OASIS Wound Coding Guide Wound Scenario …
OASIS Wound Coding Guide
Wound Scenario
Pressure ulcer
Pressure ulcer sutured closed
Pressure ulcer treated with skin graft
Pressure ulcer treated with skin graft ? heals completely and becomes a scar ? breaks down due to pressure in the previously grafted area Skin graft of pressure ulcer begins to fail before graft has healed. Pressure ulcer treated with muscle graft
Pressure ulcer treated with muscle graft ? heals completely ? breaks down due to pressure in the previously grafted area Stasis ulcer
Stasis ulcer treated with skin graft
Arterial ulcer
Report on OASIS
Report as appropriate in all OASIS pressure ulcer items M1306 ? M1324. Report as unstageable in all OASIS pressure ulcer pressure ulcer items M1306 ? M1324. Report as a surgical wound in OASIS M1340 ? M1342.
Report as the original ulcer at its worst stage in all OASIS pressure ulcer items M1306 ? M1324.
Assign ICD-10 Code
L89.- Pressure ulcer by wound stage and site
L89.- unstageable pressure ulcer by wound site
L89.- unstageable pressure ulcer by wound site Assign Z48.298 if caring for skin donor site L89.- pressure ulcer by wound site at its worst stage
Report as a surgical wound in OASIS M1340 ? M1342.
Report as a surgical wound in OASIS M1340 ? M1342.
Report as a NEW pressure ulcer at its current stage in all OASIS pressure ulcer items (M1306 ? M1324).
T86.821 Skin graft failure
Assign Z48.298 if caring for skin donor site L89.- unstageable pressure ulcer by wound site Assign Z48.298 if caring for skin donor site L89.- pressure ulcer by wound site and stage
Report as stasis ulcer in OASIS items M1330 ? M1334 as appropriate. Report as stasis ulcer in OASIS items M1330 ? M1334 as appropriate. If a skin donor site is receiving care, report donor site as a surgical wound in M1340-M1342. Report in M1028 as Active Disease (Response 1 - PAD) and in M1350 as an "other" lesion.
L97.- Non-pressure chronic ulcer of LE by site and severity. Code first any associated underlying etiology (i.e. I87.2) L97.- Non-pressure chronic ulcer of LE by site and severity. Code first any associated underlying etiology (i.e. I87.2)
Assign Z48.298 if caring for skin donor site
L97.- Non-pressure chronic ulcer of LE by site and severity. Code first any associated underlying etiology (i.e. atherosclerosis of lower extremities)
Burn Burn treated with a skin graft
Report as an "other" lesion in M1350. Report as surgical wound in M1340 - M1342.
Surgical wound, uncomplicated Trauma wound (lacerations, punctures, gunshot wounds, etc.) Trauma wound surgically repaired, uncomplicated
Report as surgical wound in M1340 ? M1342. Report as an "other" lesion in M1350.
Report as an "other" lesion in M1350.
Code by site and degree of burn with appropriate 7th character. Code by site and degree of burn with appropriate 7th character. Assign Z48.298 if caring for skin donor site Assign appropriate Z code for encounter for aftercare following surgery. Code the injury with appropriate 7th character
Code the injury with appropriate 7th character
Rambusch3 6/25/17, Based on Coding and OASIS Wound Tool, Diagnosis Coding Pro, March 2017
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