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MDS 3.0 Items v1.17 Used for PDPM Calculation Mary Madison, RN, RAC-CT, CDP Clinical Consultant – Briggs Healthcare?MDS ItemDescriptionPrimary Diagnosis Clinical CategoryPDPM Function ScoreExtensive ServicesSpecial Care HighSpecial Care LowClinically ComplexCognitive Patterns BehavioralSwallow DisorderNutritional ApproachesSLP/SLP ComorbidityNTA Comorbidity ScorePHQ-9Restorative NursingPT-OTNsgRed Physical FunctionB0100ComatoseXXB0700Makes Self UnderstoodXC0200Repetition of 3 WordsXC0300Temporal OrientationXC0400RecallXC0500BIMS scoreXC0700Short-term Memory OKXC1000Cognitive Skills for Daily decision MakingXD0300PHQ-9 ScoreXXE0100AHallucinationsXE0100BDelusionsXE0200APhysical Symptoms Directed Toward OthersXE0200BVerbal Behavioral Symptoms Directed Toward OthersXE0200COther Behavioral Symptoms Directed Toward OthersXE0800Rejection of CareXE0900WanderingXGG0130A1EatingXXXGG0130B1Oral HygieneXXGG0130C1Toileting HygieneXXXXGG0170B1Sit to LyingXXXXGG0170C1Lying to Sitting on Side of BedXXXXGG0170D1Sit to StandXXXXGG0170E1Chair/Bed-to-ChairXXXGG0170F1Toilet TransferXXXXGG0170J1Walk 50’ w/2 TurnsXXGG0170K1Walk 150’XXH0100COstomyXH0100DIntermittent CatheterizationXH0200CUrinary Toileting ProgramXXH0500Bowel Toileting ProgramXXI0020Primary Medical ConditionXI0020BICD CodeXXXI1700MDROXI2000PneumoniaXXI2100SepticemiaXI2500Wound InfectionXMDS ItemDescriptionPrimary Diagnosis Clinical CategoryPDPM Function ScoreExtensive ServicesSpecial Care HighSpecial Care LowClinically ComplexCognitive PatternsSwallow DisorderNutritional ApproachesSLP/SLP ComorbidityNTA Comorbidity ScorePHQ-9Restorative NursingPT - OTNsgRed Physical FunctionI2900Diabetes MellitusXXI4300AphasiaXI4400Cerebral PalsyXI4500CVA.TIA/StrokeXI4900Hemiplegia or HemiparesisXXI5100QuadriplegiaXI5200Multiple SclerosisXXI5300Parkinson’s DiseaseXI5500Traumatic Brain InjuryXI5600MalnutritionXI6200Asthma, COPD, Chronic Lung DiseaseXXI6300Respiratory Failure While a ResidentXI8000Laryngeal Cancer, Apraxia, Dysphagia, ALS, Oral Cancers and/or Speech & Language DeficitsXI8000 and SOB When Lying FlatXJ1550AFeverXJ1550BVomitingXJ2100Recent Surgery Requiring Active SNF CareXXJ2300Knee ReplacementXXJ2310Hip ReplacementXXJ2320Ankle ReplacementXXJ2330Shoulder ReplacementXXJ2400Spinal Surgery – Cord or Major Spinal NervesXXJ2410Spinal Surgery – Fusion of Spinal BonesXXJ2420Spinal Surgery – Lamina, Discs or FacetsXXJ2500Repair Fractures of ShoulderXXJ2510Repair Fractures of Pelvis, Hip, Leg, Knee or AnkleXXJ2520Repair but Not Replace JointsXXJ2530Repair Other Bones – Hand, Foot, JawXXJ2600Neurological Surgery – Brain, Surrounding Tissue or Blood VesselsXXJ2610Neurological Surgery – Peripheral or Autonomic Nervous SystemXXJ2620Neurological Surgery – Insertion/removal of Spinal or Brain Neurostimulators, Electrodes, Catheters or CSF Drainage DevicesXXJ2700Cardiopulmonary Surgery – Heart or Major Blood VesselsXXJ2710Cardiopulmonary Surgery – Respiratory System – Lungs, Bronchi, Trachea, Larynx or Vocal CordsXXJ2800Genitourinary Surgery – Male or Female OrgansXXJ2810Genitourinary Surgery – Kidneys, Ureters, Adrenal Glands or BladderXXMDS ItemDescriptionPrimary Diagnosis Clinical CategoryPDPM Function ScoreExtensive ServicesSpecial Care HighSpecial Care LowClinically ComplexCognitive Patterns BehavioralSwallow DisorderNutritional ApproachesSLP/SLP ComorbidityNTA ComorbidityPHQ-9Restorative NsgPT-OTNsgRed Physical FunctionJ2900Major Surgery – Tendons, Ligaments of MusclesXXJ2910Major Surgery – GI Tract or Abdominal ContentsXXJ2920Major Surgery – Endocrine OrgansXXJ2930Major Surgery - BreastXXJ2940Major Surgery – Repair of Deep Ulcers, Internal Brachytherapy, Bone Marrow or Stem Cell Harvest/TransplantXXK0100ALoss of Liquids/Solids from Mouth When Eating or DrinkingXXK0100BHolding Food in Mouth/Cheeks or Residual Food in Mouth After MealsXXK0100CCoughing or Choking During Meals or When Swallowing MedicationsXXK0100DComplains of Difficulty or Pain with SwallowingXXK0100ZNone of the AboveXK0300Weight LossXK0510A1Parenteral/IV Feeding While Not a ResidentXK0510A2Parenteral/IV Feeding While a ResidentXXK0510B1Feeding Tube While a ResidentXXK0510B2Feeding Tube While a ResidentXXXK0510C2Mechanically Altered Diet While a ResidentXXK0710A2Proportion Total Calories Received Through Parenteral or Tube FeedingXK0710B2Average Daily Fluid Intake by IV or Tube FeedingXM0300B1 Stage 2 Pressure UlcerXM0300C1Stage 3 Pressure UlcersXM0300D1Stage 4 Pressure Ulcer XXM0300F1Unstageable Pressure Ulcer XM1030Venous/Arterial UlcerXM1040AInfection of FootXXM1040BDiabetic Foot Ulcer(s)XXM1040COther Open Lesions – FootXXM1040DOpen lesions other than ulcers, rashes, cutsXM1040ESurgical Wound(s)XM0140FBurnsXM1200IApplication of Dressing – FeetXN035AInsulin Injections – All 7 DaysXN0350BInsulin Order Change 2 or More DaysXO0100A2Chemotherapy While a ResidentXO0100B2Radiation While a ResidentXXO0100C2Oxygen Therapy While a ResidentXO0100D2Suctioning While a ResidentXO0100E2Tracheostomy While a ResidentXXXO0100F2Ventilator or Respirator While a ResidentXXXO0100H2IV Medications While a ResidentXXO0100I2Transfusions While a ResidentXXO0100J2Dialysis While a ResidentXMDS ItemDescriptionPrimary Diagnosis CategoryPDPM Function ScoreExtensive ServicesSpecial Care HighSpecial Care LowClinically ComplexCognitive Patterns BehavioralSwallow DisorderNutritional ApproachesSLP/SLP ComorbidityNTA ComorbidityPHQ-9Restorative NsgPT-OTNsgRed Physical FunctionO0100M2Infection Isolation While a ResidentXXO0400D2Respiratory Therapy – All 7 DaysXO0500APROMXXO0500BAROMXXO0500CSplint or Brace AssistanceXXO0500DBed MobilityXXO0500ETransfer TrainingXXO0500FWalking TrainingXXO0500GDressing and/or Grooming TrainingXXO0500HEating and/or Swallowing TrainingXXO0500IAmputation/Prosthesis CareXXO0500JCommunication TrainingXXMDS 3.0 Items v1.17 Used to Calculate Depression Third Level SplitsResident Mood InterviewStaff AssessmentDescriptionSpecial Care HighSpecial Care LowClinically ComplexD0200AD0500ALittle interest or pleasure in doing thingsXXXD0200BD0500BFeeling down, depressed or hopelessXXXD0200CD0500CTrouble falling or staying asleep, sleeping too muchXXXD0200DD0500DFeeling tired or having little energyXXXD0200ED0500EPoor appetite or overeatingXXXD0200FD0500FFeeling bad about yourself or that you are a failure or have let yourself or your family downXXXD0200GD0500GTrouble concentrating on things, such as reading the newspaper or watching televisionXXXD0200HD0500HMoving or speaking so slowly that other people could have noticed. Or the opposite – being so fidgety or restless that you have been moving around a lot more than usualXXXD0200ID0500IThoughts that you would be better off dead or of hurting yourself in some wayXXX--D0500JBeing short-tempered, easily annoyedXXX ................
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