AHA Coding Clinic® for ICD-9 - 2009 Issue 1; Frequently Asked POA Questions
Stage II Pressure Progressing to Stage III
Coding Clinic Fourth Quarter 2008, page 194 stated that a stage II pressure ulcer, which was present on admission, and progresses to become a stage III pressure ulcer during the stay is reported as "Yes" for the present on admission (POA) indicator. However, the POA indicator is reported for conditions present at the time of inpatient admission. It appears inconsistent to report a Stage III pressure ulcer as present on admission since the pressure ulcer gradually deteriorated during the hospital stay. Could Coding Clinic please clarify this issue for coders and clinical teams that rely on this guidance? ...
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Article Overview
This Coding Clinic clarification discusses pressure ulcer staging and present-on-admission reporting in an inpatient coding context. It is relevant to coders, CDI professionals, and clinical teams who need to understand how updated guidance addresses conditions that progress during the stay and how the prior Coding Clinic advice applies.
Why This Topic Matters
The article helps readers interpret how pressure ulcer staging and POA reporting interact when a condition changes after admission. It is important for accurate inpatient coding, data quality, and consistency with Coding Clinic guidance.
What You Will Learn
- How Coding Clinic guidance applies to pressure ulcer staging during an inpatient stay
- How present-on-admission reporting is discussed for conditions that worsen after admission
- How the article frames consistency between staging documentation and POA reporting
- How the clarification relates to prior Coding Clinic advice
Who Should Read This
- Inpatient coders
- CDI professionals
- Clinical documentation teams
- Coding educators
- Health information management professionals
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