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L98.A193

Non-pressure chronic ulcer of unspecified upper arm with necrosis of muscle

Billable FY2026 2025-10-01 → 2026-09-30 FY2026–2027 only
This is the unspecified option. 7 more specific codes sit alongside it. Worth checking whether the documentation supports one of them.
Exclusions 16 never code together
L98.Acode
Excludes2
  • gangrene (I96)I96
  • pressure ulcer (pressure area) (L89.-)L89.-
  • skin infections (L00-L08)L00-L08
  • specific infections classified to A00-B99A00-B99
  • ulcer of lower limb NEC (L97.-)L97.-
  • varicose ulcer (I83.0-I83.93)I83.0-I83.93
L00-L99chapter
Excludes2
  • certain conditions originating in the perinatal period (P04-P96)P04-P96
  • certain infectious and parasitic diseases (A00-B99)A00-B99
  • complications of pregnancy, childbirth and the puerperium (O00-O9A)O00-O9A
  • congenital malformations, deformations, and chromosomal abnormalities (Q00-Q99)Q00-Q99
  • endocrine, nutritional and metabolic diseases (E00-E88)E00-E88
  • lipomelanotic reticulosis (I89.8)I89.8
  • neoplasms (C00-D49)C00-D49
  • symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)R00-R94
  • systemic connective tissue disorders (M30-M36)M30-M36
  • viral warts (B07.-)B07.-

Excludes2 — not included here, but the patient may have both. Code both when documented.

Instructional notes 3
L98.Acode
Inclusion terms
  • Chronic ulcer of upper limb NOS
  • Non-healing ulcer of upper limb
  • Ulcer of upper limb NEC
Index entries leading here 1
  • Ulcer, ulcerated, ulcerating, ulceration, ulcerative
Alongside this code 7 same parent — L98.A19
Additional references
AHA Coding Clinic® Licence required

Official coding advice for this code. Published by the American Hospital Association. Not included in this installation.

Risk adjustment

CMS22HCC161 CMS28HCC380 ESRD21HCC161 ESRD24HCC161 RX08HCC311

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This code

Billable
yes
Code set
FY2026
Parent
L98.A19
Block
L80-L99
Siblings
7

Present FY2026–FY2027.