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ICD-10 Code or Description Search:

L97.402 Quick jump to specific ICD-10 (CM) Code: L97.404


See Category: Diseases of the skin and subcutaneous tissue

See Header: Non-pressure chronic ulcer of unspecified heel and midfoot

ICD-10 (CM) Code and Descriptor

L97.403 Non-pressure chronic ulcer of unspecified heel and midfoot with necrosis of muscle
  • In the inpatient setting, there should generally be very limited and rare circumstances for which the laterality (right, left, bilateral) of a condition is unable to be documented and reported.
  • L97403 utilizaton on OPPS claims.*

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    17.84% 12.97% 26.49% 21.62% 8.65% 4.32% 2.70% 1.62% 2.16% 0.54%

    * Medicare Part A utilization data is derived from the 100% 2023 Outpatient (Fee-for-Service) Standard Analytical File.

    Commonly Associated Procedure Codes for L97.403*:

    CPT
    Description Number of Claims Sum Performed
    G0463
    HOSPITAL OUTPT CLINIC VISIT 15 15
    11042
    DBRDMT SUBQ TIS 1ST 20SQCM/< 10 10
    73630
    X-RAY EXAM OF FOOT 4 4
    87077
    CULTURE AEROBIC IDENTIFY 4 4
    A9270
    NON-COVERED ITEM OR SERVICE 3 3
    29445
    APPLY RIGID LEG CAST 3 3
    87186
    MICROBE SUSCEPTIBLE MIC 3 3
    85025
    COMPLETE CBC W/AUTO DIFF WBC 3 3
    97605
    NEG PRS WND THER DME<=50SQCM 2 2
    87070
    CULTURE OTHR SPECIMN AEROBIC 2 2
    87205
    SMEAR GRAM STAIN 2 2
    80053
    COMPREHEN METABOLIC PANEL 2 2
    99214
    OFFICE O/P EST MOD 30 MIN 2 2
    99284
    EMERGENCY DEPT VISIT MOD MDM 2 2
    97602
    WOUND(S) CARE NON-SELECTIVE 1 1
    36415
    COLL VENOUS BLD VENIPUNCTURE 1 1
    84134
    ASSAY OF PREALBUMIN 1 1
    87075
    CULTR BACTERIA EXCEPT BLOOD 1 1
    11045
    DBRDMT SUBQ TISS EACH ADDL 1 1
    15275
    SKIN SUB GRAFT FACE/NK/HF/G 1 1

    * Derived from 100% 2021 Outpatient (Fee-for-Service) Standard Analytical File.



    L97.403 related to the following DRG Codes:

    573-575
    592-594






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