This is now one of those things where OASIS and coding are different. It is a surgical wound for OASIS but we would code unstagable pressure ulcer. If there is a donor site as well then we can also code aftercare. If the graft becomes complicated we would code the complication. We have not received any guidance yet if we would also code the original wound as well. I'm leaning toward coding both in that case. For the trauma wounds and burns they change with skin graft for OASIS now as well but we would still code the burn or open wound. In those case even with the complicated skin graft I would still code the acute trauma wound with an A for the complication along with the specific graft complication.
Comments
Thank you!
Thanks,
Jamie Seghers, HCS-D, BCHH-C, COS-C, ICD-10-CM Certified Trainer
Medical Coding Manager
Office Phone: 844-839-0061
Cisco ext. 5040
Fax: 877-751-5987
If the graft becomes complicated we would code the complication. We have not received any guidance yet if we would also code the original wound as well. I'm leaning toward coding both in that case. For the trauma wounds and burns they change with skin graft for OASIS now as well but we would still code the burn or open wound. In those case even with the complicated skin graft I would still code the acute trauma wound with an A for the complication along with the specific graft complication.
Thanks,
Jamie Seghers, HCS-D, BCHH-C, COS-C, ICD-10-CM Certified Trainer
Medical Coding Manager
Office Phone: 844-839-0061
Cisco ext. 5040
Fax: 877-751-5987