Ulcers that are debrided continue to be coded as ulcers.  See page 3-160 "Debridement of an ulcer merely removes necrotic and decayed tissue to promote healing.  The ulcer still exists and may or may not be at the same stage as it was prior to debridement."
Surgical wounds are not coded in section M1.  Page 3-159 "Rashes without open areas, burns , desensitized skin and surgical wounds are NOT coded here, but are included in Item M4."
Section M is one of the most difficult sections of the MDS to code, and the section that CMS keeps changing--makes it all the harder to keep up.

-----Original Message-----
From: [EMAIL PROTECTED]
Sent: Feb 29, 2004 5:01 AM
To: [EMAIL PROTECTED]
Subject: wound/ulcer

How do you differentiate between a wound and an ulcer?  I keep on getting mix up on coding section M especially if a wound is debrided and an infected surgical wd, dehiscence. 
We don't code section M1 & M2 , correct?
Thanks.
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