AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2016 Issue 4; Ask the Editor
POA Indicator for Pressure Ulcer Progression
We understand that the ICD-10-CM codes for pressure ulcers include the location of the ulcer as well as the stage. What is the correct diagnosis code and present on admission (POA) indicator for a patient admitted to the hospital with a stage 2 pressure ulcer of the left heel that worsens during the hospitalization and becomes a stage 3 ulcer? ...
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Article Overview
This coding article addresses hospital diagnosis reporting for pressure ulcers under ICD-10-CM, focusing on how present on admission (POA) status is handled when the condition changes during the stay. It is intended for inpatient coders, CDI staff, and compliance teams who need guidance on documentation-driven diagnosis reporting and POA assignment concepts.
Why This Topic Matters
Accurate POA reporting affects inpatient quality reporting, data integrity, and compliance when a documented condition progresses after admission. This article helps readers understand the documentation and reporting considerations involved in staged pressure ulcers.
What You Will Learn
- How this article frames pressure ulcer reporting within ICD-10-CM
- How POA reporting is discussed for a condition that progresses during an inpatient stay
- Which general documentation elements are relevant to inpatient diagnosis reporting
- How the article approaches stage changes in a pressure ulcer scenario
Who Should Read This
- Inpatient coders
- Clinical documentation improvement specialists
- Hospital compliance staff
- Revenue cycle teams
- Health information management professionals
Codes Discussed
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