MDS Alert
Coding Quizzer:
Don't Be Left Out In The Cold--Know Where To Code Frostbite Wounds
Published on Sun Oct 14, 2007 
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Your SNF admits an elderly gentleman with dementia who wandered outside with only one mitten on in a snowstorm. He has a frostbite wound on one hand that isn't pressure-related or an arterial or venous ulcer. Where would you code this wound?
A. As a skin ulcer in M1
B. As an open lesion at M4c
C. As an abrasion at M4a
D. Using an ICD-9-CM code in I3 since there's no category for frostbite in Section M
Answer
Code Item M4c unless the frostbite wounds are to the foot; then code M6. Source: RAI user's manual. Quizzer by Eli.
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