ICD-10-CM Billable Code

L97.112

Non-pressure chronic ulcer of right thigh with fat layer exposed

Clinical Classification Guidelines

Medical Intelligence & Overview

A non-pressure chronic ulcer of the right thigh with exposed fat layer is a long-lasting wound that develops on the skin of the upper leg. Unlike pressure ulcers, which occur due to prolonged pressure on the skin, these ulcers often result from other factors such as circulation problems, trauma, or underlying health conditions. Recognizing the signs and understanding the nature of this condition is essential for proper management and recovery.

Causes & Symptoms

Clinical Causes: Poor blood circulation, leading to inadequate healing Trauma or injury to the thigh area Underlying conditions such as diabetes or peripheral vascular disease Repeated friction or skin irritation Infections that compromise skin integrity Certain medications that impair healing

Key Symptoms: A persistent sore or wound on the right thigh that does not heal Presence of exposed fat tissue beneath the skin at the ulcer site Swelling, redness, or warmth around the wound Pain or tenderness in the affected area Possible foul odor or discharge if infection develops Skin discoloration or changes in texture surrounding the ulcer

Diagnostic & Treatment

Diagnosis Path: Diagnosis typically involves a physical examination of the wound, assessment of the surrounding skin, and review of the patient’s medical history. Healthcare providers may perform tests such as blood circulation assessments, imaging studies like X-rays to check for underlying bone involvement, or wound cultures to identify infection. The exposure of fat tissue is a key feature that distinguishes this ulcer from superficial skin conditions and indicates the severity of tissue damage.

Treatment Protocols: Effective management may include the following approaches:

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 L97.112 a billable ICD-10 code?
Yes, L97.112 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.

Documentation

How do I report L97.112?
Clinical documentation must specify the nature of Non-pressure chronic ulcer of right thigh with fat layer exposed and any associated comorbidities for accurate reporting.

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