POA deterioration

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    • Type: Other
    • Resolution: Answered
    • Priority: Moderate
    • Component/s: None
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    • Rhonda Sullivan
    • 9045107438
    • Bruin Biometrics
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      Thank you for your question regarding CMS826v2, Hospital Harm - Pressure Injury. You are correct that a pressure injury that is present on admission (coded as POA-Y) does not get subsequently re-coded to POA-N if the pressure injury deteriorates to a higher stage during the hospitalization. The numerator requires a new deep tissue pressure injury (DTPI) or stage 2, 3, 4 or unstageable pressure injury.
      Show
      Thank you for your question regarding CMS826v2, Hospital Harm - Pressure Injury. You are correct that a pressure injury that is present on admission (coded as POA-Y) does not get subsequently re-coded to POA-N if the pressure injury deteriorates to a higher stage during the hospitalization. The numerator requires a new deep tissue pressure injury (DTPI) or stage 2, 3, 4 or unstageable pressure injury.
    • CMS0826v2
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      I am seeking clarity regarding reporting pressure injuries under CMS826v2. Am I correct that a pressure injury that is present on admission (coded as POA-Y) does not get subsequently changed to POA-N if the pressure injury deteriorates to a higher stage during the hospitalization?
      Show
      I am seeking clarity regarding reporting pressure injuries under CMS826v2. Am I correct that a pressure injury that is present on admission (coded as POA-Y) does not get subsequently changed to POA-N if the pressure injury deteriorates to a higher stage during the hospitalization?

      The question is grounded in the misconception among my clinical colleagues that a present on admission pressure injury should be changed to hospital-acquired if the injury progresses in stage, even if it was present on admission. This seems counterintuitive to the singular purpose of present on admission identification.

            Assignee:
            Augustine Weber
            Reporter:
            Rhonda Sullivan (Inactive)
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