I would definitely code the wound
infection. The septicemia would have to have a definitive dx. I would check
to see if the MD actually gave a dx of bacteremia as well.
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
1:14 PM
To: [EMAIL PROTECTED]
Subject: RE:
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?
-----Original
Message-----
From: Brenda Chance
[mailto:[EMAIL PROTECTED]
Sent: Wednesday, February 04, 2004
1:14 PM
To: [EMAIL PROTECTED]
Subject: RE:
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
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: 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?
