfoot with muscle involvement without evidence of necrosis
L97.406 Non-pressure chronic ulcer of unspecified heel and midfoot with bone involvement without evidence of necrosis
L97.408 Non-pressure chronic ulcer of unspecified heel and midfoot with other specified severity
L97.409 Non-pressure chronic ulcer of unspecified heel and midfoot with unspecified severity

What has happened to this code

Every change the publisher made, from 2012 to now. Entries marked draft are from the pre-implementation releases: ICD-10 took effect on 1 October 2015, so nothing before FY2016 was ever valid on a claim.

FY2012 Added to the draft code set draft Non-pressure chronic ulcer of unspecified heel and midfoot

Official coding rules

Published by CDC for FY2027. A rule attached to a category binds every code beneath it, so the rules inherited from this code's ancestors are shown with the code they come from.

Inherited from L97 Non-pressure chronic ulcer of lower limb, not elsewhere classified

Excludes2 - not included here

pressure ulcer (pressure area) (L89.-)
skin infections (L00-L08)
specific infections classified to A00-B99

Code first

any associated underlying condition, such as:
any associated gangrene (I96)
atherosclerosis of the lower extremities (I70.23-, I70.24-, I70.33-, I70.34-, I70.43-, I70.44-, I70.53-, I70.54-, I70.63-, I70.64-, I70.73-, I70.74-)
chronic venous hypertension (I87.31-, I87.33-)
diabetic ulcers (E08.621, E08.622, E09.621, E09.622, E10.621, E10.622, E11.621, E11.622, E13.621, E13.622)
postphlebitic syndrome (I87.01-, I87.03-)
postthrombotic syndrome (I87.01-, I87.03-)
varicose ulcer (I83.0-, I83.2-)

Includes

chronic ulcer of skin of lower limb NOS
non-healing ulcer of skin
non-infected sinus of skin
trophic ulcer NOS
tropical ulcer NOS
ulcer of skin of lower limb NOS

Codes in the same group

Code	Description	Status
L97.41	Non-pressure chronic ulcer of right heel and midfoot	Not billable
L97.42	Non-pressure chronic ulcer of left heel and midfoot	Not billable