I would stage it as a surgical wound. Reasoning is, when something is debrided, it is usually larger, deeper than previously seen. This was caused by a surgical procedure.
This e-mail, and any attachments there to, is intended for use by the addressee(s) named herein, and may contain legally privileged and/or confidential information. If you are not the intended recipient of this e-mail, you are hereby notified that any dissemination, distribution or copying of the e-mail, and any attachment thereto, is strictly prohibited. If you have received this e-mail in error, please immediately notify me by telephone at 207-866-4914 and permanently delete the original and any copy of any e-mail and any printout thereof. -----Original Message----- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Pam Allen Sent: Thursday, November 13, 2003 11:20 AM To: [EMAIL PROTECTED] Subject: Section M I know this has been discussed before but I can not find the information. My question is under section M4 Would we code a surgical wound if a Stage IV pressure area was surgically debrided? We are having a minor debate at my facility with regards to this. My feeling is that if eschar is removed by surgical intervention with/without a flap it is considered a surgical wound. It does cut into healthy tissue and sometimes does require suturing. I would still code it as a pressure ulcer at M1 and surgical wound at M5. Am I right or am I off base??? Any help would be greatly appreciated, today would be great. Thanks Pam /---------------------------------------------------------- The Case Mix Discussion Group is a free service of the American Association of Nurse Assessment Coordinators "Committed to the Assessment Professional" Be sure to visit the AANAC website. Accurate answers to your questions posted to NAC News and FAQs. For more info visit us at http://www.aanac.org -----------------------------------------------------------/ /---------------------------------------------------------- The Case Mix Discussion Group is a free service of the American Association of Nurse Assessment Coordinators "Committed to the Assessment Professional" Be sure to visit the AANAC website. Accurate answers to your questions posted to NAC News and FAQs. For more info visit us at http://www.aanac.org -----------------------------------------------------------/
