Re: How do code a scab? ASAP Please

[RRS2000]

A scab (on an ulcer that meets the definition for coding in M1) is coded as a stage 2 (see page 3-159 of the RAI User's Manual) - scabs are made up of proteins that are a part of the healing process and are by definition superficial.  Eschar (on an ulcer that meets the definition for coding in M1) is made up of necrotic (dead) tissue and is coded for MDS purposes as stage 4, since it is not possible to know the depth of the wound.  (See page 3-160 of the RAI User's Manual.)

Rena

Rena R. Shephard, MHA, RN, FACDONA, RAC-C
Chair, American Association of Nurse Assessment Coordinators
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Subj: Re: How do code a scab? ASAP Please
Date: 4/1/04 9:00:15 PM Pacific Standard Time
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In a message dated 4/1/04 7:10:43 PM Eastern Standard Time, [EMAIL PROTECTED] writes:

How or if is a scab coded on the MDS?  Someone asked me today &I wasn't sure of the answer.  Thanks all!!!!! 

Same as eschar.  You can't see underneath it.  And it is nature's dressing for the wound, per our wound nurse. 

Sherri