Yesterday I discussed the challenges of ICD-10 coding late effects of radiation. Last week I showed you the axillae of a lady after breast cancer who had radiation changes and a non-healing wound. Her transcutaneous oximetry values on leads 1 and 3 were 8mmHg and 2mmHg respectively. A normal value in the upper extremity should be over 50 mmHg. No wonder she is not healing. Yes, you can use TCOM in places other than the lower extremity if you think there is tissue hypoxia. In this case the tissue hypoxia is due to the late effects of radiation. Next week you can see what happens with an oxygen challenge.
Dr. Fife is a world renowned wound care physician dedicated to improving patient outcomes through quality driven care. Please visit my blog at CarolineFifeMD.com and my Youtube channel at https://www.youtube.com/c/carolinefifemd/videos
The opinions, comments, and content expressed or implied in my statements are solely my own and do not necessarily reflect the position or views of Intellicure or any of the boards on which I serve.
