Long-Term Care

How should deep tissue injuries be coded on the MDS 2.0?

MDS 3.0 Insider, July 26, 2010

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Editor’s note: The following answer was provided by Jennifer A. Butt, RN, RAC-CT, C-NE, clinical reimbursement manager for the consulting division of Landmark Health Solutions in Haverhill, MA. For more information about Ms. Butt, please see our About page.

Q: How should deep tissue injuries be coded on the MDS 2.0?

A: Per the National Pressure Ulcer Advisory Panel, the definition of suspected deep tissue is as follows: “Purple or maroon localized area of discolored intact skin or blood-filled blister due to damage of underlying soft tissue from pressure and/or shear. The area may be preceded by tissue that is painful, firm, mushy, boggy, warmer or cooler as compared to adjacent tissue.”

If the area is discolored and intact with no blister, it would be coded as a Stage I for MDS 2.0. If a blister is present, it would be a Stage II.

The MDS 3.0 offers a separate question to code this.



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