I would continue to code it as an ulcer. According to the manual on page 3-160 under the clarifications it states "Debridement of an ulcer merely removes necrotic and decayed tissue to promote healing. The ulcer still exsists and may or may not be at the same stage..." Michelle ----- Original Message ----- From: "Cathy Petros" <[EMAIL PROTECTED]> To: <[EMAIL PROTECTED]> Sent: Thursday, November 13, 2003 1:29 PM Subject: RE: Section M
> I would stage it as a surgical wound. Reasoning is, when something is > debrided, it is usually larger, deeper than previously seen. This was > caused by a surgical procedure. > > > > > > This e-mail, and any attachments there to, is intended for use by the > addressee(s) named herein, and may contain legally privileged and/or > confidential information. If you are not the intended recipient of this > e-mail, you are hereby notified that any dissemination, distribution or > copying of the e-mail, and any attachment thereto, is strictly > prohibited. If you have received this e-mail in error, please > immediately notify me by telephone at 207-866-4914 and permanently > delete the original and any copy of any e-mail and any printout thereof. > > > -----Original Message----- > From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of > Pam Allen > Sent: Thursday, November 13, 2003 11:20 AM > To: [EMAIL PROTECTED] > Subject: Section M > > I know this has been discussed before but I can not find the > information. My > question is under section M4 Would we code a surgical wound if a Stage > IV > pressure area was surgically debrided? > We are having a minor debate at my facility with regards to this. My > feeling > is that if eschar is removed by surgical intervention with/without a > flap it > is considered a surgical wound. It does cut into healthy tissue and > sometimes does require suturing. I would still code it as a pressure > ulcer > at M1 and surgical wound at M5. Am I right or am I off base??? Any help > would be greatly appreciated, today would be great. > Thanks Pam > > > /---------------------------------------------------------- > The Case Mix Discussion Group is a free service of the > American Association of Nurse Assessment Coordinators > "Committed to the Assessment Professional" > Be sure to visit the AANAC website. Accurate answers to your > questions posted to NAC News and FAQs. > For more info visit us at http://www.aanac.org > -----------------------------------------------------------/ > > /---------------------------------------------------------- > The Case Mix Discussion Group is a free service of the > American Association of Nurse Assessment Coordinators > "Committed to the Assessment Professional" > Be sure to visit the AANAC website. Accurate answers to your > questions posted to NAC News and FAQs. > For more info visit us at http://www.aanac.org > -----------------------------------------------------------/ /---------------------------------------------------------- The Case Mix Discussion Group is a free service of the American Association of Nurse Assessment Coordinators "Committed to the Assessment Professional" Be sure to visit the AANAC website. Accurate answers to your questions posted to NAC News and FAQs. For more info visit us at http://www.aanac.org -----------------------------------------------------------/
