L97.928
BillableNon-pressure chronic ulcer of unspecified part of left lower leg with other specified severity
HCC Category Mapping
V28HCC 383 — Diabetic Skin Ulcer and Severe Skin Conditions
0.517V24HCC 161 — Chronic Ulcer of Skin, Except Pressure
0.426ESRDHCC 161 — Chronic Ulcer of Skin, Except Pressure
0.000RxHCCHCC 311 — Diabetic and Chronic Skin Ulcer
0.000What This Code Means
A chronic open sore on the left lower leg that is not caused by pressure, with a severity level that is specified but does not fit other categories.
Coding Tips
- •Use this code only when severity is documented but does not match standard categories
- •Document the specific severity characteristics in the medical record
Clinical Significance
This code captures non-pressure chronic ulcers of the left lower leg with severity characteristics that do not fit standard depth-based categories. This may include unusual wound characteristics such as tunneling, undermining, or mixed-depth presentations. Proper documentation and coding ensure appropriate risk adjustment and reflect the true complexity of wound management.
Documentation Requirements
- ✓Provider documentation of the ulcer as chronic (present for extended duration, not acute)
- ✓Anatomical location clearly specified as left lower leg
- ✓Confirmation that the ulcer is non-pressure in etiology (e.g., venous, arterial, inflammatory, or other documented cause)
- ✓Description of wound bed characteristics and tissue involvement depth
- ✓Detailed description of the specific severity characteristics that differentiate this from standard categories
- ✓Wound measurements (length, width, depth) and assessment of wound edges and surrounding tissue
- ✓Current treatment plan including wound care interventions
Commonly Confused Codes
L89.x — Pressure ulcer codes; use when ulcer is caused by sustained pressure (decubitus), not for non-pressure chronic ulcersL97.921 — Non-pressure chronic ulcer of left lower leg limited to skin breakdown; differs by severity levelL97.922 — Non-pressure chronic ulcer of left lower leg with fat layer exposed; different depth of tissue involvementL97.91x — Non-pressure chronic ulcer of right lower leg; differs by laterality (right vs. left)
Code Hierarchy
└L97Non-pressure chronic ulcer of lower limb, not elsewhere classified└L97.9Non-pressure chronic ulcer of unspecified part of lower leg└L97.92Non-pressure chronic ulcer of unspecified part of left lower leg└L97.928Non-pressure chronic ulcer of unspecified part of left lower leg with other specified severity
└L97.928Non-pressure chronic ulcer of unspecified part of left lower leg with other specified severity