ICD Code L97.522

ICD code L97.522 is a non-pressure chronic ulcer located on another part of the left foot, where the ulcer has progressed deep enough to expose the fat layer.

1. Presence of a chronic ulcer located on a part of the left foot other than the heel, midfoot, or toes

2. Ulcer is not caused by pressure (i.e., not a pressure ulcer)

3. Clinical evidence that the ulcer has progressed to expose the subcutaneous fat layer

4. Ulcer is persistent and has not healed over an extended period

5. Documentation excludes involvement of bone, tendon, or muscle

6. No evidence of gangrene or necrosis

7. Associated symptoms may include localized pain, erythema, edema, and possible serous or purulent drainage

Applicable CPT codes for ICD code L97.522 include:

- 11042 (Debridement, subcutaneous tissue)

- 11043 (Debridement, muscle and/or fascia)

- 11045 (Each additional 20 sq cm, subcutaneous tissue)

- 11046 (Each additional 20 sq cm, muscle and/or fascia)

- 97597 (Debridement, open wound, first 20 sq cm)

- 97598 (Each additional 20 sq cm)

- 29580 (Application of Unna boot)

- 29445 (Application of rigid leg cast)

- 11720 (Debridement of nail, 1-5)

- 11721 (Debridement of nail, 6 or more)

- 99202-99215 (Evaluation and management services, as appropriate)

- 20550 (Injection(s); single tendon sheath, or ligament, aponeurosis)

- 20600 (Arthrocentesis, small joint or bursa)

Selection of specific CPT codes should be based on the documented services provided.

Schedule a demo to see how MD Clarity’s RevFind software can automatically read your contracts and detect underpayments for CPT codes related to ICD code L97.522. Discover how easy it is to identify missed revenue opportunities and ensure you’re paid accurately for every service.