New code ยท FY2026
Billable: use this code on claims.
- New code, effective October 1, 2025 (FY2026).
Code breakdown
L98.A396
- L98CategoryOther disorders of skin and subcutaneous tissue, not elsewhere classified
- ACharacter 4Non-pressure chronic ulcer of upper limb, not elsewhere classified
- 3Character 5Non-pressure chronic ulcer of hand
- 9Character 6Non-pressure chronic ulcer of unspecified hand
- 6Character 7Non-pressure chronic ulcer of unspecified hand with bone involvement without evidence of necrosis
Coding notes
Inclusion terms (from L98.A)
- Chronic ulcer of upper limb NOS
- Non-healing ulcer of upper limb
- Ulcer of upper limb NEC
Excludes2 (from L98.A)
- 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)
Medicare coverage
L98.A396 is listed as a covered diagnosis in 3 Medicare billing and coding articles:
- A53058 Billing and Coding: Home Health Physical Therapy
- A53064 Billing and Coding: Outpatient Occupational Therapy
- A53065 Billing and Coding: Outpatient Physical Therapy
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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.