If an inpatient has a decubitus ulcer treated, but no stage is documented - just a description of the ulcer (open down to bone). Patient had a BKA.
Would you code the stage by the description - or would you always have to query?
I could not find clear direction in the coding guidelines on this.
Thanks
Would you code the stage by the description - or would you always have to query?
I could not find clear direction in the coding guidelines on this.
Thanks