ICD-10-CM Billable Code

L97.111

Non-pressure chronic ulcer of right thigh limited to breakdown of skin

Clinical Classification Guidelines

Medical Intelligence & Overview

ICD-10 code L97.111 describes a non-pressure chronic ulcer located on the right thigh, characterized by a breakdown of the skin. This condition typically develops over time due to a variety of underlying factors, resulting in a persistent open sore or wound that needs proper management and care. Chronic ulcers can significantly impact quality of life, emphasizing the importance of understanding their causes, symptoms, and treatment options.

Causes & Symptoms

Clinical Causes: Poor circulation or blood flow issues, such as peripheral arterial disease Diabetes mellitus leading to diabetic ulcers Trauma or injury that doesn’t heal properly Venous insufficiency or varicose veins Nerve damage resulting in reduced sensation Infections that impair wound healing Immobility or reduced mobility due to health conditions

Key Symptoms: Persistent open sore or wound on the right thigh Broken or discolored skin around the ulcer Swelling or puffiness near the ulcer site Pain or tenderness, especially if infection develops Discharge or pus from the wound Necrosis or dead tissue in the wound area Difficulty in healing or recurrent ulcer formation

Diagnostic & Treatment

Diagnosis Path: Diagnosing a non-pressure chronic ulcer involves a comprehensive medical evaluation. Healthcare providers will examine the ulcer and assess its size, depth, and appearance. Diagnostic tests such as blood work, Doppler ultrasound, or wound cultures may be performed to identify underlying issues like infection, blood flow problems, or systemic conditions like diabetes. Imaging may also be used to evaluate the extent of tissue damage or the presence of underlying bone involvement.

Treatment Protocols: Managing a non-pressure chronic ulcer typically requires an integrated approach involving several strategies:

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 L97.111 a billable ICD-10 code?
Yes, L97.111 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.

Documentation

How do I report L97.111?
Clinical documentation must specify the nature of Non-pressure chronic ulcer of right thigh limited to breakdown of skin and any associated comorbidities for accurate reporting.

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