The ulcer referenced in your question would not be coded in M1 if the ulcer itself was not present during the observation period.  Assuming that the graft was done during the observation period for M3, the ulcer would be coded in M3 as a resolved or cured ulcer, because it is a resolved ulcer. 

Rena

Rena R. Shephard, MHA, RN, FACDONA, RAC-C
Chair, American Association of Nurse Assessment Coordinators
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Subj: FW: question regarding skin flap
Date: 3/12/04 5:21:39 AM Pacific Standard Time
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Still interested to see response from question below trying to complete
admit MDS thank you

-----Original Message-----
From: Clair, Sandra [mailto:[EMAIL PROTECTED]
Sent: Thursday, March 11, 2004 1:27 PM
To: Discusion Group Aanac (E-mail)
Subject: question regarding skin flap


Pt has hx. of sacral decub stage 3 or 4 prior to admit. Admit to us after
flap to area how do I code M1 staging also do I indicate M3 resolved or
cured??? Thank You S Clair




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