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v1.0.0
ICD-10 Guide
DiagnosesRight Leg Ulcer

Right Leg Ulcer

ICD-10 Coding for Right Leg Ulcer(I87.311, L97.212)

PRIMARY SPECIALTYWound Care
COMPLEXITYHigh
LAST UPDATED09/15/2025
Sam Tuffun, PT, DPT
Physical Therapist | Medical Coding & Billing Contributor

Diagnosis Overview

What is Right Leg Ulcer?
Essential facts and insights about Right Leg Ulcer

Key Clinical Considerations:

  • Presence of an open sore or wound on the right leg
  • Pain, swelling, or redness around the ulcer
  • Possible drainage or necrotic tissue observed

Clinical Information

Clinical Criteria & Documentation Requirements

  • Patient history including duration and characteristics of the ulcer
  • Detailed description of the ulcer's size, depth, and appearance
  • Assessment of surrounding skin and any signs of infection

Coding Guidelines

Usage Guidelines & Examples

  • Usage guidelines: Use specific codes based on ulcer characteristics and location.
  • Common errors: Misclassifying the ulcer type or failing to document comorbid conditions.

Code Exclusions

Important Exclusions

  • Excluded conditions: Pressure ulcers, diabetic foot ulcers, and ulcers due to malignancy.
  • Alternative codes: Consider using codes for underlying conditions contributing to ulcer formation.

Related ICD-10 Codes

Primary Codes
L97.419
Non-pressure chronic ulcer of right leg, unspecified
L97.412
Non-pressure chronic ulcer of right leg, limited to skin
Ancillary Codes
L97.2-
Differential Codes
I83.01-
I70.23-
L97.213

Related CPT Codes

CPT codes will be available in a future update.

Specialty Focus

Primary Specialty

Wound Care

Specialty Applications

  • Patient populations: Individuals with diabetes, venous insufficiency, or peripheral artery disease.
  • Clinical settings: Wound care clinics, outpatient facilities, and home health care.

Coding Complexity

High Complexity

This diagnosis requires careful attention to:

  • Comprehensive clinical documentation
  • Accurate code selection based on clinical criteria
  • Proper exclusion considerations
  • Specialty-specific coding guidelines

Documentation

Documentation Templates

Billing Information

Billing Considerations

  • Ensure proper documentation for billing
  • Verify code specificity requirements
  • Check for any additional codes needed
  • Review payer-specific guidelines

Common Issues

  • Insufficient clinical documentation
  • Incorrect code selection
  • Missing supporting diagnoses
  • Timing and frequency documentation

Frequently Asked Questions

What are the documentation requirements?

Include detailed descriptions of the ulcer, treatment plans, and patient responses.

What are the billing considerations?

Ensure accurate coding to reflect the severity and type of ulcer for proper reimbursement.