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-April
2025-January

ASC Fee Schedule

2025-April
2025-January

APC Codes

2025-April
2025-January

DRG Codes

2025
2024

ASP Drug Pricing Files

2025-April
2025-January


CMS Transmittals



.

ICD-10 Code or Description Search:

L97.904 Quick jump to specific ICD-10 (CM) Code: L97.906


See Category: Diseases of the skin and subcutaneous tissue

See Header: Non-pressure chronic ulcer of unsp part of unsp lower leg

ICD-10 (CM) Code and Descriptor

L97.905 Non-pressure chronic ulcer of unspecified part of unspecified lower leg with muscle involvement without evidence of necrosis
  • 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.
  • L97905 utilizaton on OPPS claims.*

    Primary
    ICD10 Code
    ICD10
    Position 2
    ICD10
    Position 3
    ICD10
    Position 4
    ICD10
    Position 5
    32.26% 29.03% 19.35% 6.45% 12.90%

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

    Commonly Associated Procedure Codes for L97.905*:

    CPT
    Description Number of Claims Sum Performed
    96365
    THER/PROPH/DIAG IV INF INIT 31 31
    29580
    STRAPPING UNNA BOOT 7 7
    G0463
    HOSPITAL OUTPT CLINIC VISIT 7 7
    80048
    METABOLIC PANEL TOTAL CA 5 5
    85027
    COMPLETE CBC AUTOMATED 5 5
    85652
    RBC SED RATE AUTOMATED 5 5
    86140
    C-REACTIVE PROTEIN 5 5
    97597
    DBRDMT OPN WND 1ST 20 CM/< 3 3
    97605
    NEG PRS WND THER DME<=50SQCM 3 3
    11042
    DBRDMT SUBQ TIS 1ST 20SQCM/< 2 2
    11045
    DBRDMT SUBQ TISS EACH ADDL 2 3
    15271
    SKIN SUB GRAFT TRNK/ARM/LEG 2 2
    Q4196
    PURAPLY AM 1 SQ CM 2 24
    73590
    X-RAY EXAM OF LOWER LEG 2 2
    73718
    MRI LOWER EXTREMITY W/O DYE 2 2
    87070
    CULTURE OTHR SPECIMN AEROBIC 1 1
    87077
    CULTURE AEROBIC IDENTIFY 1 2
    87186
    MICROBE SUSCEPTIBLE MIC 1 1
    87205
    SMEAR GRAM STAIN 1 1
    87899
    AGENT NOS ASSAY W/OPTIC 1 1

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



    L97.905 related to the following DRG Codes:

    573-575
    592-594






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