If a patient is admitted and documentation states that the patient has a pressure ulcer that is healing, the appropriate pressure ulcer stage code should be assigned based on the medical record documentation.

Question

Quizplus · Accepted Answer

The appropriate pressure ulcer stage code should be assigned based on the medical record documentation, regardless of whether the ulcer is healing or not. The stage should reflect the worst stage the ulcer has reached during the current episode of care.

If a Patient Is Admitted and Documentation States That the Patient