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

Billable ICD-10-CM code, FY2026. Acts as a Complication or Comorbidity (CC) as a secondary diagnosis.

Applies from L98.A Non-pressure chronic ulcer of upper limb, not elsewhere classified

Applicable to

• Chronic ulcer of upper limb NOS
• Non-healing ulcer of upper limb
• Ulcer of upper limb NEC

Excludes2 (not included here)

• gangrene (I96)
• pressure ulcer (pressure area) (L89.-)
• skin infections (L00-L08)
• specific infections classified to A00-B99
• ulcer of lower limb NEC (L97.-)
• varicose ulcer (I83.0-I83.93)

Applies from L98.A1 Non-pressure chronic ulcer of upper arm

Applicable to

• Non-pressure chronic ulcer of axilla

Risk adjustment (HCC)

• CMS-HCC V28: HCC 380 — Chronic Ulcer of Skin, Except Pressure, Through to Bone or Muscle
• CMS-HCC V22: HCC 161 — Chronic Ulcer of Skin, Except Pressure
• RxHCC V08: HCC 311 — Chronic Ulcer of Skin, Except Pressure
• ESRD V24: HCC 161

MS-DRG index

Defines the logic of DRG(s) 573-575 in MDC 09.

Medicare Code Edits (MCE v43.1 (April 2026))

• Unspecified code (laterality): Unspecified codes for which a more specific code identifying laterality (right, left, bilateral) exists within the same code family.

Diagnosis Index entries for L98.A195

• Ulcer, ulcerated, ulcerating, ulceration, ulcerative › upper limb (chronic) › upper arm › with › muscle involvement without evidence of necrosis

Nearby codes

• L98.A19 Non-pressure chronic ulcer of unspecified upper arm
• L98.A191 Non-pressure chronic ulcer of unspecified upper arm limited to breakdown of skin
• L98.A192 Non-pressure chronic ulcer of unspecified upper arm with fat layer exposed
• L98.A193 Non-pressure chronic ulcer of unspecified upper arm with necrosis of muscle
• L98.A194 Non-pressure chronic ulcer of unspecified upper arm with necrosis of bone
• L98.A195 Non-pressure chronic ulcer of unspecified upper arm with muscle involvement without evidence of necrosis (this code)
• L98.A196 Non-pressure chronic ulcer of unspecified upper arm with bone involvement without evidence of necrosis
• L98.A198 Non-pressure chronic ulcer of unspecified upper arm with other specified severity
• L98.A199 Non-pressure chronic ulcer of unspecified upper arm with unspecified severity
• L98.A2 Non-pressure chronic ulcer of forearm
• L98.A21 Non-pressure chronic ulcer of right forearm