Steps for Assessment
1. Review the medical record for documentation of a pressure ulcer/injury covered by a non-
removable dressing/device.
2. Determine the number of documented pressure ulcers/injuries covered by a non-removable
dressing/device.
DiraChart MDS item reference
This item is referenced against CMS MDS source materials. Verify coding against the current CMS RAI Manual, item set instructions, and facility documentation before submission.
Use the item-specific response choices below when structured codes apply.
M0300E2 — Unstaged due to dressing: number at admit/reentry
Enter the value requested for this item using the current CMS numeric entry format. Verify the entry against Manual page M-21 and the supporting facility documentation.
Review what the item asks, how to choose the response, and what should be verified before submission.
1. Review the medical record for documentation of a pressure ulcer/injury covered by a non-
removable dressing/device.
2. Determine the number of documented pressure ulcers/injuries covered by a non-removable
dressing/device.
for M0300E
M0300E1
•
Enter the number of pressure ulcers/injuries that are unstageable related to non-
removable dressing/device.
•
Enter 0 if no unstageable pressure ulcers/injuries related to non-removable dressing
device are present and skip to M0300F, Unstageable – Slough and/or eschar.
M0300E2
•
Enter the number of these unstageable pressure ulcers/injuries related to a non-
removable dressing/device that were first noted at the time of admission/entry AND—for
residents who are reentering the facility after a hospital stay, that were acquired duringthe
hospitalization i.e., the unstageable pressure ulcer/injury related to a non-removable dressing
device was not acquired in the nursing facility prior to admission to the hospital).
•
Enter 0 if no unstageable pressure ulcers/injuries related to non-removable dressing
device were first noted at the time of admission/entry or reentry.
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