Ulcers - Decubitus only: Difference between revisions

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m (Text replacement - "Decubitus (pressure) ulcer, Stage IV (involves bone)" to "Decubitus (pressure) ulcer, Stage IV (involves muscle, tendon, or bone)")
 
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{{DX tag | Dermatological Non-Infectious |  | Ulcers - Decubitus only | ULCERS - DECUBITUS only | [[94500 -  Ulcers - Decubitus only]] | No | 0 |  |  |  | '''}}*Stages are as follows:'''
{{PreICD10 dx
| NewDxArticle = Decubitus (pressure) ulcer, stage not indicated}}
*STAGE 1-surface reddening of skin
{{PreICD10 dx
*STAGE 2-just under skin
| NewDxArticle = Decubitus (pressure) ulcer, Stage I (surface reddening)
*STAGE 3-deep-to muscle
}} {{PreICD10 dx
*STAGE 4-full layer-to bone--[[User:CMarks|CMarks]] 15:33, 24 August 2009 (CDT)
| NewDxArticle = Decubitus (pressure) ulcer, Stage II (to fascia, just under skin)
}} {{PreICD10 dx
| NewDxArticle = Decubitus (pressure) ulcer, Stage III (deep, to but not including muscle)
}} {{PreICD10 dx
| NewDxArticle = Decubitus (pressure) ulcer, Stage IV (involves muscle, tendon, or bone)
}}


==Comment==
 
{{Discussion}}
[https://en.wikipedia.org/wiki/Pressure_ulcer  for more info see: Wikipedia]
*Are collectors able to easily pick up from charts if patient has a decubitus ulcer? Reason I am asking is that one site is reporting a high number of bedsores compared to others? Wondering if there collection practice differences?--[[User:TOstryzniuk|TOstryzniuk]] 15:00, 30 April 2010 (CDT)
 
**HSC B3- Pat is finding that there is poor documentation on charts about when and decubitus ulcer present on admission or when acquired after coming to a ward. (exception, HSC_D5 is excellent with documentation. Stage of ulcer is rarely documented in the chart.  Pat looks at the nursing FLOW SHEET for indication of some sort of a dressing change that would clue her in that there may be a bed sore. Pat will then track down a bedside nurse to find out what dressing is for and if bedsore what would be the stage.  Most time it is a guess because of poor documentation by both Doc and Nurse.[[User: PStein | PStein]]
{{DX tag | Dermatological Non-Infectious | Medical Problem | Ulcers - Decubitus only | ULCERS - DECUBITUS only |
*** For critical care we can only put in 9 complications and bedsores is just not a top priority.  If this is important to capture then we would need to add it to our tmp file.  If the nurses don't chart skin breakdown there is no way to tell if it was there.  We can only use what is written down as sometimes we are looking at charts after the patient is discharged.  Documentation can be poor for this sometimes, I agree. --[[User:LKolesar|LKolesar]] 12:55, 3 May 2010 (CDT)
*94500 - Ulcers - Decubitus only (''generic'')
*94501 -  Stage 1 - surface reddening of skin
*94502 -  Stage 2 - just under skin
*94503 -  Stage 3 - deep-to muscle
*94504 -  Stage 4 - full layer-to bone
*94505 -  Unstageable - can't see wound bed
| No | 0 |  |  | 2004 | }}
 
== When to use the generic dx ==
Use the generic entry when one of the following is true:  
* the wound was not assessed
* there was insufficient info in the chart to determine stage
 
== When to use the Unstageable dx ==
Wound bed can't be seen so true stage can't be determined.  
 
==Start Dates==
*2017-Aug-24: unstageable
*2004-Jun: Med
*2004-Jan: ICU

Latest revision as of 17:29, 2020 July 28



for more info see: Wikipedia


Legacy Content

This page is about the pre-ICD10 diagnosis coding schema. See the ICD10 Diagnosis List, or the following for similar diagnoses in ICD10:Decubitus (pressure) ulcer, Stage I (surface reddening), Decubitus (pressure) ulcer, Stage II (to fascia, just under skin), Decubitus (pressure) ulcer, Stage III (deep, to but not including muscle), Decubitus (pressure) ulcer, stage not indicated, Decubitus (pressure) ulcer, Stage IV (involves muscle, tendon, or bone)

Click Expand to show legacy content.


edit dx infobox
Category/Organ
System: 		Category: Dermatological Non-Infectious (old)

Type:

Category: Medical Problem (old)

Main Diagnosis: Ulcers - Decubitus only
Sub Diagnosis: ULCERS - DECUBITUS only
Diagnosis Code:
  • 94500 - Ulcers - Decubitus only (generic)
  • 94501 - Stage 1 - surface reddening of skin
  • 94502 - Stage 2 - just under skin
  • 94503 - Stage 3 - deep-to muscle
  • 94504 - Stage 4 - full layer-to bone
  • 94505 - Unstageable - can't see wound bed
Comorbid Diagnosis: No
Charlson Comorbid coding (pre ICD10): 0
Program:
Status:
Start Date: 2004

When to use the generic dx

Use the generic entry when one of the following is true:

  • the wound was not assessed
  • there was insufficient info in the chart to determine stage

When to use the Unstageable dx

Wound bed can't be seen so true stage can't be determined.

Start Dates

  • 2017-Aug-24: unstageable
  • 2004-Jun: Med
  • 2004-Jan: ICU
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