A resident developed a deep tissue injury that we coded on his last MDS as a stage 4 - Deep Tissue Injury. It has since opened and is now a stage 2 pressure ulcer. Should I code this as a "worsening" pressure ulcer on the MDS I need to do this week? Is it considered "worse" just because it is now open?
Also, if a pressure ulcer is coded as a stage 3 on the last MDs and it is now a stage 2 - am I correct in coding it as a stage 3 still, since back staging is not allowed? What if it starts out as a stage 2 then progresses to a stage 3? I would code it as a stage 3 - correct? You don't backstage but you can upstage.
I have to wonder if they really needed to make this section so complex