CodeMap® 
150 North Wacker Drive
Suite 2360
Chicago, IL 60606
847-381-5465 Phone
847-381-4606 Fax
customerservice@codemap.com
      


User Information

Create New Account

Lost Password

Username:
Password:


Quick Links

LCDs and LCAs
by Contractor

PLA Codes

Laboratory Fee Schedule

2025
2024
QW Tests

Physician Fee Schedule

2025
2024

OPPS Fee Schedule

2025-July
2025-April

ASC Fee Schedule

2025-July
2025-April

APC Codes

2025-July
2025-April

DRG Codes

2025
2024

ASP Drug Pricing Files

2025-July
2025-April


CMS Transmittals



.

ICD-10 Code or Description Search:

L97.424 Quick jump to specific ICD-10 (CM) Code: L97.426


See Category: Diseases of the skin and subcutaneous tissue

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

ICD-10 (CM) Code and Descriptor

L97.425 Non-pressure chronic ulcer of left heel and midfoot with muscle involvement without evidence of necrosis

L97425 utilizaton on OPPS claims.*

Primary
ICD10 Code
ICD10
Position 2
ICD10
Position 3
ICD10
Position 4
ICD10
Position 5
ICD10
Position 6
ICD10
Position 7
ICD10
Position 8
ICD10
Position 9
ICD10
Position 10
5.98% 55.76% 15.37% 7.66% 6.07% 2.37% 1.09% 1.51% 0.88% 0.65%

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

Commonly Associated Procedure Codes for L97.425*:

CPT
Description Number of Claims Sum Performed
G0463
HOSPITAL OUTPT CLINIC VISIT 126 127
97530
THERAPEUTIC ACTIVITIES 126 341
11042
DBRDMT SUBQ TIS 1ST 20SQCM/< 109 109
11043
DBRDMT MUSC&/FSCA 1ST 20/< 68 68
97112
NEUROMUSCULAR REEDUCATION 38 52
G0283
ELEC STIM OTHER THAN WOUND 37 37
87070
CULTURE OTHR SPECIMN AEROBIC 34 34
97597
DBRDMT OPN WND 1ST 20 CM/< 33 33
97110
THERAPEUTIC EXERCISES 33 35
97605
NEG PRS WND THER DME<=50SQCM 29 29
87186
MICROBE SUSCEPTIBLE MIC 28 43
11045
DBRDMT SUBQ TISS EACH ADDL 26 35
87077
CULTURE AEROBIC IDENTIFY 22 37
87205
SMEAR GRAM STAIN 22 22
15275
SKIN SUB GRAFT FACE/NK/HF/G 21 21
82962
GLUCOSE BLOOD TEST 20 20
87075
CULTR BACTERIA EXCEPT BLOOD 16 16
11046
DBRDMT MUSC&/FSCA EA ADDL 13 14
G0277
HBOT, FULL BODY CHAMBER, 30M 12 46
73630
X-RAY EXAM OF FOOT 10 10

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



L97.425 related to the following DRG Codes:

573-575
592-594






CodeMap¨ is a Registered Trademark of Wheaton Partners, LLC.