2021 ICD-10-CM Code L97.426 - Non-pressure chronic ulcer of left heel and midfoot with bone involvement without evidence of necrosis

Valid for Submission

L97.426 is a billable diagnosis 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 L97.426 is valid during the fiscal year 2021 from October 01, 2020 through September 30, 2021 for the submission of HIPAA-covered transactions.

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)

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 L97.426 are found in the 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 ICD-10 code L97.426 is grouped in the following groups for version MS-DRG V38.0 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 10/01/2020 through 09/30/2021.

573 - SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC - Relative Weight: 5.5373
574 - SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC - Relative Weight: 3.2465
575 - SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC - Relative Weight: 1.7615

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 L97.426 to ICD-9 Code

The General Equivalency Mapping (GEM) crosswalk indicates an approximate mapping between the ICD-10 code L97.426 its ICD-9 equivalent. The approximate mapping means there is not an exact match between the ICD-10 code and the ICD-9 code and the mapped code is not a precise representation of the original code.

707.14 - Ulcer of heel & midfoot (Approximate Flag)

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

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