Map which Chapter 8 bases apply, then show the need is daily and can be met only in a SNF (the practical-matter test). This is what a coverage reviewer looks for on a Part A day.
Covered skilled procedure
Care of a Stage 3/4 pressure injury or a widespread skin disorder, and dressings involving prescription medication and aseptic technique, are direct skilled services under Chapter 8 when required.
Observation & assessment; management & evaluation
Assessing the healing trajectory, detecting early infection, and adjusting the prevention/treatment plan require RN judgment and are needed daily for an unstable wound.
