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tci Outpatient Facility Coding Alert - 2018 Issue 8

Reader Question: Refer to ICD-10-CM Index, Distinguish Between Unstageable, Unspecified Pressure Ulcers

Question: What’s the difference between an unstageable pressure ulcer and a pressure ulcer with an unspecified stage? Georgia Subscriber Answer: The ICD-10-CM manual addresses this very issue. In order to code a specified pressure ulcer as unstageable, the clinical documentation must state as much. Specifically, the ICD-10-CM manual states that unstageable pressure ulcer codes “are used for pressure ulcers whose stage cannot be clinically determined (e.g., the ulcer is covered by eschar or has been treated with a skin or muscle graft) and pressure ulcers that are documented as deep tissue injury but not documented as ...

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