Re: coding section M

[Gloria Benton]

thanks for the clarification

[EMAIL PROTECTED] wrote:

This is not correct.  A clarification on page 3-169 regarding Item M6 states, "For MDS coding, ankle problems are not considered foot problems and should NOT be coded in Item M6.  Code in Item M5."

Rena

Rena R. Shephard, MHA, RN, FACDONA, RAC-C
Chair, American Association of Nurse Assessment Coordinators
[EMAIL PROTECTED]

Subj: RE: coding section M
Date: 3/6/04 3:07:20 PM Pacific Standard Time
From: [EMAIL PROTECTED]
Reply-to: [EMAIL PROTECTED]
To: [EMAIL PROTECTED]
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the mds includes the ankle as part of the foot

-----Original Message-----
From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]On Behalf Of Orth, Ron A
Sent: Thursday, March 04, 2004 7:06 AM
To: '[EMAIL PROTECTED]'
Subject: RE: coding section M


I would be careful about coding M6c and M6f if the ulcer was on the ankle as some reviewers are stating that the ankle is not the foot.

-----Original Message-----
From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]
Sent: Thursday, March 04, 2004 5:28 AM
To: [EMAIL PROTECTED]
Subject: coding section M


Hi
I have  a patient that had a stage 2 pressure ulcer on the ankle during the look back period for the quarterly MDS.Duoderm was ordered.The area scabbed over during the look back period.

How would you code in section M?
I would code in M1 stade 2,M2 pressure ulcer,M6c open lesions of the foot,M6f applications of dressings.Is that correct?

Another question-if duoderm is used to protect a site (ex, Trach site,hip area etc.) and there are no open areas would you code it as m5g-application of dressings or i-other preventive or protective skin care?

Thanks

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