ICD-10 L97.502
Billable / Specific HCC v28: 161Non-pressure chronic ulcer of other part of unspecified foot with fat layer exposed
About ICD-10-CM L97.502
ICD-10-CM code L97.502 represents Non-pressure chronic ulcer of other part of unspecified foot with fat layer exposed. This is a billable/specific code in the Skin and Subcutaneous Tissue chapter (block L97). The 2026 edition of ICD-10-CM L97.502 became effective on October 1, 2025.
Coding Tips for L97.502
Specialist guidance from the PayerReady Medical Coding Team. Specificity warnings, HCC capture rules, sequencing notes.
L97.502 is a CMS-HCC v28 risk-adjustment code (category 161). To count for the patient Risk Adjustment Factor (RAF), document the diagnosis with MEAT language each calendar year: Monitored, Evaluated, Assessed, Treated. A diagnosis on the problem list alone does not satisfy CMS RADV audit standards. Include the diagnosis in the assessment with current status and current treatment plan.
Medicare Advantage HCC Impact
Capture this diagnosis annually for accurate risk adjustment. Missed HCC captures are the #1 revenue leak in Medicare Advantage risk programs.
Medicare LCD Coverage for L97.502
Local Coverage Determinations (LCDs) from CMS MACs that list L97.502 as a covered diagnosis.
Showing top 10 of 61 total . Click a CPT for full coverage scope.
Commercial Payer Coverage
Coverage policies from major commercial payers referencing L97.502.
1 Medicare
CPT Codes Commonly Billed with L97.502
Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.
We don't have CPT pairings indexed for this specific code yet. Use the CPT search above to find common procedures, or check your payer's published medical policy for code-specific guidance.
Convert L97.502 to ICD-9-CM
Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.
| ICD-10 | ICD-9 | Mapping Flags |
|---|---|---|
| L97.502 | 70715 | 10000 |
Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).
Codes Adjacent To L97.502
Other codes in section L80-L99 (Other disorders of the skin and subcutaneous tissue).
ICD-10 L97.502, Billing FAQ
Is ICD-10 code L97.502 billable? +
Yes, L97.502 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.
Does L97.502 affect Medicare Advantage HCC risk adjustment? +
Yes. L97.502 maps to CMS-HCC v28 category 161. Capture this diagnosis annually for accurate Medicare Advantage risk score.
What ICD-9 codes does L97.502 map to? +
Per CMS GEMs, L97.502 maps to ICD-9 codes: 70715. Useful for legacy data review and historical claim analysis.
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Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on May 31, 2026.
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