ICD-10-CM Billable Code

L97.11

Non-pressure chronic ulcer of right thigh

Clinical Classification Guidelines

Medical Intelligence & Overview

A non-pressure chronic ulcer of the right thigh is a long-lasting wound that does not occur due to pressure, typically on the skin surface over the thigh. Unlike pressure ulcers, which develop from prolonged pressure on the skin, these ulcers result from other underlying conditions like poor circulation or injury. Recognizing and addressing this type of ulcer is important to prevent complications and promote healing. This guide provides a comprehensive overview to help patients understand the basics of this condition.

Causes & Symptoms

Clinical Causes: Poor blood circulation due to peripheral vascular disease Diabetes mellitus leading to neuropathy and impaired wound healing Trauma or injury to the thigh area Venous insufficiency causing venous hypertension Infections weakening the skin and underlying tissues Underlying skin conditions or tumors Inadequate nutrition impairing tissue repair

Key Symptoms: Open sore or wound on the thigh that persists over time Swelling or redness around the ulcer Pain or tenderness in the affected area Darkened or discolored skin around the wound Loss of skin tissue or dead tissue (necrosis) Possible presence of pus or foul smell if infected Limited mobility or discomfort during movement

Diagnostic & Treatment

Diagnosis Path: Diagnosis involves a thorough medical examination by a healthcare provider, who will evaluate the size, depth, and appearance of the ulcer. Additional assessments may include:

Treatment Protocols: Treatment strategies focus on promoting wound healing, preventing infection, and addressing underlying causes. Typical approaches 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 L97.11 a billable ICD-10 code?
Yes, L97.11 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.

Documentation

How do I report L97.11?
Clinical documentation must specify the nature of Non-pressure chronic ulcer of right thigh and any associated comorbidities for accurate reporting.

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