PSI 3 Pressure Ulcer
There is ongoing discussion in my organization regarding the assignment of Stage 3 or 4 pressure ulcers.
Scenario: Patient admitted with a deep tissue injury, which was present on admission. DTI progresses to be able to be staged as a stage 3 or 4 pressure ulcer. We are currently coding the DTI as POA Yes and the pressure ulcer as POA of No, based on coding guidelines regarding staged ulcers progressing to other stages during the stay. However, wound care states the pressure ulcer was likely POA, just not able to be staged until the DTI had progression to a ulcer.
I have reached out to others and an external auditing company and a query is recommended to determine POA status of the PU. Does anyone know how a POA of "W" impacts the PSI? We have put in place to query the provider in these instances and I can see them responding with clinically undetermined.
Is anyone doing something on this topic in their organization?