Is L97 a billable ICD-10-CM code?

No. L97 is a non-billable header code. Code to a higher level of specificity using one of its child codes.

Where does L97 sit in the tabular list?

Diseases of the skin and subcutaneous tissue (L00-L99), in the block Other disorders of the skin and subcutaneous tissue (L80-L99).

L97

L97 — Non-pressure chronic ulcer of lower limb, not elsewhere classified

Non-billable headerICD-10-CM

L97 is a non-billable header ICD-10-CM code for non-pressure chronic ulcer of lower limb, not elsewhere classified. It cannot be billed on its own: choose one of the more specific child codes below.

Excludes2 — not included here, but may coexist

The excluded condition is not part of this code, but a patient can have both. You may code both.

pressure ulcer (pressure area) (L89.-)
skin infections (L00-L08)
specific infections classified to A00-B99

Code first

The underlying condition must be sequenced before this code.

any associated underlying condition, such as:
any associated gangrene (I96)
atherosclerosis of the lower extremities (I70.23-, I70.24-, I70.33-, I70.34-, I70.43-, I70.44-, I70.53-, I70.54-, I70.63-, I70.64-, I70.73-, I70.74-)
chronic venous hypertension (I87.31-, I87.33-)
diabetic ulcers (E08.621, E08.622, E09.621, E09.622, E10.621, E10.622, E11.621, E11.622, E13.621, E13.622)
postphlebitic syndrome (I87.01-, I87.03-)
postthrombotic syndrome (I87.01-, I87.03-)
varicose ulcer (I83.0-, I83.2-)

Includes

Conditions this code covers.

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

Risk adjustment

L97 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.

Code to one of these instead L97

7 child codes. Green means billable.

Questions about L97

Is L97 a billable ICD-10-CM code?: No. L97 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
Where does L97 sit in the tabular list?: Diseases of the skin and subcutaneous tissue (L00-L99), in the block Other disorders of the skin and subcutaneous tissue (L80-L99).