ICD Code L98.499

ICD code L98.499 is non-pressure chronic ulcer of the skin at other sites with unspecified severity.

1. Presence of a chronic ulcer on the skin located at a site other than commonly specified locations (e.g., not on lower limb, upper limb, or trunk).

2. The ulcer is not caused by pressure (i.e., not a pressure ulcer/decubitus ulcer).

3. The ulcer has persisted for an extended period, indicating chronicity.

4. The severity of the ulcer (e.g., depth, presence of necrosis, involvement of underlying structures) is not specified in the clinical documentation.

5. Clinical findings may include non-healing or slow-healing open wound, possible drainage, discoloration, or granulation tissue at the ulcer site.

6. Absence of documentation specifying the ulcer’s severity (mild, moderate, or severe).

Applicable CPT codes for ICD-10 code L98.499 may include:

- 11042: Debridement, subcutaneous tissue (includes epidermis and dermis, if performed); first 20 sq cm or less

- 11043: Debridement, muscle and/or fascia (includes epidermis, dermis, and subcutaneous tissue, if performed); first 20 sq cm or less

- 11044: Debridement, bone (includes epidermis, dermis, subcutaneous tissue, muscle and/or fascia, if performed); first 20 sq cm or less

- 97597: Removal of devitalized tissue from wound(s); first 20 sq cm or less

- 97598: Removal of devitalized tissue from wound(s); each additional 20 sq cm

- 29580: Application of Unna boot, non-pneumatic, non-rigid dressing

- 15271–15278: Application of skin substitute grafts (codes vary by size and location)

- 99201–99499: Evaluation and management codes, as appropriate for patient assessment and management

Selection of specific CPT codes should be based on the documented services provided for L98.499.

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