RE: skin ulcer

[li pow]

>From: "Michelle Witges" <[EMAIL PROTECTED]>

>Reply-To: [EMAIL PROTECTED]

>To: <[EMAIL PROTECTED]>

>Subject: skin ulcer

>Date: Tue, 23 Dec 2003 15:14:35 -0600

>

>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

>

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>Thank You.

>

>Michelle Witges

 

if resident has ulceration on lower left leg, my question is ,is it stasis or pressure ulcer? and staging would be stage IV because of the unknown condition underneath.  better to up stage than to down stage.

 speak with the doctor. explain your concerns. i am sure he will re-eval and /or get a professional opinion via wound care specialist.

linda powell

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