Re: surgical flap

[RRS2000]

The pressure ulcer has been resolved via the flap, so it is no longer coded as a pressure ulcer.  It would be a surgical site until healed.  The definition of Surgical Wounds on page 3-166 includes skin grafts.  Surgical wounds are not included in M1 and therefore are not staged.

Rena

Rena R. Shephard, MHA, RN, FACDONA, RAC-C
Chair, American Association of Nurse Assessment Coordinators
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Subj: surgical flap
Date: 4/2/04 12:18:28 PM Pacific Standard Time
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I have a resident that received a flap for a stage iv pressure ulcer. Now that she has returned from the hospital, I am unclear how to code this wound for the mds.  Is it now surgical?  Do I stage it?  Do I code it as a pressure ulcer?

 

-Megan