Non pressure ulcers

danielle.stevens@essentiahealth.orgdanielle.stevens@essentiahealth.org
in Home Care Coding General
Kinda of a stupid question..but I was wondering if the nurse can specify the severity of a non-pressure ulcer ex. L97-? I know they can with pressure ulcers, does this same rule still apply?


Thanks :)

Danie Stevens
Home Health Coder, RHIT
Essentia Health St. Mary's
114 Frazee Street East Detroit Lakes, MN 56501
218-314-7857
Danielle.Stevens@essentiahealth.org

Comments

  • cbrunk@totalhh.comcbrunk@totalhh.com
    edited April 2017
    Yes it does. The assessing clinician; the following is the coding tip from the Decision Health Coding Book:

    "The severity of the ulcer may be determined and coded based upon nursing documentation, but confirmation of necrosis of bone should be de obtained by diagnostic testin such as MRI. (cannot determine through visualization alone)."

    Priscilla Brunk RN, HCS-D
    Corporate Coder
    Cell: 772-284-1185
    Fax: 954-962-2667
  • apoolman@home-rehab.comapoolman@home-rehab.com
    edited April 2017
    There are no stupid questions!

    I learn way too much from everyone J

    Yes, nurses can specify the severity of non pressure ulcers.

    I was told in the class that we can code severity/stage ulcers (pressure
    and nonpressure) and we can define a BMI rating – everything else needs to
    come from a physician



    Arlene Poolman, RN

    Director of Clinical Services

    At Home Rehab

    800.880.9715



    *The Professional Care YOU Deserve*
  • danielle.stevens@essentiahealth.orgdanielle.stevens@essentiahealth.org
    edited April 2017
    I learned two new things, I didn’t know that about BMI either. Thank you so much ☺!!
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