Sometimes a wound gets worse before it gets better and knowing how to properly code it will enable your office to get the maximum reimbursements on your medical billing instead of having the treatment bundled. Debrided ulcers are not uncommon and knowing how to correctly document the staging and coding on the MDS is most of the problem. It is difficult to assign a stage to a wound you can’t see and the MDS does not allow you to bill for a wound you can’t stage. A good rule of thumb to use is to stage the wound at stage 4 (necrotic eschar is present) until the exact stage can …