OASIS Definitions

Surgical

Stasis Ulcer
Ostomy
Ulcer
Pressure

OASIS-C1 Wound Classification Reference Sheet
Surgical wound not yet epithelialized
Surgically debrided pressure ulcer
Surgical wound epithelialized <30 days
Surgical wound epithelialized >30 days
Surgical wound epithelialized >30 days
but now dehisced
Surgical wound epithelialized >30 days
Surgical
wound
Lesion/Open
Notes on Pressure Ulcer Staging
Because Stage II ulcers do not
granulate and newly epithelialize, the
X only appropriate response for Stage II
X ulcers is “Not healing”
X Stage III and IV pressure ulcers can
X never be considered “fully healed”
X but they can be considered closed
when they are fully granulated and

now infected X the wound surface is covered with

Wounds with drains
Puncture sites (i.e., cardiac catheterization,
kyphoplasty, thoracentesis, etc.)
Orthopedic pin sites
Cataract surgery of the eye
Surgery to the mucosal membranes
Gynecological surgical procedures via vagina
Muscle flap to replace pressure ulcer
Skin flap to treat pressure ulcer
Skin graft to pressure ulcer
Ulcers
new epithelial tissue
X
X
Reverse staging of granulating Stage
X III and Stage IV pressure ulcers is NOT
an appropriate clinical practice. If a
pressure ulcer is Stage III at SOC and
has granulated and closed at the
follow-up visit, the ulcer remains a
X Stage III ulcer with a status of “newly
X epithelialized”
X
A previous closed Stage III or Stage IV

Debridement of pressure ulcer X

pressure ulcer that is currently open
Venous stasis ulcer X
again should be reported at its worst
Arterial stasis ulcer X stage
Diabetic ulcer X
Other ulcers X Notes on Surgical Wounds
Bowel ostomy X
Bowel ostomy take down X A surgical wound can be considered
Bowel ostomy being allowed to close on own X fully healed and not reportable as a
Urostomy X current surgical wound once re-
epithelialization has been present for
Ostomy

Tracheostomy X
approximately 30 days at which time
Gastrostomy X it becomes a scar.
Ileostomy X
Cystostomy X Surgical incisions healing by primary
Nephrostomy X intention do not granulate, therefore
Urethrostomy X the only appropriate responses
Central line sites X would be “Newly epithelialized” or
“Not healing”
AV fistulas X
IV Sites

Implanted ports/infusion devices X If clinician determines there is

PICC X incisional separation, healing will be
Peripheral IV X by secondary intention, which may
SQ site X be reported as “Not healing”,
Sores/Scars/Keloids X “Early/partial granulation”, “Fully
granulating”, and eventually “Newly
Skin tears X
epithelialized”
Burns X
Miscellaneous

Rashes X Reference:
Cellulitis X Center for Medicare & Medicaid
Abscesses X Services. (2015). OASIS-C1/ICD-9
Edema X Guidance Manual. Baltimore, MD.
Trauma wounds X Center for Medicare & Medicaid
Services.
Simple I &D X
Chest tube site X
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