Cracking the Code

Coding Changing Severity of Pressure Ulcers

If a patient is admitted to a hospital with a pressure ulcer that progresses during the patient’s stay to another severity, then it’s appropriate to report two separate diagnosis codes. The first code is for the site and severity of the ulcer that was present on admission, and the second one is for the severity level that was reported during the stay.

Reference: ICD -10-CM Official Coding Guidelines Ch. 12 Section B.3. Coding Clinic 4th Quarter 2016 pg. 124
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