pressure ulcer coding

  1. When a stage 3 pressure ulcer is healing well and at the time of the MDS presents as a definite stage 2, (but being coded by nursing as a "healing stage 3" ,do I code it on the MDS as a stage 2 or a stage 3?
    I don't know why all of a sudden I am questioning this!

    I have read and re-read the RAI manual and it speaks about the clinical aspect of coding areas as "healing stage" whatevers but I can't seem to find where it specifically says to code the MDS according to it's physical presentation or by it's clinical dx.
    Thank you!
  2. Visit glm777 profile page

    About glm777

    Joined: Jan '06; Posts: 78; Likes: 18
    from MA , US

    2 Comments

  3. by   Talino
    Here's what it says in M-6
    "If the pressure ulcer has ever been classified at a higher numerical stage than what is observed now, it should continue to be classified at the higher numerical stage."
  4. by   NurseMellie
    It stays a stage 3 until healed or ever becomes unstagable or stage 4.

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