{"code":"L98.469","type":"code","title":"Non-pressure chronic ulcer of face with unspecified severity","codeAlso":[],"includes":[],"modern_v":"official26","codeFirst":[],"excludes1":[],"excludes2":["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)"],"isBillable":true,"fyEffectivity":{"fy2026":true,"fy2027":true,"billableFy2026":true,"billableFy2027":true},"sibling_codes":["L98","L98.0","L98.1","L98.2","L98.3","L98.4","L98.411","L98.412","L98.413","L98.414","L98.415","L98.416","L98.418","L98.419","L98.421","L98.422","L98.423","L98.424","L98.425","L98.426","L98.428","L98.429","L98.431","L98.432","L98.433","L98.434","L98.435","L98.436","L98.438","L98.439","L98.441","L98.442","L98.443","L98.444","L98.445","L98.446","L98.448","L98.449","L98.451","L98.452","L98.453","L98.454","L98.455","L98.456","L98.458","L98.459","L98.461","L98.462","L98.463","L98.464","L98.465","L98.466","L98.468","L98.471","L98.472","L98.473","L98.474","L98.475","L98.476","L98.478","L98.479","L98.491","L98.492","L98.493","L98.494","L98.495","L98.496","L98.498","L98.499","L98.5","L98.6","L98.7","L98.8","L98.9","L98.A","L98.A1","L98.A11","L98.A111","L98.A112","L98.A113","L98.A114","L98.A115","L98.A116","L98.A118","L98.A119","L98.A12","L98.A121","L98.A122","L98.A123","L98.A124","L98.A125","L98.A126"],"inclusionTerms":[],"sibling_titles":{"code":"L98.A126","title":"Non-pressure chronic ulcer of left upper arm with bone involvement without evidence of necrosis","isBillable":true},"useAdditionalCode":[],"clinicalDefinition":"Non-pressure chronic ulcer of face with unspecified severity is a billable ICD-10-CM diagnosis code (L98.469). Excludes2 (not included here): 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).","officialDefinition":"Non-pressure chronic ulcer of face with unspecified severity is a billable ICD-10-CM diagnosis code (L98.469). Excludes2 (not included here): 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).","seventhCharacterInstructions":[],"workflowProtocols":[],"guidelines":{"whenToUse":[],"whenNotToUse":[],"commonBillingMistakes":[],"codeComparisons":[],"documentationChecklist":[]},"domainLandscape":{"summary":"Primary diagnostic domain and clinical landscape evaluation.","keyCategories":[],"diagnosticContinuum":"Progression continuum from acute presentation to resolution."},"children":[],"hierarchy":[],"relatedCodes":[],"relevantCPTCodes":[],"documentationTips":[],"caseStudies":[],"description":"","overview":"","noteProvenance":{"pressure ulcer (pressure area) (L89.-)":"L98.4","gangrene (I96)":"L98.4","skin infections (L00-L08)":"L98.4","specific infections classified to A00-B99":"L98.4","ulcer of lower limb NEC (L97.-)":"L98.4","varicose ulcer (I83.0-I83.93)":"L98.4","Chronic ulcer of skin NOS":"L98.4","Tropical ulcer NOS":"L98.4","Ulcer of skin NOS":"L98.4"},"hcc":{"mapped":true,"model":"CMS-HCC V28","paymentYear":"2026","categories":[{"hcc":"383","label":"Chronic Ulcer of Skin, Except Pressure, Not Specified as Through to Bone or Muscle","family":"","suppresses":[]}],"otherModels":[{"model":"CMS-HCC V22","hcc":"161"},{"model":"RxHCC V08","hcc":"311"}]}}