L97.9 ICD-10-CM Code: Non-pressure chronic ulcer of unspecified part of lower leg
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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)
L97.9
Header CodeICD-10-CMOfficial ICD-10-CMCodebook guidanceNon-pressure chronic ulcer of unspecified part of lower leg
Non-pressure chronic ulcer of unspecified part of lower leg
CMS-HCC V28
00
RAF 0
CMS-HCC V24
00
RAF 0
ACA/HHS
00
RAF 0
ESRD/PACE
00
RAF 0
RXHCC
00
RAF 0
Code Trumping
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Code Book Path
Inclusion Terms
OfficialICD-10-CM does not list inclusion terms for L97.9 in this effective period.
Excludes 2
Official- pressure ulcer (pressure area) (L89.-)
- skin infections (L00-L08)
- specific infections classified to A00-B99
Related Child Codes
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
OfficialICD-10-CM does not list Excludes 1 notes for L97.9 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
OfficialICD-10-CM does not list Use Additional Code instructions for L97.9 in this effective period.
Code Also
OfficialICD-10-CM does not list Code Also instructions for L97.9 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
L97.9 is the ICD-10-CM diagnosis code for non-pressure chronic ulcer of unspecified part of lower leg. L97.9 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 L97.9 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 L97.9'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 L97.9 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.