L98.42 — Non-pressure chronic ulcer of back
Is L98.42 billable?
No — L98.42 is a non-billable header code. L98.42 groups more specific codes and cannot be submitted on a claim. A valid ICD-10-CM code must be reported at the highest level of specificity available in its branch. Select one of the 8 billable codes beneath L98.42.
Billable codes under this header
- L98.421Non-pressure chronic ulcer of back limited to breakdown of skin
- L98.422Non-pressure chronic ulcer of back with fat layer exposed
- L98.423Non-pressure chronic ulcer of back with necrosis of muscle
- L98.424Non-pressure chronic ulcer of back with necrosis of bone
- L98.425Non-pressure chronic ulcer of back with muscle involvement without evidence of necrosis
- L98.426Non-pressure chronic ulcer of back with bone involvement without evidence of necrosis
- L98.428Non-pressure chronic ulcer of back with other specified severity
- L98.429Non-pressure chronic ulcer of back with unspecified severity
L98.42 at a glance
| Code | L98.42 |
|---|---|
| Description | Non-pressure chronic ulcer of back |
| Billable | No — header code |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
Excludes2 — not included here — inherited from Chapter 12
The conditions below are not part of L98.42, but a patient may have both at the same time. When documentation supports it, L98.42 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 L98.4
The conditions below are not part of L98.42, but a patient may have both at the same time. When documentation supports it, L98.42 and the excluded code may both be reported.
What codes fall under L98.42? (8)
- L98.421Non-pressure chronic ulcer of back limited to breakdown of skin
- L98.422Non-pressure chronic ulcer of back with fat layer exposed
- L98.423Non-pressure chronic ulcer of back with necrosis of muscle
- L98.424Non-pressure chronic ulcer of back with necrosis of bone
- L98.425Non-pressure chronic ulcer of back with muscle involvement without evidence of necrosis
- L98.426Non-pressure chronic ulcer of back with bone involvement without evidence of necrosis
- L98.428Non-pressure chronic ulcer of back with other specified severity
- L98.429Non-pressure chronic ulcer of back with unspecified severity
How long has L98.42 existed?
L98.42 has been in ICD-10-CM since at least FY2016, the earliest fiscal year on record here.
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 L98.4 family? (7)
- L98.41Non-pressure chronic ulcer of buttocknot billable
- L98.43Non-pressure chronic ulcer of abdomennot billable
- L98.44Non-pressure chronic ulcer of chestnot billable
- L98.45Non-pressure chronic ulcer of necknot billable
- L98.46Non-pressure chronic ulcer of facenot billable
- L98.47Non-pressure chronic ulcer of groinnot billable
- L98.49Non-pressure chronic ulcer of skin of other sitesnot billable