Non Pressure wound

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How would this be coded?













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From:=A0=A0=A0=A0=A0=A0=A0=A0=A0=A0=A0=A0=A0=A0=A0=A0=A0=A0=A0=A0=A0=A0=A0=A0=
=A0=A0=A0=A0=A0=A0=A0=A0=A0=A0=A0=A0=A0=A0=A0=A0 Forbes, Glenda

Sent:=A0=A0=A0=A0=A0=A0=A0=A0=A0=A0=A0=A0=A0=A0=A0=A0=A0=A0=A0=A0=A0=A0=A0=A0=
=A0=A0=A0=A0=A0=A0=A0=A0=A0=A0=A0=A0=A0=A0=A0=A0=A0=A0 Wednesday, January 13, 2=
016
5:45 AM

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Subject:=A0=A0=A0=A0=A0=A0=A0=A0=A0=A0=A0=A0=A0=A0=A0=A0=
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Wound care documentation=

 

Good Morning Kim!

 

I was wondering if you could submit the below to your =
=93talk
group=94 to see if they would advise what is the depth of the wound based o=
n
supplied documentation?  Also, what is your opinion?

 

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Skin Breakdown

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Fat layer exposed

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Necrosis of Muscle

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Necrosis of Bone

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Unspecified

 

 

image

image

 

 

Thanks!!!!

 

Glenda
Forbes

Coder

Revenue
Management

 

3D

252.535.8368

gforbes@halifaxrmc.org

HALIFAXRMC.ORG

 

 







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Comments

  • Sorry that I could not make attachment. Here we go.

    What depth would you code this wound to? Need objective opinion.

    Wound #1 Open. Original cause footwear injury. Location: Left Calcaneous. Measures: 0.9 cm length x 0.4 cm width x 0.3 cm depth: 0.28cm^2 area and 0.085cm^3 volume. Limited to skin breakdown. No tunneling or undermining noted. Medium amount of serosanguineous drainage. Margin well defined not attached to wound base. No granulation within wound bed. Large (67-100%) amount of necrotic tissue within the wound bed including adherent slough. Perwound skin: dry/scaly.

    Wound # 1 Diabetic wound/ulcer of lower extremity L Calcaneous. There was a skin/subcutaneous tissue debridement with total area of 1.2 sq cm performed with curette to remove viable and non-viable tissue/material including exudae, fibrin/slough and subcutaneous. Post debridement measurements: 0.9 cm length x 0.3 cm width x 0.4 cm depth: 0.085cm^3 volume.
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