7th character for wound when not seen by provider
Patient seen for SOC and clinician finds s/p fall with skin tear. Patient is not seen by doctor or ED and clinician calls doctor for orders for PT eval and for wound care with routine healing. Is the code S51.811D or is it S51.811A. I have a coding using the logic that it should be A because the SOC nurse is the initial encounter since due to covid19 the patient did not go to the ED or see the physician