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L98.A115 vs L98.A195

L98.A115 (Non-pressure chronic ulcer of right upper arm with muscle involvement without evidence of necrosis) compared with L98.A195 (Non-pressure chronic ulcer of unspecified upper arm with muscle involvement without evidence of necrosis), from the official CMS tabular data. L98.A115 and L98.A195 code the same condition on opposite sides. MedCoder-derived

Relationship

Review

Laterality relationship

L98.A115
Right
Non-pressure chronic ulcer of right upper arm with muscle involvement without evidence of necrosis
L98.A195
Unspecified
Non-pressure chronic ulcer of unspecified upper arm with muscle involvement without evidence of necrosis

Same condition; these differ only in which side is documented.

These codes share a category and title and differ only in the side affected. The documentation decides which applies, and a bilateral code is reported only where the code set provides one.

Source: ICD-10-CM tabular list (laterality variant derived from the code title)

Can these codes be reported together?

Same condition, opposite side. L98.A115 and L98.A195 name the same condition on opposite sides of the body.

Same category and title, differing only in which side is affected — the documentation decides which one applies, and a bilateral code is reported only where the code set provides one.

Side by side

L98.A115Non-pressure chronic ulcer of right upper arm with muscle involvement without evidence of necrosisL98.A195Non-pressure chronic ulcer of unspecified upper arm with muscle involvement without evidence of necrosis
Billing statusBillableBillable
ClassificationL00-L99 — Diseases of the skin and subcutaneous tissueL00-L99 — Diseases of the skin and subcutaneous tissue
DefinitionNon-pressure chronic ulcer of right upper arm with muscle involvement without evidence of necrosis is a billable ICD-10-CM diagnosis code (L98.A115).Non-pressure chronic ulcer of unspecified upper arm with muscle involvement without evidence of necrosis is a billable ICD-10-CM diagnosis code (L98.A195).

Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources