Change to coding locations for Decubitus Ulcers

Until 2025-07-01 we coded Decubitus Ulcer Diagnoses by stage, but not location. This page documents the transition to coding them with some locations included.

Transition collection instructions

• Use the new decubitus diagnoses entered for any record, regardless of admission, discharge, and record start time
• Existing decubitus diagnosis entries using the old codes will show up as blank lines; collectors will need to change the blank line to the new ICD 10 dx or an error will occur (reason for blank is that the old code is no longer available in the dropdown to list it, see Retiring an ICD10 or CCI Code)

Reports/Indicators

• ICU Acquired Ulcer Rate

will there be a regular report for Andie, or is the change to ICU Acquired Ulcer Rate all that was needed? If so, here is the start, lets spin it out into its own page. If not, we can delete this discussion. Ttenbergen 23:31, 11 July 2025 (CDT) Once complete the following section is used on any report page to provide structured data the following is needed for the application of the Report template Program: Critical Care StartDtTm: <eg 2018-01-01> EndDtTm: <eg 2018-01-01> Frequency: <eg monthly, quarterly, annually, as requested> ContactPerson: <names, organization if outside of Shared Health> Recipients: <names> MailingList: <Outlook list if applicable> DataDependencies: <likely list of dxs, possibly including admit or dispo dttm> SASFiles: <path(s) for SAS files>

• SMW

• Cargo

• Categories

Cross checks

Considered, didn't have any before, don't think we need any.

Log

• 2025-07-03 - Julie updated ICU Acquired Ulcer Rate

• 2025-07-01 - email to Lisa and Julie re best way to roll these out re. Retiring an ICD10 or CCI Code; decided to keep the old codes "retired" so they can no longer be used, understanding that this will mean they show up blank in CCMDB.accdb. Lisa emailed collectors about this.

• 2025-06-30
  • Added Dx and template pages
  • set up codes in s_ICD10 table
  • updated CCMDB.accdb Change Log 2025

• 2025-06-25
  • added pages
    • Change to coding locations for Decubitus Ulcers - this page describing the change process
    • 2024 investigation of 2022 rise in the number of decubitus ulcers to contain some content that seemed like excess detail in Template:ICD10 Guideline Decubitus Ulcer
    • Template:Decubitus Deep Tissue Damage Details to contain the description provided at ICU Database Task Group Meeting – May 14, 2025 | Task 2025-05-14
• 2025-05-14 Task - decided to
  • implement coding body location (sacral, heel or other) of ulcer by adding a digit to our existing coded
  • add a new code for L89.6 for "Pressure-induced deep tissue damage"
• 2025-05-14 - Lisa, Allan and Andie/Andrea met...Andie asked for the specific locations as outlined below as many of the ICU are trialing a new mepliex drsg. She does not require any different reporting. She had completed a previous quality project looking at sacral ulcers and found it difficult to use our data, she had to review all charts that had a stage 2 or worse stage to find the sacral ulcers
• 2024-12-04 Task Pt 4 - request to add locations on body of ulcers as part of testing an intervention
• 2024-03-20 Task Pt 1 - The 2024 investigation of 2022 rise in the number of decubitus ulcers raised the idea to include location in coding of decubitus ulcers