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L97.5 ICD-10-CM Code: Non-pressure chronic ulcer of other part of foot

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FY 2026 Apr update / Diseases of the skin and subcutaneous tissue (L00-L99) / Other disorders of the skin and subcutaneous tissue (L80-L99)

L97.5

Header CodeICD-10-CMOfficial ICD-10-CMCodebook guidance

Non-pressure chronic ulcer of other part of foot

Non-pressure chronic ulcer of other part of foot

CMS-HCC V28

0

0

RAF 0

CMS-HCC V24

0

0

RAF 0

ACA/HHS

0

0

RAF 0

ESRD/PACE

0

0

RAF 0

RXHCC

0

0

RAF 0

Code Trumping

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Code Book Path

Official
L97Non-pressure chronic ulcer of lower limb, not elsewhere classified
L97.5Non-pressure chronic ulcer of other part of foot

Inclusion Terms

Official
  • Non-pressure chronic ulcer of toe

Excludes 2

Official
  • pressure ulcer (pressure area) (L89.-)
  • skin infections (L00-L08)
  • specific infections classified to A00-B99

Related Child Codes

Official
L97.50Non-pressure chronic ulcer of other part of unspecified foot
L97.51Non-pressure chronic ulcer of other part of right foot
L97.52Non-pressure chronic ulcer of other part of left foot

Includes

Official
  • chronic ulcer of skin of lower limb NOS
  • non-healing ulcer of skin
  • non-infected sinus of skin
  • trophic ulcer NOS
  • tropical ulcer NOS

Excludes 1

Official

ICD-10-CM does not list Excludes 1 notes for L97.5 in this effective period.

Code First

Official
  • any associated underlying condition, such as:
  • any associated gangrene (I96)
  • atherosclerosis of the lower extremities (I70.23-, I70.24-, I70.33-, I70.34-, I70.43-, I70.44-, I70.53-, I70.54-, I70.63-, I70.64-, I70.73-, I70.74-)
  • chronic venous hypertension (I87.31-, I87.33-)
  • diabetic ulcers (E08.621, E08.622, E09.621, E09.622, E10.621, E10.622, E11.621, E11.622, E13.621, E13.622)

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for L97.5 in this effective period.

Code Also

Official

ICD-10-CM does not list Code Also instructions for L97.5 in this effective period.

Last updated: FY2026 ICD-10-CM Apr update, Apr 1, 2026 through Sep 30, 2026. CMS-HCC V28 is 100% phased in for payment year 2026.

What This Code Means

L97.5 is the ICD-10-CM diagnosis code for non-pressure chronic ulcer of other part of foot. L97.5 sits in the ICD-10-CM chapter for diseases of the skin and subcutaneous tissue (l00-l99), within the section covering other disorders of the skin and subcutaneous tissue (l80-l99).

Header codes like L97.5 cannot be reported on claims directly, they organize child codes that share clinical context but the actual diagnosis must be coded to the highest level of specificity supported by the documentation. Coders should look at L97.5's child codes and select the one that matches the patient's documented presentation, since payers reject header codes submitted as the primary diagnosis. For risk adjustment workflows, header codes never contribute to a Medicare Advantage member's RAF score on their own; only billable child codes that happen to map to a payment HCC affect risk-adjusted plan payments.

HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for L97.5 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Child Codes

Code Hierarchy

More on L97.5

Referenced in blog posts

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