We have a resident who has a necrotic heel but no documentation from MD/RN's was found.  This resident was admitted to acute hospital in October 2003 for spinal stenosis had surgery, went home then went back to acute hospital in December due to fall w/ fx right hip.  I was able get a documentation from an RN after my assessment window.  I exported the 5D MDS assessment and not coded section M and I'm ready to transmit the 14D assessment.  My question is, should I code section M for the necrotic heel even though there is no documentation on my 5D and 14D assessment or  should I wait for the 30D assessment to include it on section M?
Thank you.

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