If you don’t know whether it’s open or not, I would try to examine it before I coded it in this section as an open lesion.  For it to be coded an open lesion, the manual states it must be “ a local loss of epidermis and variable levels of dermis and subcutaneous tissue.  This open sore may develop because of injury or in association with  other diseases such as syphilis.

 

Brenda W. Chance, RN, RAC-C

MDS Coordinator

 

 

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-----Original Message-----
From: Debbie Settle [mailto:[EMAIL PROTECTED]
Sent: Monday, December 29, 2003 1:13 PM
To: [EMAIL PROTECTED]
Subject: RE: cancer lesion

 

The MDS itself gives "cancer lesion" as an example for M4c, so that's where I'd code it.

-----Original Message-----
From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]On Behalf Of MDSNancy
Sent: Monday, December 29, 2003 12:16 PM
To: [EMAIL PROTECTED]
Subject: cancer lesion

I have a resident with cancer lesion of the hard palate.  Do I count this in M4c?   It's there, but I don't know if it's an "open" lesion. 

Thanks, Nancy


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