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Mo440/mo482

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I understand MO440 to be answered Yes on 99.9% of patients because everyone has a skin lesion...mole or something. And I understand that this excludes ostomies. So we recently had a patient with a tracheostomy and MO440 was yes because he has moles aka lesions. Now the nurse answered mo482 does the patient have a surgical wound as no. I thought that the tracheostomy would be considered a surgical wound as the definition is any surgical procedure. Can anyone enlighten me on this?

Thanks Patti

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