L97.12
Non-Billable

Is L97.12 Billable?

No — This is a non-billable / non-specific code. Use a more specific sub-code for billing and reimbursement.

Non-pressure chronic ulcer of left thigh

Billable Alternatives 8 found
L97.121
Non-pressure chronic ulcer of left thigh limited to breakdown of skin
Billable
L97.122
Non-pressure chronic ulcer of left thigh with fat layer exposed
Billable
L97.123
Non-pressure chronic ulcer of left thigh with necrosis of muscle
Billable
L97.124
Non-pressure chronic ulcer of left thigh with necrosis of bone
Billable
L97.125
Non-pressure chronic ulcer of left thigh with muscle involvement without evidence of necrosis
Billable
L97.126
Non-pressure chronic ulcer of left thigh with bone involvement without evidence of necrosis
Billable
L97.128
Non-pressure chronic ulcer of left thigh with other specified severity
Billable
L97.129
Non-pressure chronic ulcer of left thigh with unspecified severity
Billable

Understanding Billable vs Non-Billable Codes

ICD-10-CM codes are classified as either billable/specific or non-billable/non-specific. Billable codes can be used on insurance claims for reimbursement. Non-billable codes are typically parent or header codes that require a more specific sub-code for actual billing.

When a code is non-billable, always look for its child codes (sub-codes) which provide the necessary specificity for reimbursement. Using a non-billable code on a claim may result in denial or delayed payment.

About Billable Status

Billable status indicates whether a code can be used for reimbursement purposes. Non-billable codes are typically header or parent codes that require a more specific sub-code for actual billing and claims. Always verify with the latest payer guidelines.