L97.423

Documentation support

General coding-documentation guidance — not a substitute for payer-specific requirements or professional coding judgment.

• •As a general rule, code to the highest level of specificity supported by the documentation in the medical record.

ICD-9-CM equivalent

Informational only — GEM mappings are approximate, not guaranteed one-to-one equivalents. Verify before use in billing.

• 70714Approximate match

Associated MS-DRGs

L97.423 can serve as the principal diagnosis for these Medicare Severity Diagnosis-Related Groups.

Informational only — actual DRG assignment also depends on procedures, complications/comorbidities (CC/MCC), discharge status, and payer-specific rules not reflected here.

• DRG 564Other Musculoskeletal System and Connective Tissue Diagnoses with MCC
• DRG 565Other Musculoskeletal System and Connective Tissue Diagnoses with CC
• DRG 566Other Musculoskeletal System and Connective Tissue Diagnoses without CC/MCC
• DRG 573Skin Graft for Skin Ulcer or Cellulitis with MCC
• DRG 574Skin Graft for Skin Ulcer or Cellulitis with CC
• DRG 575Skin Graft for Skin Ulcer or Cellulitis without CC/MCC
• DRG 576Skin Graft Except for Skin Ulcer or Cellulitis with MCC
• DRG 577Skin Graft Except for Skin Ulcer or Cellulitis with CC
• DRG 578Skin Graft Except for Skin Ulcer or Cellulitis without CC/MCC
• DRG 592Skin Ulcers with MCC
• DRG 593Skin Ulcers with CC
• DRG 594Skin Ulcers without CC/MCC