L97.426 - Non-pressure chronic ulcer of left heel and midfoot with bone involvement without evidence of necrosis

Version 2023

ICD-10:	L97.426
Short Description:	Non-prs chr ulc of l heel/midft w bne invl w/o evd of necr
Long Description:	Non-pressure chronic ulcer of left heel and midfoot with bone involvement without evidence of necrosis
Status:	Valid for Submission
Version:	ICD-10-CM 2023
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)

1. Tabular List of Diseases and Injuries
2. Index to Diseases and Injuries References
3. Diagnostic Related Groups - MS-DRG Mapping
4. Replacement Code
5. Convert to ICD-9 Code
6. Patient Education
7. Related Codes Browser
8. Code History

L97.426 is a billable ICD-10 code used to specify a medical diagnosis of non-pressure chronic ulcer of left heel and midfoot with bone involvement without evidence of necrosis. The code is valid during the fiscal year 2023 from October 01, 2022 through September 30, 2023 for the submission of HIPAA-covered transactions.

Index to Diseases and Injuries References

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 this diagnosis code are found in the injuries and diseases index:

- Ulcer, ulcerated, ulcerating, ulceration, ulcerative
- - lower limb (atrophic) (chronic) (neurogenic) (perforating) (pyogenic) (trophic) (tropical) - L97.909
  - - heel - L97.409
    - - left - L97.429
      - - with
        - bone involvement without evidence of necrosis - L97.426
  - - midfoot - L97.409
    - - left - L97.429
      - - with
        - bone involvement without evidence of necrosis - L97.426

Diagnostic Related Groups - MS-DRG Mapping

The is diagnosis code is grouped in the following groups for version MS-DRG V40.0 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 10/01/2022 through 09/30/2023.

MS-DRG	MS-DRG Title	MCD	Relative Weight
573	SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC	09	5.8705
574	SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC	09	3.6046
575	SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC	09	2.0496

The relative weight of a diagnostic related group determines the reimbursement rate based on the severity of a patient's illness and the associated cost of care during hospitalization.

Replacement Code

L97426 replaces the following previously assigned ICD-10 code(s):

L97.429 - Non-prs chronic ulcer of left heel and midfoot w unsp severt

Convert to ICD-9 Code

Source ICD-10 Code		Target ICD-9 Code
L97.426		707.14 - Ulcer of heel & midfoot
Approximate Flag - The approximate mapping means there is not an exact match between the ICD-10 and ICD-9 codes and the mapped code is not a precise representation of the original code.

Related Codes Browser

ICD Code	Description	Valid for Submission
L97	Non-pressure chronic ulcer of lower limb, not elsewhere classified	NON-BILLABLE CODE
L97.1	Non-pressure chronic ulcer of thigh	NON-BILLABLE CODE
L97.10	Non-pressure chronic ulcer of unspecified thigh	NON-BILLABLE CODE
L97.101	Non-pressure chronic ulcer of unspecified thigh limited to breakdown of skin	BILLABLE CODE
L97.102	Non-pressure chronic ulcer of unspecified thigh with fat layer exposed	BILLABLE CODE
L97.103	Non-pressure chronic ulcer of unspecified thigh with necrosis of muscle	BILLABLE CODE
L97.104	Non-pressure chronic ulcer of unspecified thigh with necrosis of bone	BILLABLE CODE
L97.105	Non-pressure chronic ulcer of unspecified thigh with muscle involvement without evidence of necrosis	BILLABLE CODE
L97.106	Non-pressure chronic ulcer of unspecified thigh with bone involvement without evidence of necrosis	BILLABLE CODE
L97.108	Non-pressure chronic ulcer of unspecified thigh with other specified severity	BILLABLE CODE
L97.109	Non-pressure chronic ulcer of unspecified thigh with unspecified severity	BILLABLE CODE
L97.11	Non-pressure chronic ulcer of right thigh	NON-BILLABLE CODE
L97.111	Non-pressure chronic ulcer of right thigh limited to breakdown of skin	BILLABLE CODE
L97.112	Non-pressure chronic ulcer of right thigh with fat layer exposed	BILLABLE CODE
L97.113	Non-pressure chronic ulcer of right thigh with necrosis of muscle	BILLABLE CODE
L97.114	Non-pressure chronic ulcer of right thigh with necrosis of bone	BILLABLE CODE
L97.115	Non-pressure chronic ulcer of right thigh with muscle involvement without evidence of necrosis	BILLABLE CODE
L97.116	Non-pressure chronic ulcer of right thigh with bone involvement without evidence of necrosis	BILLABLE CODE
L97.118	Non-pressure chronic ulcer of right thigh with other specified severity	BILLABLE CODE
L97.119	Non-pressure chronic ulcer of right thigh with unspecified severity	BILLABLE CODE
L97.12	Non-pressure chronic ulcer of left thigh	NON-BILLABLE CODE
L97.121	Non-pressure chronic ulcer of left thigh limited to breakdown of skin	BILLABLE CODE
L97.122	Non-pressure chronic ulcer of left thigh with fat layer exposed	BILLABLE CODE
L97.123	Non-pressure chronic ulcer of left thigh with necrosis of muscle	BILLABLE CODE
L97.124	Non-pressure chronic ulcer of left thigh with necrosis of bone	BILLABLE CODE
L97.125	Non-pressure chronic ulcer of left thigh with muscle involvement without evidence of necrosis	BILLABLE CODE
L97.126	Non-pressure chronic ulcer of left thigh with bone involvement without evidence of necrosis	BILLABLE CODE
L97.128	Non-pressure chronic ulcer of left thigh with other specified severity	BILLABLE CODE
L97.129	Non-pressure chronic ulcer of left thigh with unspecified severity	BILLABLE CODE
L97.2	Non-pressure chronic ulcer of calf	NON-BILLABLE CODE
L97.20	Non-pressure chronic ulcer of unspecified calf	NON-BILLABLE CODE
L97.201	Non-pressure chronic ulcer of unspecified calf limited to breakdown of skin	BILLABLE CODE
L97.202	Non-pressure chronic ulcer of unspecified calf with fat layer exposed	BILLABLE CODE
L97.203	Non-pressure chronic ulcer of unspecified calf with necrosis of muscle	BILLABLE CODE
L97.204	Non-pressure chronic ulcer of unspecified calf with necrosis of bone	BILLABLE CODE
L97.205	Non-pressure chronic ulcer of unspecified calf with muscle involvement without evidence of necrosis	BILLABLE CODE
L97.206	Non-pressure chronic ulcer of unspecified calf with bone involvement without evidence of necrosis	BILLABLE CODE
L97.208	Non-pressure chronic ulcer of unspecified calf with other specified severity	BILLABLE CODE
L97.209	Non-pressure chronic ulcer of unspecified calf with unspecified severity	BILLABLE CODE
L97.21	Non-pressure chronic ulcer of right calf	NON-BILLABLE CODE
L97.211	Non-pressure chronic ulcer of right calf limited to breakdown of skin	BILLABLE CODE
L97.212	Non-pressure chronic ulcer of right calf with fat layer exposed	BILLABLE CODE
L97.213	Non-pressure chronic ulcer of right calf with necrosis of muscle	BILLABLE CODE
L97.214	Non-pressure chronic ulcer of right calf with necrosis of bone	BILLABLE CODE
L97.215	Non-pressure chronic ulcer of right calf with muscle involvement without evidence of necrosis	BILLABLE CODE
L97.216	Non-pressure chronic ulcer of right calf with bone involvement without evidence of necrosis	BILLABLE CODE
L97.218	Non-pressure chronic ulcer of right calf with other specified severity	BILLABLE CODE
L97.219	Non-pressure chronic ulcer of right calf with unspecified severity	BILLABLE CODE
L97.22	Non-pressure chronic ulcer of left calf	NON-BILLABLE CODE
L97.221	Non-pressure chronic ulcer of left calf limited to breakdown of skin	BILLABLE CODE
L97.222	Non-pressure chronic ulcer of left calf with fat layer exposed	BILLABLE CODE

Code History

FY 2023 - No Change, effective from 10/1/2022 through 9/30/2023
FY 2022 - No Change, effective from 10/1/2021 through 9/30/2022
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

Previous Code: L97.425

Parent Code: L97.42

Next Code: L97.428

Table of Contents