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Non-pressure chronic ulcer of other part of left lower leg with fat layer exposed

ICD10CM code
#### Name of the Condition
- Non-pressure chronic ulcer of other part of left lower leg with fat layer exposed
- ICD-10 Code: L97.822

#### Summary
A non-pressure chronic ulcer is a type of sore that develops on the skin, typically due to poor blood circulation and does not heal easily. This condition specifically refers to an ulcer located on the left lower leg, where the ulceration is deep enough to expose the fat layer beneath the skin.

#### Causes
- Poor blood circulation, often due to conditions such as chronic venous insufficiency or peripheral artery disease.
- Diabetes mellitus, which can affect healing processes.
- Prolonged immobility or certain skin conditions.

#### Risk Factors
- Advanced age
- History of vascular diseases
- Smoking
- Obesity
- Sedentary lifestyle
- Previous history of ulcers or leg injuries

#### Symptoms
- Painful sore or wound on the lower leg
- Swelling or redness around the ulcer
- Discharge or pus from the ulcer
- Visible fat layer at the base of the ulcer

#### Diagnosis
- Physical examination
- Evaluation of medical history
- Blood tests to assess underlying conditions like diabetes
- Doppler ultrasound to assess blood flow
- Tissue culture to rule out infection

#### Treatment Options
- Wound care: Regular cleaning and dressing of the ulcer.
- Compression therapy: To improve blood circulation.
- Medications: Antibiotics for any infection, pain relief medication.
- Debridement: Surgical removal of dead tissue to promote healing.
- Lifestyle modifications: Weight management and smoking cessation.
- In severe cases, surgery or skin grafts might be necessary.

#### Prognosis and Follow-Up
- With appropriate treatment, many ulcers heal over time, but healing can be slow.
- Regular monitoring is crucial to prevent infection and assess healing progress.

#### Complications
- Risk of infection spreading to surrounding skin (cellulitis) or deeper tissues.
- Potential development of gangrene in severe cases.
- Long-term immobility due to persistent pain and discomfort.

#### Lifestyle & Prevention
- Maintain a healthy weight and engage in regular exercise.
- Avoid smoking and manage blood sugar levels if diabetic.
- Regularly inspect legs and feet, especially if you have a history of ulcers.

#### When to Seek Professional Help
- Rapidly increasing pain or swelling around the ulcer.
- Signs of infection such as fever or purulent discharge.
- Lack of improvement over a reasonable period or significant deterioration of the ulcer.

#### Additional Resources
- American Diabetes Association ([Link](https://www.diabetes.org/))
- Wound Healing Society ([Link](http://www.woundheal.org/))
- National Institute for Health and Care Excellence (NICE) guidelines on ulcer care ([Link](https://www.nice.org.uk/))

#### Tips for Medical Coders
- Ensure the distinction between pressure and non-pressure ulcers is made clear in documentation.
- Note the specific location and depth of the ulcer as this can affect the coding accuracy.
- Avoid confusion with similar conditions by cross-referencing patient history and notes.

This text aims to provide useful information about the condition associated with the ICD code L97.822, intended for both medical professionals and patients.

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