Coding moisture related skin breakdown

rpelster@thevnacares.orgrpelster@thevnacares.org
in Home Care Coding General
Needing advice on what to code for "moisture related skin breakdown". Nurse found what she initially called "Incontinence wound" on patients hip. When I asked for MD confirmed diagnosis we received "okay to use calmoseptine on moisture related skin breakdown". This may be description WOCN using to describe such an area of breakdown but I do not know "type" of wound to code. Any advice is appreciated.

Comments

  • cbrunk@totalhh.comcbrunk@totalhh.com
    edited April 2017
    If from sheering and moving in bed it is a stage 2 pressure ulcer at least depending on the depth

    Priscilla Brunk RN, HCS-D
    Corporate Coder
    Cell: 772-284-1185
    Fax: 954-962-2667
  • Nancy.Wolverton@kindred.comNancy.Wolverton@kindred.com
    edited April 2017
    Moisture-related skin breakdown is a dermatitis, not a pressure ulcer.
    The constant moisture irritates the skin like a diaper rash which is also a dermatitis.

    Nancy Wolverton RN, CCM, HCS-D
    Kindred at Home
    Little Rock, Arkansas
    501-508-8526
    Nancy.Wolverton@kindred.com
  • lkpengellkpengel
    edited April 2017
    Yes---I just had the same dx. last week and used the dermatitis code as well.
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