ICD-10-CM Billable Code

L97.128

Non-pressure chronic ulcer of left thigh with other specified severity

Clinical Classification Guidelines

Medical Intelligence & Overview

A non-pressure chronic ulcer of the left thigh, classified under ICD-10 code L97.128, is a persistent wound that occurs on the skin of the left thigh without a direct pressure cause. Unlike pressure ulcers, which develop due to prolonged pressure on the skin, this type of ulcer results from other underlying factors such as poor circulation, injuries, or medical conditions that impair healing. Recognizing and understanding this condition is essential for proper assessment and management, ultimately aiming to promote healing and improve quality of life.

Causes & Symptoms

Clinical Causes: Reduced blood flow to the thigh, often due to peripheral arterial disease Diabetes mellitus, which impairs circulation and nerve function Traumatic injuries that do not heal properly Venous insufficiency leading to inadequate blood return Infections that compromise skin integrity Underlying medical conditions, such as vasculitis or certain autoimmune diseases Smoking, which hampers circulation and impairs healing Poor nutrition and deficiencies in vitamins essential for tissue repair

Key Symptoms: Persistent, open sores on the thigh that do not heal over time Surrounding skin may be discolored, swollen, or inflamed Presence ofnecrotic tissue or pus in severe cases Pain or tenderness around the ulcer Increased warmth or redness around the wound Possible foul odor if infection develops Loss of sensation or numbness in the affected area

Diagnostic & Treatment

Diagnosis Path: Diagnosis involves a thorough physical examination by a healthcare professional, focusing on the ulcer's size, depth, and appearance. Additional assessments may include:

Treatment Protocols: Management of a non-pressure chronic ulcer of the left thigh typically involves a multidisciplinary approach aimed at promoting healing, preventing infection, and addressing underlying causes. Common strategies include:

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.

Clinical Advice & FAQs

Billing Guidance

Is L97.128 a billable ICD-10 code?
Yes, L97.128 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.

Documentation

How do I report L97.128?
Clinical documentation must specify the nature of Non-pressure chronic ulcer of left thigh with other specified severity and any associated comorbidities for accurate reporting.

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