ICD-10 Logo
ICDxICD-10 Medical Coding
ICD-10 Logo
ICDxICD-10 Medical Coding
ICD 10 CodesDiagnoses
ICD 10 CodesDiagnoses
ICD-10 Logo
ICDxICD-10 Medical Coding

Comprehensive ICD-10-CM code reference with AI-powered search capabilities.

© 2025 ICD Code Compass. All rights reserved.

Browse

  • All Chapters
  • All Categories
  • Diagnoses

Tools

  • AI Code Search
ICD-10-CM codes are maintained by the CDC and CMS. This tool is for reference purposes only.
v1.0.0
ICD-10 Guide
ICD-10 CodesL97.511

L97.511

Billable

Non-pressure chronic ulcer of other part of right foot limited to breakdown of skin

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/06/2025

Code Description

ICD-10 L97.511 is a billable code used to indicate a diagnosis of non-pressure chronic ulcer of other part of right foot limited to breakdown of skin.

Key Diagnostic Point:

L97.511 refers to a non-pressure chronic ulcer of the other part of the right foot, specifically limited to breakdown of skin. This condition typically presents as a localized area of skin loss that may be chronic in nature, often resulting from underlying vascular insufficiencies, neuropathy, or other dermatological conditions. The anatomy involved primarily includes the skin and subcutaneous tissue of the right foot, which may be affected by factors such as diabetes mellitus, peripheral vascular disease, or trauma. Disease progression can lead to deeper tissue involvement if not appropriately managed, potentially resulting in infection or further complications. Diagnostic considerations include a thorough patient history, physical examination, and possibly imaging studies to assess underlying vascular status. The presence of comorbidities such as diabetes or peripheral neuropathy should also be evaluated, as they significantly influence the management and prognosis of the ulcer.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Diagnostic complexity
  • Treatment complexity
  • Documentation requirements
  • Coding specificity

Audit Risk Factors

  • Common coding errors include misidentifying the ulcer type or location.
  • Documentation gaps may arise if the underlying causes are not clearly stated.
  • Billing challenges can occur if the treatment plan is not adequately documented.

Specialty Focus

Medical Specialties

Wound Care

Documentation Requirements

Standard ICD-10-CM documentation requirements apply

Common Clinical Scenarios

Various clinical presentations within this specialty area

Billing Considerations

Follow specialty-specific billing guidelines

Podiatry

Documentation Requirements

Standard ICD-10-CM documentation requirements apply

Common Clinical Scenarios

Various clinical presentations within this specialty area

Billing Considerations

Follow specialty-specific billing guidelines

Related ICD-10 Codes

Related CPT Codes

CPT Code

Clinical Scenario

Documentation Requirements

CPT Code

Clinical Scenario

Documentation Requirements

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The clinical significance of L97.511 lies in its association with chronic conditions that can lead to severe complications if not managed properly. Population health impact is notable, particularly among diabetic patients, as chronic ulcers can significantly affect quality of life and increase healthcare utilization. Quality measures often focus on timely intervention and management of such ulcers to prevent progression and complications, highlighting the importance of effective care strategies in this patient population.

ICD-9 vs ICD-10

The clinical significance of L97.511 lies in its association with chronic conditions that can lead to severe complications if not managed properly. Population health impact is notable, particularly among diabetic patients, as chronic ulcers can significantly affect quality of life and increase healthcare utilization. Quality measures often focus on timely intervention and management of such ulcers to prevent progression and complications, highlighting the importance of effective care strategies in this patient population.

Reimbursement & Billing Impact

Reimbursement considerations include the patient's insurance coverage and the necessity of the procedures performed. Common denials may arise from insufficient documentation or failure to demonstrate medical necessity. Best practices include maintaining thorough records of the patient's condition, treatment plans, and follow-up care to support the coding and billing process effectively.

Resources

Clinical References

  • •
    ICD-10 Official Guidelines for L00-L99
  • •
    Clinical Documentation Requirements

Coding & Billing References

  • •
    ICD-10 Official Guidelines for L00-L99
  • •
    Clinical Documentation Requirements

Frequently Asked Questions

What specific conditions are covered by L97.511?

L97.511 covers chronic ulcers of the right foot that are not due to pressure, including those resulting from diabetic neuropathy, venous insufficiency, or other dermatological conditions that lead to skin breakdown.

When should L97.511 be used instead of related codes?

L97.511 should be used when the ulcer is specifically located on the right foot and is not due to pressure, differentiating it from codes that cover ulcers on other parts of the body or those caused by pressure.

What documentation supports L97.511?

Documentation should include a detailed description of the ulcer's size, depth, and characteristics, as well as any relevant patient history, comorbidities, and treatment plans that justify the diagnosis.