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L97.529
ICD-10-CM
Ulcer Left Foot

Find information on ulcer left foot diagnosis, including clinical documentation, ICD-10 codes (L97), medical coding guidelines, and healthcare resources. Learn about treatment options, wound care, and diabetic foot ulcer management specific to the left foot. Explore relevant medical terminology, differential diagnoses, and best practices for accurate ulcer left foot documentation for optimal reimbursement.

Also known as

Left Foot Ulcer
Chronic Ulcer of Left Foot
diabetic foot ulcer on left foot

Diagnosis Snapshot

Key Facts
  • Definition : Open sore on the left foot, slow to heal.
  • Clinical Signs : Pain, swelling, redness, drainage, visible break in skin.
  • Common Settings : Diabetes, peripheral artery disease, venous insufficiency.

Related ICD-10 Code Ranges

Complete code families applicable to AAPC L97.529 Coding
L97

Non-pressure ulcers of lower limb

Ulcers affecting the legs and feet, excluding those caused by pressure.

I70

Atherosclerosis of extremities

Reduced blood flow in the limbs can lead to ulcers.

E10-E14

Diabetes mellitus

Diabetes can cause nerve damage and poor circulation, increasing ulcer risk.

Code-Specific Guidance

Decision Tree for

Follow this step-by-step guide to choose the correct ICD-10 code.

Is the ulcer due to diabetes?

  • Yes

    With neurologic manifestations?

  • No

    Is the ulcer due to arterial disease?

Code Comparison

Related Codes Comparison

When to use each related code

Description
Ulcer, Left Foot
Diabetic Foot Ulcer
Peripheral Vascular Disease

Documentation Best Practices

Documentation Checklist
  • Ulcer location: Left foot, specify site
  • Ulcer size: Length x width x depth in cm
  • Ulcer characteristics: e.g., color, drainage
  • Peripheral pulses: Document presence and strength
  • Etiology/cause of ulcer if known, e.g., diabetic

Coding and Audit Risks

Common Risks
  • Unspecified Laterality

    Coding L97.4 requires laterality. Missing left-sided specificity may lead to claim rejection or improper reimbursement. CDI crucial.

  • Etiology Documentation

    Underlying cause (e.g., diabetic, venous) impacts code selection (e.g., L97.401, L97.411). Missing documentation creates coding and audit risks.

  • Site Specificity Lacking

    Documentation must specify ulcer location on left foot. Missing detail hinders accurate code assignment, impacting reimbursement and compliance.

Mitigation Tips

Best Practices
  • Offload ulcer: total contact cast, crutches
  • Debride necrotic tissue, optimize wound bed
  • Control infection: cultures, appropriate antibiotics
  • Vascular assessment: ABI, TcPO2, revascularization
  • Manage comorbidities: HbA1c, blood pressure control

Clinical Decision Support

Checklist
  • Confirm ulcer location on left foot. Document precise site.
  • Assess ulcer characteristics: size, depth, exudate, etc.
  • Evaluate for infection signs: redness, warmth, swelling.
  • Review patient history: diabetes, PAD, neuropathy.
  • Check pulses: dorsalis pedis, posterior tibial.

Reimbursement and Quality Metrics

Impact Summary
  • Ulcer Left Foot reimbursement hinges on accurate ICD-10 L97 coding (e.g., L97.419 for non-pressure ulcer) and procedure codes for debridement, dressings, etc. Impacts:
  • Higher CMI with specific laterality and ulcer type documentation.
  • Reduced denials with proper wound care coding and supporting clinical evidence.
  • Improved quality reporting for ulcer care management and patient outcomes (e.g., healing rates).

Streamline Your Medical Coding

Let S10.AI help you select the most accurate ICD-10 codes. Our AI-powered assistant ensures compliance and reduces coding errors.

Quick Tips

Practical Coding Tips
  • Specify ulcer location, L foot
  • Code ulcer type, laterality
  • Document ulcer stage, size, cause

Documentation Templates

Patient presents with a left foot ulcer.  Chief complaint is a non-healing wound on the left foot, present for [duration].  Location of the ulcer is documented as [specific location on left foot, e.g., plantar aspect of left heel, medial malleolus, etc.].  The ulcer measures [length] x [width] x [depth] cm.  Wound bed appearance is described as [e.g., granulating, necrotic, sloughy] with [amount] of exudate characterized as [e.g., serous, serosanguinous, purulent].  Surrounding skin is [e.g., erythematous, edematous, macerated, indurated] with [temperature description, e.g., warmth, coolness].  Patient reports [presence or absence] of pain, described as [pain characteristics, e.g., sharp, dull, throbbing, constant, intermittent].  Peripheral pulses are [palpable or non-palpable, specify dorsalis pedis and posterior tibial].  Sensation is [intact or diminished] in the affected area.  Assessment:  Left foot ulcer, likely [etiology, e.g., venous stasis ulcer, diabetic foot ulcer, pressure ulcer].  Differential diagnosis includes infection, arterial insufficiency, neuropathy.  Plan:  Wound care with [debridement type if applicable, e.g., sharp, enzymatic, autolytic] and [dressing type, e.g., alginate, hydrogel, foam].  Offloading of the affected area with [offloading method, e.g., total contact cast, custom orthotics, crutches].  Vascular assessment recommended if arterial insufficiency suspected.  Neuropathy assessment recommended if indicated.  Patient education provided regarding wound care, offloading, and follow-up.  Follow-up scheduled in [timeframe].  ICD-10 code [appropriate ICD-10 code] and CPT code[s] [appropriate CPT code(s) for evaluation and management, wound care, and any other procedures performed] are documented for medical billing and coding.
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