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380 HCC

Chronic Ulcer of Skin, Except Pressure, Through to Bone or Muscle

CMS Model V28 152 Associated ICD-10 Diagnoses

Relative Risk Score Factors (Coefficients for HCC 380)

Enrollment Model Type Coeff Tag Year Weight Score
CFA HCC380 2026 + 1.422
CFD HCC380 2026 + 1.285
CNA HCC380 2026 + 1.078
CND HCC380 2026 + 1.091
CPA HCC380 2026 + 1.268
CPD HCC380 2026 + 1.378
INS HCC380 2026 + 0.839

Mapped ICD-10-CM Diagnoses (152)

The following diagnoses map directly to HCC 380 under the V28 risk adjustment model:

ICD-10 Code Clinical Diagnosis Description Guideline
L97.103 Non-pressure chronic ulcer of unspecified thigh with necrosis of muscle Notes ↗
L97.104 Non-pressure chronic ulcer of unspecified thigh with necrosis of bone Notes ↗
L97.105 Non-pressure chronic ulcer of unspecified thigh with muscle involvement without evidence of necrosis Notes ↗
L97.106 Non-pressure chronic ulcer of unspecified thigh with bone involvement without evidence of necrosis Notes ↗
L97.113 Non-pressure chronic ulcer of right thigh with necrosis of muscle Notes ↗
L97.114 Non-pressure chronic ulcer of right thigh with necrosis of bone Notes ↗
L97.115 Non-pressure chronic ulcer of right thigh with muscle involvement without evidence of necrosis Notes ↗
L97.116 Non-pressure chronic ulcer of right thigh with bone involvement without evidence of necrosis Notes ↗
L97.123 Non-pressure chronic ulcer of left thigh with necrosis of muscle Notes ↗
L97.124 Non-pressure chronic ulcer of left thigh with necrosis of bone Notes ↗
L97.125 Non-pressure chronic ulcer of left thigh with muscle involvement without evidence of necrosis Notes ↗
L97.126 Non-pressure chronic ulcer of left thigh with bone involvement without evidence of necrosis Notes ↗
L97.203 Non-pressure chronic ulcer of unspecified calf with necrosis of muscle Notes ↗
L97.204 Non-pressure chronic ulcer of unspecified calf with necrosis of bone Notes ↗
L97.205 Non-pressure chronic ulcer of unspecified calf with muscle involvement without evidence of necrosis Notes ↗
L97.206 Non-pressure chronic ulcer of unspecified calf with bone involvement without evidence of necrosis Notes ↗
L97.213 Non-pressure chronic ulcer of right calf with necrosis of muscle Notes ↗
L97.214 Non-pressure chronic ulcer of right calf with necrosis of bone Notes ↗
L97.215 Non-pressure chronic ulcer of right calf with muscle involvement without evidence of necrosis Notes ↗
L97.216 Non-pressure chronic ulcer of right calf with bone involvement without evidence of necrosis Notes ↗
L97.223 Non-pressure chronic ulcer of left calf with necrosis of muscle Notes ↗
L97.224 Non-pressure chronic ulcer of left calf with necrosis of bone Notes ↗
L97.225 Non-pressure chronic ulcer of left calf with muscle involvement without evidence of necrosis Notes ↗
L97.226 Non-pressure chronic ulcer of left calf with bone involvement without evidence of necrosis Notes ↗
L97.303 Non-pressure chronic ulcer of unspecified ankle with necrosis of muscle Notes ↗
L97.304 Non-pressure chronic ulcer of unspecified ankle with necrosis of bone Notes ↗
L97.305 Non-pressure chronic ulcer of unspecified ankle with muscle involvement without evidence of necrosis Notes ↗
L97.306 Non-pressure chronic ulcer of unspecified ankle with bone involvement without evidence of necrosis Notes ↗
L97.313 Non-pressure chronic ulcer of right ankle with necrosis of muscle Notes ↗
L97.314 Non-pressure chronic ulcer of right ankle with necrosis of bone Notes ↗
L97.315 Non-pressure chronic ulcer of right ankle with muscle involvement without evidence of necrosis Notes ↗
L97.316 Non-pressure chronic ulcer of right ankle with bone involvement without evidence of necrosis Notes ↗
L97.323 Non-pressure chronic ulcer of left ankle with necrosis of muscle Notes ↗
L97.324 Non-pressure chronic ulcer of left ankle with necrosis of bone Notes ↗
L97.325 Non-pressure chronic ulcer of left ankle with muscle involvement without evidence of necrosis Notes ↗
L97.326 Non-pressure chronic ulcer of left ankle with bone involvement without evidence of necrosis Notes ↗
L97.403 Non-pressure chronic ulcer of unspecified heel and midfoot with necrosis of muscle Notes ↗
L97.404 Non-pressure chronic ulcer of unspecified heel and midfoot with necrosis of bone Notes ↗
L97.405 Non-pressure chronic ulcer of unspecified heel and midfoot with muscle involvement without evidence of necrosis Notes ↗
L97.406 Non-pressure chronic ulcer of unspecified heel and midfoot with bone involvement without evidence of necrosis Notes ↗
L97.413 Non-pressure chronic ulcer of right heel and midfoot with necrosis of muscle Notes ↗
L97.414 Non-pressure chronic ulcer of right heel and midfoot with necrosis of bone Notes ↗
L97.415 Non-pressure chronic ulcer of right heel and midfoot with muscle involvement without evidence of necrosis Notes ↗
L97.416 Non-pressure chronic ulcer of right heel and midfoot with bone involvement without evidence of necrosis Notes ↗
L97.423 Non-pressure chronic ulcer of left heel and midfoot with necrosis of muscle Notes ↗
L97.424 Non-pressure chronic ulcer of left heel and midfoot with necrosis of bone Notes ↗
L97.425 Non-pressure chronic ulcer of left heel and midfoot with muscle involvement without evidence of necrosis Notes ↗
L97.426 Non-pressure chronic ulcer of left heel and midfoot with bone involvement without evidence of necrosis Notes ↗
L97.503 Non-pressure chronic ulcer of other part of unspecified foot with necrosis of muscle Notes ↗
L97.504 Non-pressure chronic ulcer of other part of unspecified foot with necrosis of bone Notes ↗
L97.505 Non-pressure chronic ulcer of other part of unspecified foot with muscle involvement without evidence of necrosis Notes ↗
L97.506 Non-pressure chronic ulcer of other part of unspecified foot with bone involvement without evidence of necrosis Notes ↗
L97.513 Non-pressure chronic ulcer of other part of right foot with necrosis of muscle Notes ↗
L97.514 Non-pressure chronic ulcer of other part of right foot with necrosis of bone Notes ↗
L97.515 Non-pressure chronic ulcer of other part of right foot with muscle involvement without evidence of necrosis Notes ↗
L97.516 Non-pressure chronic ulcer of other part of right foot with bone involvement without evidence of necrosis Notes ↗
L97.523 Non-pressure chronic ulcer of other part of left foot with necrosis of muscle Notes ↗
L97.524 Non-pressure chronic ulcer of other part of left foot with necrosis of bone Notes ↗
L97.525 Non-pressure chronic ulcer of other part of left foot with muscle involvement without evidence of necrosis Notes ↗
L97.526 Non-pressure chronic ulcer of other part of left foot with bone involvement without evidence of necrosis Notes ↗
L97.803 Non-pressure chronic ulcer of other part of unspecified lower leg with necrosis of muscle Notes ↗
L97.804 Non-pressure chronic ulcer of other part of unspecified lower leg with necrosis of bone Notes ↗
L97.805 Non-pressure chronic ulcer of other part of unspecified lower leg with muscle involvement without evidence of necrosis Notes ↗
L97.806 Non-pressure chronic ulcer of other part of unspecified lower leg with bone involvement without evidence of necrosis Notes ↗
L97.813 Non-pressure chronic ulcer of other part of right lower leg with necrosis of muscle Notes ↗
L97.814 Non-pressure chronic ulcer of other part of right lower leg with necrosis of bone Notes ↗
L97.815 Non-pressure chronic ulcer of other part of right lower leg with muscle involvement without evidence of necrosis Notes ↗
L97.816 Non-pressure chronic ulcer of other part of right lower leg with bone involvement without evidence of necrosis Notes ↗
L97.823 Non-pressure chronic ulcer of other part of left lower leg with necrosis of muscle Notes ↗
L97.824 Non-pressure chronic ulcer of other part of left lower leg with necrosis of bone Notes ↗
L97.825 Non-pressure chronic ulcer of other part of left lower leg with muscle involvement without evidence of necrosis Notes ↗
L97.826 Non-pressure chronic ulcer of other part of left lower leg with bone involvement without evidence of necrosis Notes ↗
L97.903 Non-pressure chronic ulcer of unspecified part of unspecified lower leg with necrosis of muscle Notes ↗
L97.904 Non-pressure chronic ulcer of unspecified part of unspecified lower leg with necrosis of bone Notes ↗
L97.905 Non-pressure chronic ulcer of unspecified part of unspecified lower leg with muscle involvement without evidence of necrosis Notes ↗
L97.906 Non-pressure chronic ulcer of unspecified part of unspecified lower leg with bone involvement without evidence of necrosis Notes ↗
L97.913 Non-pressure chronic ulcer of unspecified part of right lower leg with necrosis of muscle Notes ↗
L97.914 Non-pressure chronic ulcer of unspecified part of right lower leg with necrosis of bone Notes ↗
L97.915 Non-pressure chronic ulcer of unspecified part of right lower leg with muscle involvement without evidence of necrosis Notes ↗
L97.916 Non-pressure chronic ulcer of unspecified part of right lower leg with bone involvement without evidence of necrosis Notes ↗
L97.923 Non-pressure chronic ulcer of unspecified part of left lower leg with necrosis of muscle Notes ↗
L97.924 Non-pressure chronic ulcer of unspecified part of left lower leg with necrosis of bone Notes ↗
L97.925 Non-pressure chronic ulcer of unspecified part of left lower leg with muscle involvement without evidence of necrosis Notes ↗
L97.926 Non-pressure chronic ulcer of unspecified part of left lower leg with bone involvement without evidence of necrosis Notes ↗
L98.413 Non-pressure chronic ulcer of buttock with necrosis of muscle Notes ↗
L98.414 Non-pressure chronic ulcer of buttock with necrosis of bone Notes ↗
L98.415 Non-pressure chronic ulcer of buttock with muscle involvement without evidence of necrosis Notes ↗
L98.416 Non-pressure chronic ulcer of buttock with bone involvement without evidence of necrosis Notes ↗
L98.423 Non-pressure chronic ulcer of back with necrosis of muscle Notes ↗
L98.424 Non-pressure chronic ulcer of back with necrosis of bone Notes ↗
L98.425 Non-pressure chronic ulcer of back with muscle involvement without evidence of necrosis Notes ↗
L98.426 Non-pressure chronic ulcer of back with bone involvement without evidence of necrosis Notes ↗
L98.433 Non-pressure chronic ulcer of abdomen with necrosis of muscle Notes ↗
L98.434 Non-pressure chronic ulcer of abdomen with necrosis of bone Notes ↗
L98.435 Non-pressure chronic ulcer of abdomen with muscle involvement without evidence of necrosis Notes ↗
L98.436 Non-pressure chronic ulcer of abdomen with bone involvement without evidence of necrosis Notes ↗
L98.443 Non-pressure chronic ulcer of chest with necrosis of muscle Notes ↗
L98.444 Non-pressure chronic ulcer of chest with necrosis of bone Notes ↗
L98.445 Non-pressure chronic ulcer of chest with muscle involvement without evidence of necrosis Notes ↗
L98.446 Non-pressure chronic ulcer of chest with bone involvement without evidence of necrosis Notes ↗
L98.453 Non-pressure chronic ulcer of neck with necrosis of muscle Notes ↗
L98.454 Non-pressure chronic ulcer of neck with necrosis of bone Notes ↗
L98.455 Non-pressure chronic ulcer of neck with muscle involvement without evidence of necrosis Notes ↗
L98.456 Non-pressure chronic ulcer of neck with bone involvement without evidence of necrosis Notes ↗
L98.463 Non-pressure chronic ulcer of face with necrosis of muscle Notes ↗
L98.464 Non-pressure chronic ulcer of face with necrosis of bone Notes ↗
L98.465 Non-pressure chronic ulcer of face with muscle involvement without evidence of necrosis Notes ↗
L98.466 Non-pressure chronic ulcer of face with bone involvement without evidence of necrosis Notes ↗
L98.473 Non-pressure chronic ulcer of groin with necrosis of muscle Notes ↗
L98.474 Non-pressure chronic ulcer of groin with necrosis of bone Notes ↗
L98.475 Non-pressure chronic ulcer of groin with muscle involvement without evidence of necrosis Notes ↗
L98.476 Non-pressure chronic ulcer of groin with bone involvement without evidence of necrosis Notes ↗
L98.493 Non-pressure chronic ulcer of skin of other sites with necrosis of muscle Notes ↗
L98.494 Non-pressure chronic ulcer of skin of other sites with necrosis of bone Notes ↗
L98.495 Non-pressure chronic ulcer of skin of other sites with muscle involvement without evidence of necrosis Notes ↗
L98.496 Non-pressure chronic ulcer of skin of other sites with bone involvement without evidence of necrosis Notes ↗
L98.A113 Non-pressure chronic ulcer of right upper arm with necrosis of muscle Notes ↗
L98.A114 Non-pressure chronic ulcer of right upper arm with necrosis of bone Notes ↗
L98.A115 Non-pressure chronic ulcer of right upper arm with muscle involvement without evidence of necrosis Notes ↗
L98.A116 Non-pressure chronic ulcer of right upper arm with bone involvement without evidence of necrosis Notes ↗
L98.A123 Non-pressure chronic ulcer of left upper arm with necrosis of muscle Notes ↗
L98.A124 Non-pressure chronic ulcer of left upper arm with necrosis of bone Notes ↗
L98.A125 Non-pressure chronic ulcer of left upper arm with muscle involvement without evidence of necrosis Notes ↗
L98.A126 Non-pressure chronic ulcer of left upper arm with bone involvement without evidence of necrosis Notes ↗
L98.A193 Non-pressure chronic ulcer of unspecified upper arm with necrosis of muscle Notes ↗
L98.A194 Non-pressure chronic ulcer of unspecified upper arm with necrosis of bone Notes ↗
L98.A195 Non-pressure chronic ulcer of unspecified upper arm with muscle involvement without evidence of necrosis Notes ↗
L98.A196 Non-pressure chronic ulcer of unspecified upper arm with bone involvement without evidence of necrosis Notes ↗
L98.A213 Non-pressure chronic ulcer of right forearm with necrosis of muscle Notes ↗
L98.A214 Non-pressure chronic ulcer of right forearm with necrosis of bone Notes ↗
L98.A215 Non-pressure chronic ulcer of right forearm with muscle involvement without evidence of necrosis Notes ↗
L98.A216 Non-pressure chronic ulcer of right forearm with bone involvement without evidence of necrosis Notes ↗
L98.A223 Non-pressure chronic ulcer of left forearm with necrosis of muscle Notes ↗
L98.A224 Non-pressure chronic ulcer of left forearm with necrosis of bone Notes ↗
L98.A225 Non-pressure chronic ulcer of left forearm with muscle involvement without evidence of necrosis Notes ↗
L98.A226 Non-pressure chronic ulcer of left forearm with bone involvement without evidence of necrosis Notes ↗
L98.A293 Non-pressure chronic ulcer of unspecified forearm with necrosis of muscle Notes ↗
L98.A294 Non-pressure chronic ulcer of unspecified forearm with necrosis of bone Notes ↗
L98.A295 Non-pressure chronic ulcer of unspecified forearm with muscle involvement without evidence of necrosis Notes ↗
L98.A296 Non-pressure chronic ulcer of unspecified forearm with bone involvement without evidence of necrosis Notes ↗
L98.A313 Non-pressure chronic ulcer of right hand with necrosis of muscle Notes ↗
L98.A314 Non-pressure chronic ulcer of right hand with necrosis of bone Notes ↗
L98.A315 Non-pressure chronic ulcer of right hand with muscle involvement without evidence of necrosis Notes ↗
L98.A316 Non-pressure chronic ulcer of right hand with bone involvement without evidence of necrosis Notes ↗
L98.A323 Non-pressure chronic ulcer of left hand with necrosis of muscle Notes ↗
L98.A324 Non-pressure chronic ulcer of left hand with necrosis of bone Notes ↗
L98.A325 Non-pressure chronic ulcer of left hand with muscle involvement without evidence of necrosis Notes ↗
L98.A326 Non-pressure chronic ulcer of left hand with bone involvement without evidence of necrosis Notes ↗
L98.A393 Non-pressure chronic ulcer of unspecified hand with necrosis of muscle Notes ↗
L98.A394 Non-pressure chronic ulcer of unspecified hand with necrosis of bone Notes ↗
L98.A395 Non-pressure chronic ulcer of unspecified hand with muscle involvement without evidence of necrosis Notes ↗
L98.A396 Non-pressure chronic ulcer of unspecified hand with bone involvement without evidence of necrosis Notes ↗
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