L98.498

Billable

Non-pressure chronic ulcer of skin of other sites 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 chronic non-pressure wound on the skin with a severity level that doesn't fit the other specified categories.

Coding Tips

•Use this code only when the ulcer severity is documented but doesn't match L98.492-L98.496
•Document the specific characteristics that make this ulcer unique in the medical record

Clinical Significance

This code captures non-pressure chronic ulcers of the other sites 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 other sites
✓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; must differentiate by etiology (pressure vs. non-pressure)L98.41x — Non-pressure chronic ulcer of buttock; use when buttock is the documented site L98.42x — Non-pressure chronic ulcer of back; use when back is the documented site L97.x — Non-pressure chronic ulcer of lower leg; use when lower extremity is the documented site

Code Hierarchy

└L98Other disorders of skin and subcutaneous tissue, not elsewhere classified └L98.4Non-pressure chronic ulcer of skin, not elsewhere classified └L98.49Non-pressure chronic ulcer of skin of other sites └L98.498Non-pressure chronic ulcer of skin of other sites with other specified severity

└L98.498Non-pressure chronic ulcer of skin of other sites with other specified severity