ICD-10 coding for Wound Care (Non-Pressure)
Dear Mrs. Smith,
As you may have heard, our current ICD-9 codes will be replaced on October 1, 2013. Although this may seem far away, this will have a huge impact on podiatric physicians. There are hundreds and hundreds of codes, but we will focus specifically on codes pertaining to podiatric wound care. This is the first of several blogs, so all subsequent blogs will start with the title “ICD-10 coding…” followed by the specific topic to be addressed.
The new ICD-10 codes for ulcers are essentially divided into “Non-pressure Chronic ulcers” and “Pressure ulcers.” Podiatrists will find codes for “Non-pressure chronic ulcers” under the L97 category. L97 is defined as a “Non-pressure chronic ulcer of lower limb, not elsewhere classified” and includes:
The L97 categories are divided by anatomical location:
L97.2 - Non-pressure chronic ulcer of calf
L97.3 - Non-pressure chronic ulcer of ankle
L97.4 - Non-pressure chronic ulcer of heel and midfoot, including plantar surface of midfoot
L97.5 - Non-pressure chronic ulcer of other part of foot, including ulcer of toe
L97.8 - Non-pressure chronic ulcer of other part of lower leg
L97.9 - Non-pressure chronic ulcer of unspecified part of lower leg
The L97 codes are further broken down to the level of tissue damage, for example:
L97.42 – Non-pressure chronic ulcer of left heel and midfoot
L97.421 – Non-pressure chronic ulcer of left heel and midfoot - limited to breakdown of skin
L97.422 – “ “ “ “ “ “ “ “ – with fat layer exposed
L97.423 – “ “ “ “ “ “ “ “ – with necrosis of muscle
L97.424 – “ “ “ “ “ “ “ “ – with necrosis of bone
L97.429 – “ “ “ “ “ “ “ “ – with unspecified severity
In the next blog, we will address the L89 codes, “Pressure ulcers” and the use of the NPUAP nomenclature for staging wounds: “Stage 1-4, Unstageable, Unspecified stage.”
Your friends at Amerx Health Care
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