Ulcers - Decubitus only

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)

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edit dx infobox
Category/Organ System:	Category: Dermatological Non-Infectious (old)
Type:	Medical Problem
Main Diagnosis:	Ulcers - Decubitus only
Sub Diagnosis:	ULCERS - DECUBITUS only
Diagnosis Code:	94500 - Ulcers - Decubitus only
Comorbid Diagnosis:	No
Charlson Comorbid coding (pre ICD10):	0
Program:
Status:
StopDate:	"" contains an extrinsic dash or other characters that are invalid for a date interpretation.

*Stages are as follows:

• STAGE 1-surface reddening of skin
• STAGE 2-just under skin
• STAGE 3-deep-to muscle
• STAGE 4-full layer-to bone--CMarks 15:33, 24 August 2009 (CDT)

Comment

• 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?--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. PStein
    • 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. --LKolesar 12:55, 3 May 2010 (CDT)