ICD-10-CM/PCS MS-DRG v39.1 Definitions Manual
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ICD-10-CM/PCS MS-DRG v39.1 Definitions Manual |
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| MDC 09 Diseases and disorders of the skin, subcutaneous tissue and breast |
| Skin graft |
| Page 2 of 3 |
SKIN GRAFT (continued)
OPERATING ROOM PROCEDURES
| 0XBF4ZZ | Excision of Left Lower Arm, Percutaneous Endoscopic Approach |
| 0XBG0ZZ | Excision of Right Wrist Region, Open Approach |
| 0XBG3ZZ | Excision of Right Wrist Region, Percutaneous Approach |
| 0XBG4ZZ | Excision of Right Wrist Region, Percutaneous Endoscopic Approach |
| 0XBH0ZZ | Excision of Left Wrist Region, Open Approach |
| 0XBH3ZZ | Excision of Left Wrist Region, Percutaneous Approach |
| 0XBH4ZZ | Excision of Left Wrist Region, Percutaneous Endoscopic Approach |
| 0XBJ0ZZ | Excision of Right Hand, Open Approach |
| 0XBJ3ZZ | Excision of Right Hand, Percutaneous Approach |
| 0XBJ4ZZ | Excision of Right Hand, Percutaneous Endoscopic Approach |
| 0XBK0ZZ | Excision of Left Hand, Open Approach |
| 0XBK3ZZ | Excision of Left Hand, Percutaneous Approach |
| 0XBK4ZZ | Excision of Left Hand, Percutaneous Endoscopic Approach |
| 0XUJ07Z | Supplement Right Hand with Autologous Tissue Substitute, Open Approach |
| 0XUJ47Z | Supplement Right Hand with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0XUK07Z | Supplement Left Hand with Autologous Tissue Substitute, Open Approach |
| 0XUK47Z | Supplement Left Hand with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0XUL07Z | Supplement Right Thumb with Autologous Tissue Substitute, Open Approach |
| 0XUL47Z | Supplement Right Thumb with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0XUM07Z | Supplement Left Thumb with Autologous Tissue Substitute, Open Approach |
| 0XUM47Z | Supplement Left Thumb with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0XUN07Z | Supplement Right Index Finger with Autologous Tissue Substitute, Open Approach |
| 0XUN47Z | Supplement Right Index Finger with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0XUP07Z | Supplement Left Index Finger with Autologous Tissue Substitute, Open Approach |
| 0XUP47Z | Supplement Left Index Finger with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0XUQ07Z | Supplement Right Middle Finger with Autologous Tissue Substitute, Open Approach |
| 0XUQ47Z | Supplement Right Middle Finger with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0XUR07Z | Supplement Left Middle Finger with Autologous Tissue Substitute, Open Approach |
| 0XUR47Z | Supplement Left Middle Finger with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0XUS07Z | Supplement Right Ring Finger with Autologous Tissue Substitute, Open Approach |
| 0XUS47Z | Supplement Right Ring Finger with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0XUT07Z | Supplement Left Ring Finger with Autologous Tissue Substitute, Open Approach |
| 0XUT47Z | Supplement Left Ring Finger with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0XUV07Z | Supplement Right Little Finger with Autologous Tissue Substitute, Open Approach |
| 0XUV47Z | Supplement Right Little Finger with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0XUW07Z | Supplement Left Little Finger with Autologous Tissue Substitute, Open Approach |
| 0XUW47Z | Supplement Left Little Finger with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0YB00ZZ | Excision of Right Buttock, Open Approach |
| 0YB03ZZ | Excision of Right Buttock, Percutaneous Approach |
| 0YB04ZZ | Excision of Right Buttock, Percutaneous Endoscopic Approach |
| 0YB10ZZ | Excision of Left Buttock, Open Approach |
| 0YB13ZZ | Excision of Left Buttock, Percutaneous Approach |
| 0YB14ZZ | Excision of Left Buttock, Percutaneous Endoscopic Approach |
| 0YB90ZZ | Excision of Right Lower Extremity, Open Approach |
| 0YB93ZZ | Excision of Right Lower Extremity, Percutaneous Approach |
| 0YB94ZZ | Excision of Right Lower Extremity, Percutaneous Endoscopic Approach |
| 0YBB0ZZ | Excision of Left Lower Extremity, Open Approach |
| 0YBB3ZZ | Excision of Left Lower Extremity, Percutaneous Approach |
| 0YBB4ZZ | Excision of Left Lower Extremity, Percutaneous Endoscopic Approach |
| 0YBC0ZZ | Excision of Right Upper Leg, Open Approach |
| 0YBC3ZZ | Excision of Right Upper Leg, Percutaneous Approach |
| 0YBC4ZZ | Excision of Right Upper Leg, Percutaneous Endoscopic Approach |
| 0YBD0ZZ | Excision of Left Upper Leg, Open Approach |
| 0YBD3ZZ | Excision of Left Upper Leg, Percutaneous Approach |
| 0YBD4ZZ | Excision of Left Upper Leg, Percutaneous Endoscopic Approach |
| 0YBF0ZZ | Excision of Right Knee Region, Open Approach |
| 0YBF3ZZ | Excision of Right Knee Region, Percutaneous Approach |
| 0YBF4ZZ | Excision of Right Knee Region, Percutaneous Endoscopic Approach |
| 0YBG0ZZ | Excision of Left Knee Region, Open Approach |
| 0YBG3ZZ | Excision of Left Knee Region, Percutaneous Approach |
| 0YBG4ZZ | Excision of Left Knee Region, Percutaneous Endoscopic Approach |
| 0YBH0ZZ | Excision of Right Lower Leg, Open Approach |
| 0YBH3ZZ | Excision of Right Lower Leg, Percutaneous Approach |
| 0YBH4ZZ | Excision of Right Lower Leg, Percutaneous Endoscopic Approach |
| 0YBJ0ZZ | Excision of Left Lower Leg, Open Approach |
| 0YBJ3ZZ | Excision of Left Lower Leg, Percutaneous Approach |
| 0YBJ4ZZ | Excision of Left Lower Leg, Percutaneous Endoscopic Approach |
| 0YBK0ZZ | Excision of Right Ankle Region, Open Approach |
| 0YBK3ZZ | Excision of Right Ankle Region, Percutaneous Approach |
| 0YBK4ZZ | Excision of Right Ankle Region, Percutaneous Endoscopic Approach |
| 0YBL0ZZ | Excision of Left Ankle Region, Open Approach |
| 0YBL3ZZ | Excision of Left Ankle Region, Percutaneous Approach |
| 0YBL4ZZ | Excision of Left Ankle Region, Percutaneous Endoscopic Approach |
| 0YBM0ZZ | Excision of Right Foot, Open Approach |
| 0YBM3ZZ | Excision of Right Foot, Percutaneous Approach |
| 0YBM4ZZ | Excision of Right Foot, Percutaneous Endoscopic Approach |
| 0YBN0ZZ | Excision of Left Foot, Open Approach |
| 0YBN3ZZ | Excision of Left Foot, Percutaneous Approach |
| 0YBN4ZZ | Excision of Left Foot, Percutaneous Endoscopic Approach |
| XHRPXF7 | Replacement of Skin with Bioengineered Allogeneic Construct, External Approach, New Technology Group 7 |
| XHRPXL2 | Replacement of Skin using Porcine Liver Derived Skin Substitute, External Approach, New Technology Group 2 |
SKIN ULCER OR CELLULITIS
PRINCIPAL DIAGNOSIS
| L0201 | Cutaneous abscess of face |
| L0211 | Cutaneous abscess of neck |
| L02211 | Cutaneous abscess of abdominal wall |
| L02212 | Cutaneous abscess of back [any part, except buttock] |
| L02213 | Cutaneous abscess of chest wall |
| L02214 | Cutaneous abscess of groin |
| L02215 | Cutaneous abscess of perineum |
| L02216 | Cutaneous abscess of umbilicus |
| L02219 | Cutaneous abscess of trunk, unspecified |
| L0231 | Cutaneous abscess of buttock |
| L02411 | Cutaneous abscess of right axilla |
| L02412 | Cutaneous abscess of left axilla |
| L02413 | Cutaneous abscess of right upper limb |
| L02414 | Cutaneous abscess of left upper limb |
| L02415 | Cutaneous abscess of right lower limb |
| L02416 | Cutaneous abscess of left lower limb |
| L02419 | Cutaneous abscess of limb, unspecified |
| L02511 | Cutaneous abscess of right hand |
| L02512 | Cutaneous abscess of left hand |
| L02519 | Cutaneous abscess of unspecified hand |
| L02611 | Cutaneous abscess of right foot |
| L02612 | Cutaneous abscess of left foot |
| L02619 | Cutaneous abscess of unspecified foot |
| L02811 | Cutaneous abscess of head [any part, except face] |
| L02818 | Cutaneous abscess of other sites |
| L0291 | Cutaneous abscess, unspecified |
| L03011 | Cellulitis of right finger |
| L03012 | Cellulitis of left finger |
| L03019 | Cellulitis of unspecified finger |
| L03021 | Acute lymphangitis of right finger |
| L03022 | Acute lymphangitis of left finger |
| L03029 | Acute lymphangitis of unspecified finger |
| L03031 | Cellulitis of right toe |
| L03032 | Cellulitis of left toe |
| L03039 | Cellulitis of unspecified toe |
| L03041 | Acute lymphangitis of right toe |
| L03042 | Acute lymphangitis of left toe |
| L03049 | Acute lymphangitis of unspecified toe |
| L03111 | Cellulitis of right axilla |
| L03112 | Cellulitis of left axilla |
| L03113 | Cellulitis of right upper limb |
| L03114 | Cellulitis of left upper limb |
| L03115 | Cellulitis of right lower limb |
| L03116 | Cellulitis of left lower limb |
| L03119 | Cellulitis of unspecified part of limb |
| L03121 | Acute lymphangitis of right axilla |
| L03122 | Acute lymphangitis of left axilla |
| L03123 | Acute lymphangitis of right upper limb |
| L03124 | Acute lymphangitis of left upper limb |
| L03125 | Acute lymphangitis of right lower limb |
| L03126 | Acute lymphangitis of left lower limb |
| L03129 | Acute lymphangitis of unspecified part of limb |
| L03211 | Cellulitis of face |
| L03212 | Acute lymphangitis of face |
| L03213 | Periorbital cellulitis |
| L03221 | Cellulitis of neck |
| L03222 | Acute lymphangitis of neck |
| L03311 | Cellulitis of abdominal wall |
| L03312 | Cellulitis of back [any part except buttock] |
| L03313 | Cellulitis of chest wall |
| L03314 | Cellulitis of groin |
| L03315 | Cellulitis of perineum |
| L03316 | Cellulitis of umbilicus |
| L03317 | Cellulitis of buttock |
| L03319 | Cellulitis of trunk, unspecified |
| L03321 | Acute lymphangitis of abdominal wall |
| L03322 | Acute lymphangitis of back [any part except buttock] |
| L03323 | Acute lymphangitis of chest wall |
| L03324 | Acute lymphangitis of groin |
| L03325 | Acute lymphangitis of perineum |
| L03326 | Acute lymphangitis of umbilicus |
| L03327 | Acute lymphangitis of buttock |
| L03329 | Acute lymphangitis of trunk, unspecified |
| L03811 | Cellulitis of head [any part, except face] |
| L03818 | Cellulitis of other sites |
| L03891 | Acute lymphangitis of head [any part, except face] |
| L03898 | Acute lymphangitis of other sites |
| L0390 | Cellulitis, unspecified |
| L0391 | Acute lymphangitis, unspecified |
| L89000 | Pressure ulcer of unspecified elbow, unstageable |
| L89001 | Pressure ulcer of unspecified elbow, stage 1 |
| L89002 | Pressure ulcer of unspecified elbow, stage 2 |
| L89003 | Pressure ulcer of unspecified elbow, stage 3 |
| L89004 | Pressure ulcer of unspecified elbow, stage 4 |
| L89006 | Pressure-induced deep tissue damage of unspecified elbow |
| L89009 | Pressure ulcer of unspecified elbow, unspecified stage |
| L89010 | Pressure ulcer of right elbow, unstageable |
| L89011 | Pressure ulcer of right elbow, stage 1 |
| L89012 | Pressure ulcer of right elbow, stage 2 |
| L89013 | Pressure ulcer of right elbow, stage 3 |
| L89014 | Pressure ulcer of right elbow, stage 4 |
| L89016 | Pressure-induced deep tissue damage of right elbow |
| L89019 | Pressure ulcer of right elbow, unspecified stage |
| L89020 | Pressure ulcer of left elbow, unstageable |
| L89021 | Pressure ulcer of left elbow, stage 1 |
| L89022 | Pressure ulcer of left elbow, stage 2 |
| L89023 | Pressure ulcer of left elbow, stage 3 |
| L89024 | Pressure ulcer of left elbow, stage 4 |
| L89026 | Pressure-induced deep tissue damage of left elbow |
| L89029 | Pressure ulcer of left elbow, unspecified stage |
| L89100 | Pressure ulcer of unspecified part of back, unstageable |
| L89101 | Pressure ulcer of unspecified part of back, stage 1 |
| L89102 | Pressure ulcer of unspecified part of back, stage 2 |
| L89103 | Pressure ulcer of unspecified part of back, stage 3 |
| L89104 | Pressure ulcer of unspecified part of back, stage 4 |
| L89106 | Pressure-induced deep tissue damage of unspecified part of back |
| L89109 | Pressure ulcer of unspecified part of back, unspecified stage |
| L89110 | Pressure ulcer of right upper back, unstageable |
| L89111 | Pressure ulcer of right upper back, stage 1 |
| L89112 | Pressure ulcer of right upper back, stage 2 |
| L89113 | Pressure ulcer of right upper back, stage 3 |
| L89114 | Pressure ulcer of right upper back, stage 4 |
| L89116 | Pressure-induced deep tissue damage of right upper back |
| L89119 | Pressure ulcer of right upper back, unspecified stage |
| L89120 | Pressure ulcer of left upper back, unstageable |
| L89121 | Pressure ulcer of left upper back, stage 1 |
| L89122 | Pressure ulcer of left upper back, stage 2 |
| L89123 | Pressure ulcer of left upper back, stage 3 |
| L89124 | Pressure ulcer of left upper back, stage 4 |
| L89126 | Pressure-induced deep tissue damage of left upper back |
| L89129 | Pressure ulcer of left upper back, unspecified stage |
| L89130 | Pressure ulcer of right lower back, unstageable |
| L89131 | Pressure ulcer of right lower back, stage 1 |
| L89132 | Pressure ulcer of right lower back, stage 2 |
| L89133 | Pressure ulcer of right lower back, stage 3 |
| L89134 | Pressure ulcer of right lower back, stage 4 |
| L89136 | Pressure-induced deep tissue damage of right lower back |
| L89139 | Pressure ulcer of right lower back, unspecified stage |
| L89140 | Pressure ulcer of left lower back, unstageable |
| L89141 | Pressure ulcer of left lower back, stage 1 |
| L89142 | Pressure ulcer of left lower back, stage 2 |
| L89143 | Pressure ulcer of left lower back, stage 3 |
| L89144 | Pressure ulcer of left lower back, stage 4 |
| L89146 | Pressure-induced deep tissue damage of left lower back |
| L89149 | Pressure ulcer of left lower back, unspecified stage |
| L89150 | Pressure ulcer of sacral region, unstageable |
| L89151 | Pressure ulcer of sacral region, stage 1 |
| L89152 | Pressure ulcer of sacral region, stage 2 |
| L89153 | Pressure ulcer of sacral region, stage 3 |
| L89154 | Pressure ulcer of sacral region, stage 4 |
| L89156 | Pressure-induced deep tissue damage of sacral region |
| L89159 | Pressure ulcer of sacral region, unspecified stage |
| L89200 | Pressure ulcer of unspecified hip, unstageable |
| L89201 | Pressure ulcer of unspecified hip, stage 1 |
| L89202 | Pressure ulcer of unspecified hip, stage 2 |
| L89203 | Pressure ulcer of unspecified hip, stage 3 |
| L89204 | Pressure ulcer of unspecified hip, stage 4 |
| L89206 | Pressure-induced deep tissue damage of unspecified hip |
| L89209 | Pressure ulcer of unspecified hip, unspecified stage |
| L89210 | Pressure ulcer of right hip, unstageable |
| L89211 | Pressure ulcer of right hip, stage 1 |
| L89212 | Pressure ulcer of right hip, stage 2 |
| L89213 | Pressure ulcer of right hip, stage 3 |
| L89214 | Pressure ulcer of right hip, stage 4 |
| L89216 | Pressure-induced deep tissue damage of right hip |
| L89219 | Pressure ulcer of right hip, unspecified stage |
| L89220 | Pressure ulcer of left hip, unstageable |
| L89221 | Pressure ulcer of left hip, stage 1 |
| L89222 | Pressure ulcer of left hip, stage 2 |
| L89223 | Pressure ulcer of left hip, stage 3 |
| L89224 | Pressure ulcer of left hip, stage 4 |
| L89226 | Pressure-induced deep tissue damage of left hip |
| L89229 | Pressure ulcer of left hip, unspecified stage |
| L89300 | Pressure ulcer of unspecified buttock, unstageable |
| L89301 | Pressure ulcer of unspecified buttock, stage 1 |
| L89302 | Pressure ulcer of unspecified buttock, stage 2 |
| L89303 | Pressure ulcer of unspecified buttock, stage 3 |
| L89304 | Pressure ulcer of unspecified buttock, stage 4 |
| L89306 | Pressure-induced deep tissue damage of unspecified buttock |
| L89309 | Pressure ulcer of unspecified buttock, unspecified stage |
| L89310 | Pressure ulcer of right buttock, unstageable |
| L89311 | Pressure ulcer of right buttock, stage 1 |
| L89312 | Pressure ulcer of right buttock, stage 2 |
| L89313 | Pressure ulcer of right buttock, stage 3 |
| L89314 | Pressure ulcer of right buttock, stage 4 |
| L89316 | Pressure-induced deep tissue damage of right buttock |
| L89319 | Pressure ulcer of right buttock, unspecified stage |
| L89320 | Pressure ulcer of left buttock, unstageable |
| L89321 | Pressure ulcer of left buttock, stage 1 |
| L89322 | Pressure ulcer of left buttock, stage 2 |
| L89323 | Pressure ulcer of left buttock, stage 3 |
| L89324 | Pressure ulcer of left buttock, stage 4 |
| L89326 | Pressure-induced deep tissue damage of left buttock |
| L89329 | Pressure ulcer of left buttock, unspecified stage |
| L8940 | Pressure ulcer of contiguous site of back, buttock and hip, unspecified stage |
| L8941 | Pressure ulcer of contiguous site of back, buttock and hip, stage 1 |
| L8942 | Pressure ulcer of contiguous site of back, buttock and hip, stage 2 |
| L8943 | Pressure ulcer of contiguous site of back, buttock and hip, stage 3 |
| L8944 | Pressure ulcer of contiguous site of back, buttock and hip, stage 4 |
| L8945 | Pressure ulcer of contiguous site of back, buttock and hip, unstageable |
| L8946 | Pressure-induced deep tissue damage of contiguous site of back, buttock and hip |
| L89500 | Pressure ulcer of unspecified ankle, unstageable |
| L89501 | Pressure ulcer of unspecified ankle, stage 1 |
| L89502 | Pressure ulcer of unspecified ankle, stage 2 |
| L89503 | Pressure ulcer of unspecified ankle, stage 3 |
| L89504 | Pressure ulcer of unspecified ankle, stage 4 |
| L89506 | Pressure-induced deep tissue damage of unspecified ankle |
| L89509 | Pressure ulcer of unspecified ankle, unspecified stage |
| L89510 | Pressure ulcer of right ankle, unstageable |
| L89511 | Pressure ulcer of right ankle, stage 1 |
| L89512 | Pressure ulcer of right ankle, stage 2 |
| L89513 | Pressure ulcer of right ankle, stage 3 |
| L89514 | Pressure ulcer of right ankle, stage 4 |
| L89516 | Pressure-induced deep tissue damage of right ankle |
| L89519 | Pressure ulcer of right ankle, unspecified stage |
| L89520 | Pressure ulcer of left ankle, unstageable |
| L89521 | Pressure ulcer of left ankle, stage 1 |
| L89522 | Pressure ulcer of left ankle, stage 2 |
| L89523 | Pressure ulcer of left ankle, stage 3 |
| L89524 | Pressure ulcer of left ankle, stage 4 |
| L89526 | Pressure-induced deep tissue damage of left ankle |
| L89529 | Pressure ulcer of left ankle, unspecified stage |
| L89600 | Pressure ulcer of unspecified heel, unstageable |
| L89601 | Pressure ulcer of unspecified heel, stage 1 |
| L89602 | Pressure ulcer of unspecified heel, stage 2 |
| L89603 | Pressure ulcer of unspecified heel, stage 3 |
| L89604 | Pressure ulcer of unspecified heel, stage 4 |
| L89606 | Pressure-induced deep tissue damage of unspecified heel |
| L89609 | Pressure ulcer of unspecified heel, unspecified stage |
| L89610 | Pressure ulcer of right heel, unstageable |
| L89611 | Pressure ulcer of right heel, stage 1 |
| L89612 | Pressure ulcer of right heel, stage 2 |
| L89613 | Pressure ulcer of right heel, stage 3 |
| L89614 | Pressure ulcer of right heel, stage 4 |
| L89616 | Pressure-induced deep tissue damage of right heel |
| L89619 | Pressure ulcer of right heel, unspecified stage |
| L89620 | Pressure ulcer of left heel, unstageable |
| L89621 | Pressure ulcer of left heel, stage 1 |
| L89622 | Pressure ulcer of left heel, stage 2 |
| L89623 | Pressure ulcer of left heel, stage 3 |
| L89624 | Pressure ulcer of left heel, stage 4 |
| L89626 | Pressure-induced deep tissue damage of left heel |
| L89629 | Pressure ulcer of left heel, unspecified stage |
| L89810 | Pressure ulcer of head, unstageable |
| L89811 | Pressure ulcer of head, stage 1 |
| L89812 | Pressure ulcer of head, stage 2 |
| L89813 | Pressure ulcer of head, stage 3 |
| L89814 | Pressure ulcer of head, stage 4 |
| L89816 | Pressure-induced deep tissue damage of head |
| L89819 | Pressure ulcer of head, unspecified stage |
| L89890 | Pressure ulcer of other site, unstageable |
| L89891 | Pressure ulcer of other site, stage 1 |
| L89892 | Pressure ulcer of other site, stage 2 |
| L89893 | Pressure ulcer of other site, stage 3 |
| L89894 | Pressure ulcer of other site, stage 4 |
| L89896 | Pressure-induced deep tissue damage of other site |
| L89899 | Pressure ulcer of other site, unspecified stage |
| L8990 | Pressure ulcer of unspecified site, unspecified stage |
| L8991 | Pressure ulcer of unspecified site, stage 1 |
| L8992 | Pressure ulcer of unspecified site, stage 2 |
| L8993 | Pressure ulcer of unspecified site, stage 3 |
| L8994 | Pressure ulcer of unspecified site, stage 4 |
| L8995 | Pressure ulcer of unspecified site, unstageable |
| L8996 | Pressure-induced deep tissue damage of unspecified site |
| L97101 | Non-pressure chronic ulcer of unspecified thigh limited to breakdown of skin |
| L97102 | Non-pressure chronic ulcer of unspecified thigh with fat layer exposed |
| L97103 | Non-pressure chronic ulcer of unspecified thigh with necrosis of muscle |
| L97104 | Non-pressure chronic ulcer of unspecified thigh with necrosis of bone |
| L97105 | Non-pressure chronic ulcer of unspecified thigh with muscle involvement without evidence of necrosis |
| L97106 | Non-pressure chronic ulcer of unspecified thigh with bone involvement without evidence of necrosis |
| L97108 | Non-pressure chronic ulcer of unspecified thigh with other specified severity |
| L97109 | Non-pressure chronic ulcer of unspecified thigh with unspecified severity |
| L97111 | Non-pressure chronic ulcer of right thigh limited to breakdown of skin |
| L97112 | Non-pressure chronic ulcer of right thigh with fat layer exposed |
| L97113 | Non-pressure chronic ulcer of right thigh with necrosis of muscle |
| L97114 | Non-pressure chronic ulcer of right thigh with necrosis of bone |
| L97115 | Non-pressure chronic ulcer of right thigh with muscle involvement without evidence of necrosis |
| L97116 | Non-pressure chronic ulcer of right thigh with bone involvement without evidence of necrosis |
| L97118 | Non-pressure chronic ulcer of right thigh with other specified severity |
| L97119 | Non-pressure chronic ulcer of right thigh with unspecified severity |
| L97121 | Non-pressure chronic ulcer of left thigh limited to breakdown of skin |
| L97122 | Non-pressure chronic ulcer of left thigh with fat layer exposed |
| L97123 | Non-pressure chronic ulcer of left thigh with necrosis of muscle |
| L97124 | Non-pressure chronic ulcer of left thigh with necrosis of bone |
| L97125 | Non-pressure chronic ulcer of left thigh with muscle involvement without evidence of necrosis |
| L97126 | Non-pressure chronic ulcer of left thigh with bone involvement without evidence of necrosis |
| L97128 | Non-pressure chronic ulcer of left thigh with other specified severity |
| L97129 | Non-pressure chronic ulcer of left thigh with unspecified severity |
| L97201 | Non-pressure chronic ulcer of unspecified calf limited to breakdown of skin |
| L97202 | Non-pressure chronic ulcer of unspecified calf with fat layer exposed |
| L97203 | Non-pressure chronic ulcer of unspecified calf with necrosis of muscle |
| L97204 | Non-pressure chronic ulcer of unspecified calf with necrosis of bone |
| L97205 | Non-pressure chronic ulcer of unspecified calf with muscle involvement without evidence of necrosis |
| L97206 | Non-pressure chronic ulcer of unspecified calf with bone involvement without evidence of necrosis |
| L97208 | Non-pressure chronic ulcer of unspecified calf with other specified severity |
| L97209 | Non-pressure chronic ulcer of unspecified calf with unspecified severity |
| L97211 | Non-pressure chronic ulcer of right calf limited to breakdown of skin |
| L97212 | Non-pressure chronic ulcer of right calf with fat layer exposed |
| L97213 | Non-pressure chronic ulcer of right calf with necrosis of muscle |
| L97214 | Non-pressure chronic ulcer of right calf with necrosis of bone |
| L97215 | Non-pressure chronic ulcer of right calf with muscle involvement without evidence of necrosis |
| L97216 | Non-pressure chronic ulcer of right calf with bone involvement without evidence of necrosis |
| L97218 | Non-pressure chronic ulcer of right calf with other specified severity |
| L97219 | Non-pressure chronic ulcer of right calf with unspecified severity |
| L97221 | Non-pressure chronic ulcer of left calf limited to breakdown of skin |
| L97222 | Non-pressure chronic ulcer of left calf with fat layer exposed |
| L97223 | Non-pressure chronic ulcer of left calf with necrosis of muscle |
| L97224 | Non-pressure chronic ulcer of left calf with necrosis of bone |
| L97225 | Non-pressure chronic ulcer of left calf with muscle involvement without evidence of necrosis |
| L97226 | Non-pressure chronic ulcer of left calf with bone involvement without evidence of necrosis |
| L97228 | Non-pressure chronic ulcer of left calf with other specified severity |
| L97229 | Non-pressure chronic ulcer of left calf with unspecified severity |
| L97301 | Non-pressure chronic ulcer of unspecified ankle limited to breakdown of skin |
| L97302 | Non-pressure chronic ulcer of unspecified ankle with fat layer exposed |
| L97303 | Non-pressure chronic ulcer of unspecified ankle with necrosis of muscle |
| L97304 | Non-pressure chronic ulcer of unspecified ankle with necrosis of bone |
| L97305 | Non-pressure chronic ulcer of unspecified ankle with muscle involvement without evidence of necrosis |
| L97306 | Non-pressure chronic ulcer of unspecified ankle with bone involvement without evidence of necrosis |
| L97308 | Non-pressure chronic ulcer of unspecified ankle with other specified severity |
| L97309 | Non-pressure chronic ulcer of unspecified ankle with unspecified severity |
| L97311 | Non-pressure chronic ulcer of right ankle limited to breakdown of skin |
| L97312 | Non-pressure chronic ulcer of right ankle with fat layer exposed |
| L97313 | Non-pressure chronic ulcer of right ankle with necrosis of muscle |
| L97314 | Non-pressure chronic ulcer of right ankle with necrosis of bone |
| L97315 | Non-pressure chronic ulcer of right ankle with muscle involvement without evidence of necrosis |
| L97316 | Non-pressure chronic ulcer of right ankle with bone involvement without evidence of necrosis |
| L97318 | Non-pressure chronic ulcer of right ankle with other specified severity |
| L97319 | Non-pressure chronic ulcer of right ankle with unspecified severity |
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Centers for Medicare & Medicaid Services, 7500 Security Boulevard Baltimore, MD 21244 16 Mar 2022 16:20:17 CMS, code-revision=332, description-revision=1327 |