2019 ICD-10-CM Diagnosis Code L97.404

Non-pressure chronic ulcer of unspecified heel and midfoot with necrosis of bone

    2016 2017 2018 2019 Billable/Specific Code
  • L97.404 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
  • Short description: Non-prs chronic ulcer of unsp heel and midfoot w necros bone
  • The 2019 edition of ICD-10-CM L97.404 became effective on October 1, 2018.
  • This is the American ICD-10-CM version of L97.404 - other international versions of ICD-10 L97.404 may differ.
The following code(s) above L97.404 contain annotation back-references
Annotation Back-References
In this context, annotation back-references refer to codes that contain:
  • Applicable To annotations, or
  • Code Also annotations, or
  • Code First annotations, or
  • Excludes1 annotations, or
  • Excludes2 annotations, or
  • Includes annotations, or
  • Note annotations, or
  • Use Additional annotations
that may be applicable to L97.404:
  • L00-L99
    2019 ICD-10-CM Range L00-L99

    Diseases of the skin and subcutaneous tissue

    Type 2 Excludes
    • certain conditions originating in the perinatal period (P04-P96)
    • certain infectious and parasitic diseases (A00-B99)
    • complications of pregnancy, childbirth and the puerperium (O00-O9A)
    • congenital malformations, deformations, and chromosomal abnormalities (Q00-Q99)
    • endocrine, nutritional and metabolic diseases (E00-E88)
    • lipomelanotic reticulosis (I89.8)
    • neoplasms (C00-D49)
    • symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)
    • systemic connective tissue disorders (M30-M36)
    • viral warts (B07.-)
    Diseases of the skin and subcutaneous tissue
  • L97
    ICD-10-CM Diagnosis Code L97

    Non-pressure chronic ulcer of lower limb, not elsewhere classified

      2016 2017 2018 2019 Non-Billable/Non-Specific Code
    Code First
    Includes
    • chronic ulcer of skin of lower limb NOS
    • non-healing ulcer of skin
    • non-infected sinus of skin
    • trophic ulcer NOS
    • tropical ulcer NOS
    • ulcer of skin of lower limb NOS
    Type 2 Excludes
    • pressure ulcer (pressure area) (L89.-)
    • skin infections (L00-L08)
    • specific infections classified to A00-B99
    Non-pressure chronic ulcer of lower limb, not elsewhere classified
  • L97.4
    ICD-10-CM Diagnosis Code L97.4

    Non-pressure chronic ulcer of heel and midfoot

      2016 2017 2018 2019 Non-Billable/Non-Specific Code
    Applicable To
    • Non-pressure chronic ulcer of plantar surface of midfoot
    Non-pressure chronic ulcer of heel and midfoot
Approximate Synonyms
  • Atherosclerotic ischemic ulcer of heel with bone necrosis
  • Atherosclerotic ischemic ulcer of heel, bone necrosis
  • Atherosclerotic ischemic ulcer of midfoot with bone necrosis
  • Atherosclerotic ischemic ulcer of midfoot, bone necrosis
  • Chronic ulcer of heel with bone necrosis
  • Chronic ulcer of heel, bone necrosis
  • Chronic ulcer of midfoot with bone necrosis
  • Chronic ulcer of midfoot, bone necrosis
  • Diabetes type 1 with diabetic ulcer of heel, bone necrosis
  • Diabetes type 1 with diabetic ulcer of midfoot, bone necrosis
  • Diabetes type 2 with diabetic ulcer of heel, bone necrosis
  • Diabetes type 2 with diabetic ulcer of midfoot, bone necrosis
  • Diabetic ulcer of heel with bone necrosis due to dm 1
  • Diabetic ulcer of heel with bone necrosis due to dm 2
  • Diabetic ulcer of midfoot with bone necrosis due to dm 1
  • Diabetic ulcer of midfoot with bone necrosis due to dm 2
  • Neuropathic ulcer of heel with bone necrosis
  • Neuropathic ulcer of heel, bone necrosis
  • Neuropathic ulcer of midfoot with bone necrosis
  • Neuropathic ulcer of midfoot, bone necrosis
  • Varicose ulcer of heel with bone necrosis
  • Varicose ulcer of heel, bone necrosis
  • Varicose ulcer of midfoot with bone necrosis
  • Varicose ulcer of midfoot, bone necrosis
  • Venous stasis edema with ulcer of heel, bone necrosis
  • Venous stasis edema with ulcer of midfoot, bone necrosis
  • Venous stasis ulcer with edema of heel with bone necrosis
  • Venous stasis ulcer with edema of midfoot with bone necrosis
ICD-10-CM L97.404 is grouped within Diagnostic Related Group(s) (MS-DRG v36.0):
  • 573 Skin graft for skin ulcer or cellulitis with mcc
  • 574 Skin graft for skin ulcer or cellulitis with cc
  • 575 Skin graft for skin ulcer or cellulitis without cc/mcc
  • 576 Skin graft except for skin ulcer or cellulitis with mcc
  • 577 Skin graft except for skin ulcer or cellulitis with cc
  • 578 Skin graft except for skin ulcer or cellulitis without cc/mcc
  • 592 Skin ulcers with mcc
  • 593 Skin ulcers with cc
  • 594 Skin ulcers without cc/mcc

Convert L97.404 to ICD-9-CM

Code History
  • 2016 (effective 10/1/2015): New code (first year of non-draft ICD-10-CM)
  • 2017 (effective 10/1/2016): No change
  • 2018 (effective 10/1/2017): No change
  • 2019 (effective 10/1/2018): No change

Diagnosis Index entries containing back-references to L97.404:
  • Ulcer, ulcerated, ulcerating, ulceration, ulcerative
    • lower limb (atrophic) (chronic) (neurogenic) (perforating) (pyogenic) (trophic) (tropical) L97.909
      ICD-10-CM Diagnosis Code L97.909

      Non-pressure chronic ulcer of unspecified part of unspecified lower leg with unspecified severity

        2016 2017 2018 2019 Billable/Specific Code
      • heel L97.409
        ICD-10-CM Diagnosis Code L97.409

        Non-pressure chronic ulcer of unspecified heel and midfoot with unspecified severity

          2016 2017 2018 2019 Billable/Specific Code
        • with
          • bone necrosis L97.404
      • midfoot L97.409
        ICD-10-CM Diagnosis Code L97.409

        Non-pressure chronic ulcer of unspecified heel and midfoot with unspecified severity

          2016 2017 2018 2019 Billable/Specific Code
        • with
          • bone necrosis L97.404

ICD-10-CM Codes Adjacent To L97.404
L97.324 …… with necrosis of bone
L97.325 …… with muscle involvement without evidence of necrosis
L97.326 …… with bone involvement without evidence of necrosis
L97.328 …… with other specified severity
L97.329 …… with unspecified severity
L97.4 Non-pressure chronic ulcer of heel and midfoot
L97.40 Non-pressure chronic ulcer of unspecified heel and midfoot
L97.401 …… limited to breakdown of skin
L97.402 …… with fat layer exposed
L97.403 …… with necrosis of muscle
L97.404 …… with necrosis of bone
L97.405 …… with muscle involvement without evidence of necrosis
L97.406 …… with bone involvement without evidence of necrosis
L97.408 …… with other specified severity
L97.409 …… with unspecified severity
L97.41 Non-pressure chronic ulcer of right heel and midfoot
L97.411 …… limited to breakdown of skin
L97.412 …… with fat layer exposed
L97.413 …… with necrosis of muscle
L97.414 …… with necrosis of bone
L97.415 …… with muscle involvement without evidence of necrosis

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.