Pressure ulcer 2/3

jillian.bisbejillian.bisbe
in Clinical & Coding

How would you code a pressure ulcer described as stage 2/3 or 2-3? Query?

Comments

  • morris-jeff@CooperHealth.edumorris-jeff@CooperHealth.edu
    edited January 2019

    I would query if it's being described as 2/3. I agree clinically it may be in between stages but for coding someone needs to definitively stage it....it's either a stage 2 or a stage 3. Is there a certified wound care nurse involved that can provide staging?

    Thanks,

    Jeff

  • jillian.bisbejillian.bisbe

    They said 2-3 too!

    Its a RAC denial. We coded stage 3 and they are denying the MCC (of course). Learning opportunity for us!

    RAC-1 Jillian-0

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