ICDcodes.org
FY2027

L98.A199 — Non-pressure chronic ulcer of unspecified upper arm with unspecified severity

BillableUnspecified

Is L98.A199 billable?

Yes, but L98.A199 is an unspecified code. L98.A199 is a valid, billable ICD-10-CM code for encounters from October 1, 2026 through September 30, 2027. However, L98.A199 is an unspecified or catch-all code. Payers apply additional scrutiny to unspecified codes and many deny them when the medical record supports a more specific option, so check the documentation before selecting L98.A199 — the more specific alternatives are listed below.

L98.A199 at a glance

CodeL98.A199
DescriptionNon-pressure chronic ulcer of unspecified upper arm with unspecified severity
BillableYes
Code setICD-10-CM FY2027
Valid for encountersOctober 1, 2026 – September 30, 2027

Which MS-DRGs does L98.A199 group to?

L98.A199 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

How is L98.A199 listed in the Alphabetic Index?

These are the routes through the Alphabetic Index that lead to L98.A199. They show the wording a clinician may have documented, which often differs from the Tabular description.

  • Ulcer, ulcerated, ulcerating, ulceration, ulcerative › upper limb › upper arm

Excludes2 — not included here — inherited from Chapter 12

The conditions below are not part of L98.A199, but a patient may have both at the same time. When documentation supports it, L98.A199 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.A

The conditions below are not part of L98.A199, but a patient may have both at the same time. When documentation supports it, L98.A199 and the excluded code may both be reported.

  • gangrene (I96)
  • pressure ulcer (pressure area) (L89.-)
  • skin infections (L00-L08)
  • specific infections classified to A00-B99
  • ulcer of lower limb NEC (L97.-)
  • varicose ulcer (I83.0-I83.93)

How long has L98.A199 existed?

L98.A199 first appears in FY2026.

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.A19 family? (7)