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Definition: A skin ulcer/open lesion can be defined as a local loss of levels of epidermis and variable levels of dermis and subcutaneous tissue, or in the case of Stage 1 pressure
ulcers, persistent area of skin redness (without a break in the skin) that does not disappear when pressure is relieved. Open lesions/sores are skin ulcers that may develop because of circulatory problems, pressure, or in association with other diseases such as syphilis. Rashes without open areas, burns, desensitized skin and surgical wounds are NOT coded here, but are included in Item M4. Skin tears/shears are coded in Item M4 unless pressure was a contributing factor (underlining added).
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Rena
Subj: RE: skin ulcerUnder section M in RAi it states on page 3-159 stage ulcers regardless of cause.You can stage it in section M1 and then place it under stasis ulcer if r/t PVD or venous problems?
Date: 11/21/03 5:57:44 AM Pacific Standard Time
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[Richardson, Christine] LPN,CRNAC Original Message-----
From: Brenda Chance [mailto:[EMAIL PROTECTED]
Sent: Friday, November 21, 2003 7:45 AM
To: [EMAIL PROTECTED]
Subject: RE: skin ulcer
Iâd like to clarify what I said below. I would not necessarily stage these areas as pressure ulcers, but they may truly be ulcers related to PVD, etc. Look to see if this resident has a dx of PVD, stasis insufficiency, etc. Then I would code M1 as stage 2, but then code M2B as a 2. This will clarify that these are circulatory, or venous ulcers. If you donât have a dx of PVD, ask your physician about this possibility. This sounds like a circulatory problem to me rather than pressure.
Brenda W. Chance, RN, RAC-C
MDS Coordinator
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-----Original Message-----
From: Brenda Chance
Sent: Friday, November 21, 2003 8:38 AM
To: [EMAIL PROTECTED]
Subject: RE: skin ulcer
If these blisters are related to cellulitis, then I would not code them. They are not pressure induced (right?) and are related to an infection rather than pressure. I have seen many residents that have PVD and end up with cellulitis with blister formation.
Brenda W. Chance, RN, RAC-C
MDS Coordinator
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is for the sole use of the intended recipient(s) and may contain confidential
and privileged information. Any unauthorized review, use, disclosure or
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-----Original Message-----
From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]
Sent: Thursday, November 20, 2003 11:11 PM
To: [EMAIL PROTECTED]
Subject: skin ulcer
I have question to the group. I am so confused on how to code this. Resident has cellulitis on her both lower extremities with blisters. How will i code this in M1 is it stage 2 then 0 to M2, right.
