Have been treating this wound for approx 1 year. Pt is Diabetic last A1c 5.6, PAD, Kidney disease, has history of multiple amputations with infections, including LLE BKA several years ago. Pt has seve...
40 y/o F, no PMHx. Scalding water burn x4 wks ago. PCP placed on Amoxicillin and mupirocin. Was improving, then started blistering and worsening redness at 3 weeks. Started on Cipro, SSD with foam dre...
The Zero-G Offloading device (Prefabricated AFO with Ankle Joint) suggests using the HCPCS codes L1971, L2220 X2, L2265 when ordering. Can you tell me exactly what the three different codes are for?
I have a resident in a SNF that had a Stage 3 pressure ulcer on his hip- had been improving for months with the use of collagen and then began to deteriorate recently. Started noticing increased bleed...
I am working on my DNP project and studying the percentage of patients having ABI done on first visit. One barrier is due to compliance, the MD's prefer to do US instead. Any resources the you know of...
History of present illness:
51 year old female who was seen at SLJ ER on 7/21/2020 with a 3 wk history of decreased appetite and generalized weakness and malaise. She had had prior colonoscopy and en...
Hello, Is it ever appropriate to classify a wound as " diabetic ulcer" if on the upper limb? I was under the impression that diabetic ulcers are the foot? Thank you
This friction and shear ulcer is not responding to any treatment, any suggestions? I have been using allograft injections which is helping but patient is not very compliant when it comes to cleaning a...
Pt has been using antifungal. He said he had an antifungal allergy so we've tested it in spots before with no issues. This visit he shows up with this rash looking stuff but the rash is not everywhere...
I have a stubborn wound that I can't get to heal. Patient wih 30 year h/o lipodermatosclerosis now with penetrating osteoma cutis. Always probes to bone - I can't get it covered after trying 6 months....
Currently, the procedure codes for the different offloading devices are as follows:
- Orthotic and Prosthetic Procedures, Devices - Walking boots (L4360, L4361, L4386, L4387, L4631) are covered for ...
Hi. What would be an effective TX for fungal infection of the pannus with a partial thickness open area 2.5cmx1cmx0.1cm. I do not have access to interdry. For now i requested nystatin and placed skin....
Patient completed course of hyperbarics to heal ulcer in right foot. Patient was subsequently diagnosed with osteomyelitis in same foot and returned to be treated. Does the treatment number "1 of #" s...
6/25/20 by
Mitch Hall,
Hello, I am not sure if any of you have noticed an increase in DTI on covid patients even with interventions. There is a white by NPIAP regarding the differential between covid skin manifestations and...
72-year old female history spina bifida, has been wheelchair-bound for last 10 years. Has long-term colostomy and had suprapubic urinary cath placed about a year ago but still leaking urine from uret...
This wound is stalled. It is being debrided but my concern is not debrided agressively enough. How far back should this be taken each time? What should be done with wound bed in this case?
5/11/20 by
Mitch Hall,
Patient had silicone injections directly into the penis about 20 years ago. No other pertinent medical history. I've tried mult types of dressings, wound gels, collagen, Santyl, but nothing heals this...
During this COVID crisis and the need to use Telehealth, will payment be allowed for both the home health agency as well as the provider if both services provided on the same day?
Also, with telehe...
