L97.118

Billable

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

HCC Category Mapping

V28HCC 383 — Diabetic Skin Ulcer and Severe Skin Conditions

0.517

V24HCC 161 — Chronic Ulcer of Skin, Except Pressure

0.426

ESRDHCC 161 — Chronic Ulcer of Skin, Except Pressure

0.000

RxHCCHCC 311 — Diabetic and Chronic Skin Ulcer

0.000

What This Code Means

A long-lasting open sore on the right thigh that is not caused by pressure, with a severity level that doesn't fit the standard categories.

Coding Tips

•Use this code only when the ulcer severity is documented but doesn't match L97.111-L97.116 categories
•Include detailed documentation of the specific severity characteristics in the medical record

Clinical Significance

A non-pressure chronic ulcer of the right thigh with other specified severity captures non-healing wounds where the depth is either atypical or not fully characterized. These codes should prompt providers to better document wound depth for more specific coding. Under V28, this maps to HCC 383 (Severe Skin Burn or Condition) with a RAF of 0.517, and under V24 to HCC 161 (Chronic Ulcer of Skin, Except Pressure) with a RAF of 0.426.

Documentation Requirements

✓Exact anatomical location with laterality (right, left, or bilateral thigh)
✓Etiology of the ulcer (venous insufficiency, peripheral arterial disease, neuropathic, post-traumatic)
✓Wound dimensions: length x width x depth in centimeters
✓Wound bed description and depth of tissue involvement
✓Reason severity is 'other specified' — describe the unique characteristics if applicable
✓Chronicity documentation with duration of wound
✓Current wound care plan
✓Vascular assessment results if applicable
✓Contributing comorbidities (diabetes mellitus, peripheral vascular disease)

Commonly Confused Codes

L97.128 — Non-pressure chronic ulcer of left thigh, same severity; verify correct laterality L97.108 — Non-pressure chronic ulcer of unspecified thigh; use right-specific code when laterality is documented L97.112 — Same site with different severity; ensure the correct depth/involvement is coded L89.xxx — Pressure ulcers have different etiology (sustained pressure) and map to different HCC categories

Code Hierarchy

└L97Non-pressure chronic ulcer of lower limb, not elsewhere classified └L97.1Non-pressure chronic ulcer of thigh └L97.11Non-pressure chronic ulcer of right thigh └L97.118Non-pressure chronic ulcer of right thigh with other specified severity

└L97.118Non-pressure chronic ulcer of right thigh with other specified severity