Non-prs chr ulcer of l hand with bone invl w/o evd of necr

This code signifies a persistent open sore on the left hand that is not caused by pressure, and where the ulceration extends down to and affects the bone. Importantly, there is no dead tissue (necrosis) present within the wound. This indicates a deep, chronic wound impacting the skeletal structure of the hand.

Use this code when documentation clearly states a non-pressure chronic ulcer on the left hand with confirmed bone involvement, such as osteomyelitis or visible bone in the wound bed, and explicitly notes the absence of necrosis. This is appropriate for conditions like diabetic ulcers, venous stasis ulcers, or arterial ulcers affecting the hand that have progressed to involve bone.

• Ensure documentation specifies "left hand" and "bone involvement" without necrosis.
• Distinguish from pressure ulcers (L89.-) and ulcers with necrosis (L98.A3- with 7th character 3, 4, 5, 6).
• Always sequence this code after the underlying systemic condition causing the ulcer (e.g., diabetes mellitus with foot ulcer, E11.621).