tci ED Coding & Reimbursement Alert - 2010 Issue 1

Readers Question: Remember to Represent Pressure Ulcer's Stage

Question: An elderly patient reports to the ED for inspection of sores on her back. The nonphysician practitioner (NPP) diagnoses a stage I pressure ulcer on her lower back. How should I report this diagnosis? Indiana Subscriber Answer: You should submit a pair of codes: one to represent the stage of the pressure ulcer and another for the ulcer itself. On the claim, report 707.03 (Pressure ulcer; lower back) to represent the pressure ulcer and 707.21 (Pressure ulcer stage I) to represent the pressure ulcer's stage. Explanation: Use the "stage" codes (707.2x) to describe the status...

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