ICD-10 L97.104
Non-pressure chronic ulcer of unspecified thigh with necrosis of bone
ICD10
L97.104
Diseases of the skin and subcutaneous tissue
Description
Non-pressure chronic ulcer of unspecified thigh with necrosis of bone
Common Specialties
Internal Medicine, Emergency Medicine, Orthopedics
Documentation Requirements
- Document clinical indications and clear medical necessity supporting the encounter or procedure.
- Ensure complete provider signatures, credentials, date, and specific place of service (POS).
- Verify documentation strictly supports code specificity to prevent downcoding or claim denials.
Billing & Coding Tips
- Verify current payer fee schedules, NCCI edits, and Medically Unlikely Edits (MUEs).
- Append correct modifiers (e.g., 25, 59, 26, TC) where distinct procedural services or components apply.
- Confirm pre-authorization rules with Medicare, Medicaid, and commercial plans before submission.
Related Codes
L97 L97.1 L97.10 L97.101 L97.102 L97.103 L97.105 L97.106 L97.108 L97.109 L97.11 L97.111 L97.112 L97.113 L97.114
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