L98.455: Non-pressure chronic ulcer of neck with muscle involvement without evidence of necrosis

New code · FY2026

Billable: use this code on claims.

• New code, effective October 1, 2025 (FY2026).

Code breakdown

Coding notes

Inclusion terms (from L98.4)

• Chronic ulcer of skin NOS
• Tropical ulcer NOS
• Ulcer of skin NOS

Excludes2 (from L98.4)

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

Medicare coverage

L98.455 is listed as a covered diagnosis in 7 Medicare billing and coding articles:

• A53057 Billing and Coding: Home Health Occupational Therapy
• A53058 Billing and Coding: Home Health Physical Therapy
• A53064 Billing and Coding: Outpatient Occupational Therapy
• A53065 Billing and Coding: Outpatient Physical Therapy
• A55909 Billing and Coding: Wound Care
• A56459 Billing and Coding: Debridement Services
• A56697 Billing and Coding: Non-Invasive Vascular Studies

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All FY2026 ICD-10-CM changes

ICD-10-CM codes and descriptions are from the CMS and NCHS code files. Coverage is from the CMS Medicare Coverage Database billing and coding articles.