RE: Actinic skin changes - Second request

[Swift, Marianne F.]

Title: RE: Actinic skin changes - Second request

He has had radiation TX. I had this question from a nurse on the unit, so I'm not positive, but I think it's a burn from the radiation.   -----Original Message----- From: Richardson, Christine [mailto:[EMAIL PROTECTED] Sent: Tuesday, December 30, 2003 5:00 PM To: [EMAIL PROTECTED] Subject: RE: Actinic skin changes - Second request   Per the Tabers actinic skin problems are either from sun burns or radiation TX. If this man is receiving cream and has a rash.I would mark it under section M for rash with topical TX.Or is it a burn? CAR -----Original Message----- From: Michelle Witges [mailto:[EMAIL PROTECTED] Sent: Tuesday, December 30, 2003 3:47 PM To: [EMAIL PROTECTED] Subject: Re: Actinic skin changes - Second request I hate to be ignorant but what is actinic skin changes?  I have never heard of it so I cannot offer info on how to code. Michelle ----- Original Message ----- From: Swift, Marianne F. To: Swift, Marianne F. ; '[EMAIL PROTECTED]' Sent: Tuesday, December 30, 2003 2:58 PM Subject: RE: Actinic skin changes - Second request   Does anyone have advice on this question? Thanks. How should the following skin changes be coded on the MDS? A recent Dermatology appointment led to the prescription of topical 5-FU for actinic skin changes on the dorsal aspect of his hands. Should anything be coded in M4 or should just M5 - application of ointments/medications (other than to feet) be coded? Thanks.   -----Original Message----- From: Swift, Marianne F. Sent: Monday, December 29, 2003 11:47 AM To: [EMAIL PROTECTED] Subject: Actinic skin changes How should the following skin changes be coded on the MDS? A recent Dermatology appointment led to the prescription of topical 5-FU for actinic skin changes on the dorsal aspect of his hands. Should anything be coded in M4 or should just M5 - application of ointments/medications (other than to feet) be coded? Thanks.   NOTE: This e-mail message may contain information that is privileged, confidential, and exempt from disclosure. It is intended for use only by the person to whom it is addressed. If you have received this message in error, please do not forward or use this information in any way. Delete it immediately and contact the sender as soon as possible by the reply option or by telephone at the telephone number listed (if available). In the event you cannot fulfill your obligation or there has been any improper release of this information, please contact the Privacy Officer at Carondelet Health at (816) 943-4611.