Is this a pressure ulcer or a stasis ulcer? Stasis ulcers are not staged. In this case, I would put a note in the medical record under the MDS tab, explaining the coding. This has kept surveyors from questioning and citing in my neck of the woods.
 
dawn P
 
 

Question for the group, I have a patient that has an ulcer on left lower leg and the MD has documented that it is a stage II, but it clearly has necrotic tissue almost throughout the entire ulcer.  Would I code it a stage IV even though the doc says stage II?
Michelle
 
Thank You.
 
Michelle Witges


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