L98.A195

Non-pressure chronic ulcer of unspecified upper arm with muscle involvement without evidence of necrosis

Risk-adjusting (HCC)Billable code

HCC risk adjustment mapping

CMS-HCC V28

HCC380

Chronic Ulcer of Skin, Except Pressure, Through to Bone or Muscle

CMS-HCC ESRD V24

HCC161

Chronic Ulcer of Skin, Except Pressure

RxHCC V08

RXHCC311

Chronic Ulcer of Skin, Except Pressure

Coding notes

Excludes 1 never coded together · Excludes 2 may co-exist

Inherited from L98.A1Non-pressure chronic ulcer of upper arm
Synonyms

Non-pressure chronic ulcer of axilla

Inherited from L98.ANon-pressure chronic ulcer of upper limb, NEC
Excludes 2

gangrene (I96) pressure ulcer (pressure area) (L89.-) skin infections (L00-L08) specific infections classified to A00-B99 ulcer of lower limb NEC (L97.-) varicose ulcer (I83.0-I83.93)

Synonyms

Chronic ulcer of upper limb NOS Non-healing ulcer of upper limb Ulcer of upper limb NEC

Inherited from chapter 12Diseases of the skin and subcutaneous tissue
Excludes 2

certain conditions originating in the perinatal period (P04-P96) certain infectious and parasitic diseases (A00-B99) complications of pregnancy, childbirth and the puerperium (O00-O9A) congenital malformations, deformations, and chromosomal abnormalities (Q00-Q99) endocrine, nutritional and metabolic diseases (E00-E88) lipomelanotic reticulosis (I89.8) neoplasms (C00-D49) symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94) systemic connective tissue disorders (M30-M36) viral warts (B07.-)

Official Guidelines for L98.A195

FY 2026 ›
I.C.12Chapter-specific guidanceChapter 12: Diseases of the Skin and Subcutaneous Tissue

Subsections

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