L97.812

Billable

Non-pressure chronic ulcer of other part of right lower leg with fat layer exposed

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 wound on the right lower leg (not from pressure) where the fatty tissue layer underneath the skin is exposed.

Coding Tips

•This code requires documentation of the specific location (other part of right lower leg) and severity level (fat layer exposed)
•Ensure the ulcer is documented as non-pressure related; if pressure is involved, use L89 series instead

Clinical Significance

This non-pressure chronic ulcer on the other part of right lower leg with exposed subcutaneous fat indicates moderate tissue destruction that has penetrated beyond the dermis, signaling worsening wound status and increased infection risk. Chronic non-pressure ulcers are significant for risk adjustment because they indicate ongoing complex wound management needs, increased healthcare utilization, and often reflect underlying systemic conditions such as peripheral vascular disease, diabetes mellitus, or venous insufficiency. Accurate severity coding directly impacts care planning, specialist referral decisions, and appropriate resource allocation for wound care services.

Documentation Requirements

✓Confirmation that the ulcer is chronic (present for extended duration, not acute)
✓Documentation that the ulcer is NOT caused by pressure (non-pressure etiology)
✓Specific anatomical site of the ulcer on the other part of right lower leg
✓Laterality documented as right side
✓Wound assessment documenting exposed subcutaneous fat layer
✓Confirmation that deeper structures (muscle, bone) are not involved
✓Underlying etiology or contributing conditions (e.g., venous insufficiency, arterial disease, diabetes mellitus, neuropathy)
✓Current wound measurements (length, width, depth) and wound bed description
✓Current treatment plan and wound care management

Commonly Confused Codes

L97.822 — Left lower leg equivalent; confirm laterality before coding L97.811 — skin breakdown only — less severe, does not reach fat layer L97.815 — muscle involvement without necrosis — deeper than fat layer L89.xxx — Pressure ulcer codes; L97 is specifically for NON-pressure chronic ulcers L97.5xx — Foot ulcer codes; verify whether the ulcer is on the leg or foot

Code Hierarchy

└L97Non-pressure chronic ulcer of lower limb, not elsewhere classified └L97.8Non-pressure chronic ulcer of other part of lower leg └L97.81Non-pressure chronic ulcer of other part of right lower leg └L97.812Non-pressure chronic ulcer of other part of right lower leg with fat layer exposed

└L97.812Non-pressure chronic ulcer of other part of right lower leg with fat layer exposed