ICD-10-CM Code L97.406

Valid for Submission

L97.406 is a billable code used to specify a medical diagnosis of non-pressure chronic ulcer of unspecified heel and midfoot with bone involvement without evidence of necrosis. The code is valid for the year 2020 for the submission of HIPAA-covered transactions.

Index to Diseases and Injuries

The Index to Diseases and Injuries is an alphabetical listing of medical terms, with each term mapped to one or more ICD-10 code(s). The following references for the code L97.406 are found in the index:

• - Ulcer, ulcerated, ulcerating, ulceration, ulcerative
  • - lower limb (atrophic) (chronic) (neurogenic) (perforating) (pyogenic) (trophic) (tropical) - L97.909
    • - heel - L97.409
      • - with
        • - bone involvement without evidence of necrosis - L97.406
    • - midfoot - L97.409
      • - with
        • - bone involvement without evidence of necrosis - L97.406

Diagnostic Related Groups

The ICD-10 code L97.406 is grouped in the following groups for version MS-DRG V37.0 What are Diagnostic Related Groups?
The Diagnostic Related Groups (DRGs) are a patient classification scheme which provides a means of relating the type of patients a hospital treats. The DRGs divides all possible principal diagnoses into mutually exclusive principal diagnosis areas referred to as Major Diagnostic Categories (MDC). applicable from 10/01/2019 through 09/30/2020.

• 573 - SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC
• 574 - SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC
• 575 - SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC

Replacement Code

L97406 replaces the following previously assigned ICD-10 code(s):

• L97.409 - Non-prs chronic ulcer of unsp heel and midfoot w unsp severt

Convert L97.406 to ICD-9

• 707.14 - Ulcer of heel & midfoot (Approximate Flag)

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)

Code History

• FY 2018 - Code Added, effective from 10/1/2017 through 9/30/2018
• FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
• FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020

Tools

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• Convert L97.406 to ICD-9