L97.115 — Non-pressure chronic ulcer of right thigh with muscle involvement without evidence of necrosis
Is L97.115 billable?
Yes — L97.115 is billable for FY2027. L97.115 is a valid, billable ICD-10-CM code at the highest level of specificity in its branch. L97.115 may be submitted for encounters from October 1, 2026 through September 30, 2027.
L97.115 at a glance
| Code | L97.115 |
|---|---|
| Description | Non-pressure chronic ulcer of right thigh with muscle involvement without evidence of necrosis |
| Billable | Yes |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
Which MS-DRGs does L97.115 group to?
L97.115 sits in MDC 09 and helps define the logic of 3 MS-DRGs (version 44, FY2027). Which one a stay actually groups to also depends on procedures and secondary diagnoses.
- 573Skin Graft for Skin Ulcer or Cellulitis with MCCsurgical
- 574Skin Graft for Skin Ulcer or Cellulitis with CCsurgical
- 575Skin Graft for Skin Ulcer or Cellulitis without CC/MCCsurgical
As a secondary diagnosis, L97.115 is a complication or comorbidity (CC), which can move a stay into a higher-paying DRG.
How is L97.115 listed in the Alphabetic Index?
These are the routes through the Alphabetic Index that lead to L97.115. They show the wording a clinician may have documented, which often differs from the Tabular description.
- Ulcer, ulcerated, ulcerating, ulceration, ulcerative › lower limb › thigh › right › with › muscle involvement without evidence of necrosis
Code first — inherited from L97
The underlying condition below must be sequenced before L97.115. L97.115 describes a manifestation and cannot be the principal or first-listed diagnosis.
- 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-)
Excludes2 — not included here — inherited from Chapter 12
The conditions below are not part of L97.115, but a patient may have both at the same time. When documentation supports it, L97.115 and the excluded code may both be reported.
- certain conditions originating in the perinatal period (P04-P96)
- certain infectious and parasitic diseases (A00-B99)
- complications of pregnancy, childbirth and the puerperium (O00-O9A)
- congenital malformations, deformations, and chromosomal abnormalities (Q00-Q99)
- endocrine, nutritional and metabolic diseases (E00-E88)
- lipomelanotic reticulosis (I89.8)
- neoplasms (C00-D49)
- symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)
- systemic connective tissue disorders (M30-M36)
- viral warts (B07.-)
Excludes2 — not included here — inherited from L97
The conditions below are not part of L97.115, but a patient may have both at the same time. When documentation supports it, L97.115 and the excluded code may both be reported.
How long has L97.115 existed?
L97.115 first appears in FY2018 (FY2017 is not available, so it may have appeared then).
Derived from the official order files for FY2016–FY2026. FY2017 and FY2020 publish no order file, so those years are not covered.
What other codes are in the L97.11 family? (7)
- L97.111Non-pressure chronic ulcer of right thigh limited to breakdown of skin
- L97.112Non-pressure chronic ulcer of right thigh with fat layer exposed
- L97.113Non-pressure chronic ulcer of right thigh with necrosis of muscle
- L97.114Non-pressure chronic ulcer of right thigh with necrosis of bone
- L97.116Non-pressure chronic ulcer of right thigh with bone involvement without evidence of necrosis
- L97.118Non-pressure chronic ulcer of right thigh with other specified severity
- L97.119Non-pressure chronic ulcer of right thigh with unspecified severity