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This
is a long term resident of ours who went out with an acute abdomen, was
hospitalized for a month. she was readmitted following a colostomy, perforated
diverticulum with abcess formation. Yesterday she was found to have stool in her
wound, not from colostomy. She has developed a fistula. In addition she has a
central line and is getting Vanco, Flagyl. She is diabetic, has CHF, and
dementia. MD documents septicemia. Does this help?
If she has a positive culture for mrsa
in her blood, that is definitely a bacteremia. Septicemia would have to
have a definite present diagnosis with the clinical findings associated with
septicemia, ie multi-system failure, etc. the abdominal wound would
likely just be coded as a wound infection. What dx did she come from the
hospital with?
Brenda W. Chance,
RN, RAC-C
MDS
Coordinator
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-----Original
Message-----
From: Ann
Schoeny [mailto:[EMAIL PROTECTED]
Sent: Wednesday, February 04, 2004 12:43
PM
To:
[EMAIL PROTECTED]
Subject:
I have a readmission from the
hospital that has a positive mrsa in the blood. She also has a dehiscence of a
dirty abdominal wound. We were told that the hospital did not culture it d/t
so much bacteria and infection in the wound! Any ideas about
coding?
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