Depends.  Sounds as if you are treating for yeast infection of the skin.  However, if it is abd. folds, could there be pressure as well?  Sounds as if it is opened yeast (is there a rash?), but did the doc give you a dx.?
----- Original Message -----
Sent: Tuesday, December 02, 2003 3:50 PM
Subject: Re: section M, coding--PLease help a.s.a.p.

I would code as a rash and other open lesions, as there is an actual break in the skin.  I would also code medication and dressing.
Michelle
----- Original Message -----
Sent: Tuesday, December 02, 2003 12:12 PM
Subject: section M, coding--PLease help a.s.a.p.

We are currently undergoing Medicaid review on some of our resident�s assessments from 2002.  I am in disagreement with the reviewer on how to code in section M.  Here is the example:

A morbidly obese resident has open sores in abdominal folds.  Nurses are charting open slit to abdominal fold.  Applying nystatin and kling to abdominal folds daily. 

How would you guys code this under section m4 and m5???

 

Heidi Ebertowski,R.N.

MDS Care Coordinator

Valley Memorial Homes

Grand Forks, ND

(701)787-7937   fax (701)787-7901

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