ICD-10-CM Billable Code

L97.116

Non-pressure chronic ulcer of right thigh with bone involvement without evidence of necrosis

Clinical Classification Guidelines

Medical Intelligence & Overview

ICD-10 code L97.116 refers to a specific type of chronic skin ulcer located on the right thigh. This ulcer is characterized by a long-standing wound that involves the underlying bone but does not show signs of tissue necrosis, or tissue death. Such ulcers are often linked to underlying health issues and require careful management to promote healing and prevent complications.

Causes & Symptoms

Clinical Causes: Poor circulation or blood flow to the thigh area Diabetes mellitus leading to impaired wound healing Chronic venous insufficiency Trauma or injury to the thigh Peripheral arterial disease Repeated pressure or sustained injury (not classified as pressure ulcers)

Key Symptoms: Persistent, open sore or wound on the right thigh Swelling or inflammation around the ulcer Pain or tenderness in the affected area Possible lokalized warmth or redness indicating inflammation Discharge or oozing from the ulcer Absence of tissue necrosis, despite bone involvement Crusting or scabbing over parts of the wound

Diagnostic & Treatment

Diagnosis Path: Diagnosis involves a thorough clinical examination, including assessment of the wound's size, depth, and involvement of underlying tissues and bone. Healthcare providers may perform imaging tests, such as X-rays, to evaluate bone involvement. Wound cultures might be taken to detect infections. Blood tests can help identify underlying conditions like diabetes or circulatory issues that contribute to ulcer development.

Treatment Protocols: Managing this type of ulcer generally includes multiple approaches aimed at promoting healing and preventing infection. Treatment strategies may 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 L97.116 a billable ICD-10 code?
Yes, L97.116 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.

Documentation

How do I report L97.116?
Clinical documentation must specify the nature of Non-pressure chronic ulcer of right thigh with bone involvement without evidence of necrosis and any associated comorbidities for accurate reporting.

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