RE: fecal impaction

[Brenda Chance]

The manual does not say not to check it if it has been resolved.  If it occurred in the 14 day lookback period, then it needs to be coded if it meets the manual definitions. Per the manual, fecal impaction is coded as “the presence of hard stool upon digital rectal exam.  Fecal impaction may also be present if stool is seen on abdominal x-ray in the sigmoid colon or higher, even with a negative digital exam or documentation in the clinical record of daily bowel movements.”   Brenda W. Chance, RN, RAC-C MDS Coordinator     CONFIDENTIALITY NOTICE: This e-mail message, including any attachments, is for the sole use of the intended recipient(s) and may contain confidential and privileged information. Any unauthorized review, use, disclosure or distribution is prohibited. If you are not the intended recipient, please contact the sender by reply e-mail and destroy all copies of the original message. -----Original Message----- From: Debbie Settle [mailto:[EMAIL PROTECTED] Sent: Tuesday, January 20, 2004 9:54 AM To: [EMAIL PROTECTED] Subject: RE: fecal impaction   I would not code it in section"I" if is resloved. -----Original Message----- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]On Behalf Of [EMAIL PROTECTED] Sent: Tuesday, January 20, 2004 12:50 AM To: [EMAIL PROTECTED] Subject: fecal impaction A friend of mine ask me to ask the group abt fecal impaction. If a resident returned fr the hospital with dx of partial abdominal obstruction and fecal impaction, should it be coded  in the DX section as S/P fecal impaction? I know that It has to be checked in the section for continence in the last 14 days for fecal impaction because the incident happened within the last 14 days. Thank you.