OASIS-Central

Q: The change in M1350 relates to a lesion or wound “receiving intervention” by the agency. M2250b relates to diabetic foot care. My question is if the patient is diabetic and at risk for or has a diabetic foot ulcer, would we check “Yes” to M1350 if we are only going to teach on diabetic foot care and not actually perform wound care. Would “teaching” be considered “intervention” related to M1350?

A: For M1350, a response “Yes” (1) would only be appropriate if the patient has persistent redness or an alteration in skin integrity, so a patient who is at risk for a diabetic ulcer but does not have an alteration in skin integrity would not apply. Any skin condition that is being clinically assessed on an ongoing basis as indicated on the home health agency’s plan of care would be considered as receiving clinical intervention resulting in a response of “Yes” (1). Teaching, if it is part of the plan of care, would also be considered a clinical intervention.