2021 ICD-10-CM Code L97.4 - Non-pressure chronic ulcer of heel and midfoot

Not Valid for Submission

L97.4 is a "header" nonspecific and non-billable diagnosis code code, consider using a code with a higher level of specificity for a diagnosis of non-pressure chronic ulcer of heel and midfoot. The code is NOT valid for the year 2021 for the submission of HIPAA-covered transactions. Category or Header define the heading of a category of codes that may be further subdivided by the use of 4th, 5th, 6th or 7th characters.

Code Classification

Diseases of the skin and subcutaneous tissue (L00–L99)
- Other disorders of the skin and subcutaneous tissue (L80-L99)
  - Non-pressure chronic ulcer of lower limb, NEC (L97)

Specific Coding for Non-pressure chronic ulcer of heel and midfoot

Header codes like L97.4 require more digits to indicate the appropriate level of specificity. Consider using any of the following ICD-10 codes with a higher level of specificity when coding for non-pressure chronic ulcer of heel and midfoot:

L97.40 - Non-pressure chronic ulcer of unspecified heel and midfoot
L97.401 - Non-pressure chronic ulcer of unspecified heel and midfoot limited to breakdown of skin
L97.402 - Non-pressure chronic ulcer of unspecified heel and midfoot with fat layer exposed
L97.403 - Non-pressure chronic ulcer of unspecified heel and midfoot with necrosis of muscle
L97.404 - Non-pressure chronic ulcer of unspecified heel and midfoot with necrosis of bone
L97.405 - Non-pressure chronic ulcer of unspecified heel and midfoot with muscle involvement without evidence of necrosis
L97.406 - Non-pressure chronic ulcer of unspecified heel and midfoot with bone involvement without evidence of necrosis
L97.408 - Non-pressure chronic ulcer of unspecified heel and midfoot with other specified severity
L97.409 - Non-pressure chronic ulcer of unspecified heel and midfoot with unspecified severity
L97.41 - Non-pressure chronic ulcer of right heel and midfoot
L97.411 - Non-pressure chronic ulcer of right heel and midfoot limited to breakdown of skin
L97.412 - Non-pressure chronic ulcer of right heel and midfoot with fat layer exposed
L97.413 - Non-pressure chronic ulcer of right heel and midfoot with necrosis of muscle
L97.414 - Non-pressure chronic ulcer of right heel and midfoot with necrosis of bone
L97.415 - Non-pressure chronic ulcer of right heel and midfoot with muscle involvement without evidence of necrosis
L97.416 - Non-pressure chronic ulcer of right heel and midfoot with bone involvement without evidence of necrosis
L97.418 - Non-pressure chronic ulcer of right heel and midfoot with other specified severity
L97.419 - Non-pressure chronic ulcer of right heel and midfoot with unspecified severity
L97.42 - Non-pressure chronic ulcer of left heel and midfoot
L97.421 - Non-pressure chronic ulcer of left heel and midfoot limited to breakdown of skin
L97.422 - Non-pressure chronic ulcer of left heel and midfoot with fat layer exposed
L97.423 - Non-pressure chronic ulcer of left heel and midfoot with necrosis of muscle
L97.424 - Non-pressure chronic ulcer of left heel and midfoot with necrosis of bone
L97.425 - Non-pressure chronic ulcer of left heel and midfoot with muscle involvement without evidence of necrosis
L97.426 - Non-pressure chronic ulcer of left heel and midfoot with bone involvement without evidence of necrosis
L97.428 - Non-pressure chronic ulcer of left heel and midfoot with other specified severity
L97.429 - Non-pressure chronic ulcer of left heel and midfoot with unspecified severity

Tabular List of Diseases and Injuries

The Tabular List of Diseases and Injuries is a list of ICD-10 codes, organized "head to toe" into chapters and sections with guidance for inclusions, exclusions, descriptions and more. The following references are applicable to the code L97.4:

Inclusion Terms

Non-pressure chronic ulcer of plantar surface of midfoot

Information for Patients

Skin Conditions

Also called: Cutaneous disorders, Dermatologic disorders

Your skin is your body's largest organ. It covers and protects your body. Your skin

Holds body fluids in, preventing dehydration
Keeps harmful microbes out, preventing infections
Helps you feel things like heat, cold, and pain
Keeps your body temperature even
Makes vitamin D when the sun shines on it

Anything that irritates, clogs, or inflames your skin can cause symptoms such as redness, swelling, burning, and itching. Allergies, irritants, your genetic makeup, and certain diseases and immune system problems can cause rashes, hives, and other skin conditions. Many skin problems, such as acne, also affect your appearance.

NIH: National Institute of Arthritis and Musculoskeletal and Skin Diseases

Acrodermatitis (Medical Encyclopedia)
Cryotherapy (Medical Encyclopedia)
Cutaneous skin tags (Medical Encyclopedia)
Dry skin -- self-care (Medical Encyclopedia)
Erythema multiforme (Medical Encyclopedia)
Granuloma annulare (Medical Encyclopedia)
Keratosis pilaris (Medical Encyclopedia)
Lichen planus (Medical Encyclopedia)
Milia (Medical Encyclopedia)
Sebaceous cyst (Medical Encyclopedia)
Seborrheic keratosis (Medical Encyclopedia)
Skin lesion removal (Medical Encyclopedia)
Skin lesion removal-aftercare (Medical Encyclopedia)
Stasis dermatitis and ulcers (Medical Encyclopedia)

[Learn More]

Code History

FY 2021 - No Change, effective from 10/1/2020 through 9/30/2021
FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020
FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016 (First year ICD-10-CM implemented into the HIPAA code set)

ICD-10:	L97.4
Short Description:	Non-pressure chronic ulcer of heel and midfoot
Long Description:	Non-pressure chronic ulcer of heel and midfoot