MDS Alert
Master Coding Wounds In Section M
How would code this resident's ulcers?
Mr. C has diabetes and poor circulation to his lower extremities. Last month Mr. C spent two weeks in the hospital where he had a left below-the-knee amputation (BKA) for treatment of a gangrenous foot. He was readmitted to the nursing facility three days ago with a Stage II pressure ulcer over his sacrum and a Stage I pressure ulcer over his right heel and both elbows. No other ulcers were present.
Items M1, Ulcers Code (# at stage) Items M2, Type of Ulcer Code
a. Stage 1 = (highest stage)
b. Stage 2 = a. Pressure Ulcer =
c. Stage 3 = b. Stasis Ulcer =
d. Stage 4 =
Answer:
Items M1, Ulcers Code (# at stage) Items M2, Type of Ulcer Code
a. Stage 1 = 3 (highest stage)
b. Stage 2 = 1 a. Pressure Ulcer = 2
c. Stage 3 = 0 b. Stasis Ulcer = 0
d. Stage 4 = 0
Rationale for coding: Mr. C has four pressure ulcers, the highest stage of which is Stage 2. (Source: RAI manual, p. 3-164)
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