-3900
Property | Specification |
Data System | LTCH |
Data Specs | V4.02.1 |
Edit Type | Consistency |
Severity | Warning |
Edit Text | A dash (-) submitted in this item may result in a payment reduction for your facility of two percentage points for the affected payment determination. |
Version Notes | [V4.02.0]-Removed mappings to GG0130D1 and GG0130D3. Added mapping to O0350. |
Item List | |
Item ID | Description |
A1110A | Preferred language |
B0100 | Comatose |
B0200 | Hearing |
B1000 | Vision |
BB0700 | Expression of Ideas and Wants (3-day asmt period) |
BB0800 | Understand Verbal/Non-Verbal Content (3-day asmt) |
C0100 | Brief Interview for Mental Status |
C0200 | Repetition of three words |
C0300A | Temporal Orientation: Able to report correct year |
C0300B | Temporal Orientation: Able to report correct month |
C0300C | Temporal Orientation: Able to report correct day |
C0500 | BIMS Summary Score |
C1310A | Delirium: Acute Onset Mental Status Change |
C1310B | Delirium: Inattention |
C1310C | Delirium: Disorganized thinking |
C1310D | Delirium: Altered level of consciousness |
D0150A1 | Mood: Little interest/pleasure doing things: Pres |
D0150B1 | Mood: Feeling down, depressed, or hopeless: Pres |
D0150C1 | Mood: Trouble falling or staying asleep: Pres |
D0150D1 | Mood: Feeling tired or having little energy: Pres |
D0150E1 | Mood: Poor appetite or overeating: Pres |
D0150F1 | Mood: Feeling bad about yourself: Pres |
D0150G1 | Mood: Trouble concentrating on things: Pres |
D0150H1 | Mood: Moving or speaking so slowly: Pres |
D0150I1 | Mood: Thoughts of better off dead: Pres |
GG0130A1 | Self-Care (Adm Perf) - Eating |
GG0130A3 | Self-Care (Dschg Perf) - Eating |
GG0130B1 | Self-Care (Adm Perf) - Oral hygiene |
GG0130B3 | Self-Care (Dschg Perf) - Oral hygiene |
GG0130C1 | Self-Care (Adm Perf) - Toileting hygiene |
GG0130C3 | Self-Care (Dschg Perf) - Toileting hygiene |
GG0170A1 | Func Mobil (Adm Perf) - Roll left and right |
GG0170A3 | Func Mobil (Dschg Perf) - Roll left and right |
GG0170B1 | Func Mobil (Adm Perf) - Sit to lying |
GG0170B3 | Func Mobil (Dschg Perf) - Sit to lying |
GG0170C1 | Func Mobil (Adm Perf) - Lying to sitting on side |
GG0170C3 | Func Mobil (Dschg Perf) - Lying to sitting on side |
GG0170D1 | Func Mobil (Adm Perf) - Sit to stand |
GG0170D3 | Func Mobil (Dschg Perf) - Sit to stand |
GG0170E1 | Func Mobil (Adm Perf) - Chair/bed-to-chair trans |
GG0170E3 | Func Mobil (Dschg Perf) - Chair/bed-to-chair trans |
GG0170F1 | Func Mobil (Adm Perf) - Toilet transfer |
GG0170F3 | Func Mobil (Dschg Perf) - Toilet transfer |
GG0170G1 | Func Mobil (Adm Perf) - Car Transfer |
GG0170G3 | Func Mobil (Dischrg Perf) - Car Transfer |
GG0170I1 | Func Mobil (Adm Perf) - Walk 10 feet |
GG0170I3 | Func Mobil (Dschg Perf) - Walk 10 feet |
GG0170J1 | Func Mobil (Adm Perf) - Walk 50 feet w/2 turns |
GG0170J3 | Func Mobil (Dschg Perf) - Walk 50 feet w/2 turns |
GG0170K1 | Func Mobil (Adm Perf) - Walk 150 feet |
GG0170K3 | Func Mobil (Dschg Perf) - Walk 150 feet |
GG0170L1 | Func Mobil (Adm Perf) - Walking 10ft uneven surf |
GG0170L3 | Func Mobil (Dschg Perf) - Walk 10ft uneven surf |
GG0170M1 | Func Mobil (Adm Perf) - 1 step (curb) |
GG0170M3 | Func Mobil (Dschg Perf) - 1 step (curb) |
GG0170N1 | Func Mobil (Adm Perf) - 4 steps |
GG0170N3 | Func Mobil (Dschg Perf) - 4 steps |
GG0170O1 | Func Mobil (Adm Perf) - 12 steps |
GG0170O3 | Func Mobil (Dschg Perf) - 12 steps |
GG0170P1 | Func Mobil (Adm Perf) - Picking up an object |
GG0170P3 | Func Mobil (Dschg Perf) - Picking up an object |
GG0170Q1 | Does the patient use a wheelchair and/or scooter |
GG0170Q3 | Does the patient use a wheelchair and/or scooter |
GG0170R1 | Func Mobil (Adm Perf) - Wheel 50 feet w/2 turns |
GG0170R3 | Func Mobil (Dschg Perf) - Wheel 50 feet w/2 turns |
GG0170RR1 | Indicate the type of wheelchair or scooter used |
GG0170RR3 | Indicate the type of wheelchair or scooter used |
GG0170S1 | Func Mobil (Adm Perf) - Wheel 150 feet |
GG0170S3 | Func Mobil (Dschg Perf) - Wheel 150 feet |
GG0170SS1 | Indicate the type of wheelchair or scooter used |
GG0170SS3 | Indicate the type of wheelchair or scooter used. |
H0400 | Bowel continence |
I0900 | Peripheral vascular disease (PVD) or PAD |
I2900 | Diabetes mellitus (DM) |
J1900C | Num Falls Since Admission - Major injury |
K0200A | Height (in inches) |
K0200B | Weight (in pounds) |
K0520A1 | Nutritional Approaches (Admission): Parenteral |
K0520A4 | Nutritional Approaches (7 days): Parenteral |
K0520A5 | Nutritional Approaches (Discharge): Parenteral |
K0520B1 | Nutritional Approaches (Admission): Feeding tube |
K0520B4 | Nutritional Approaches (7 days): Feeding tube |
K0520B5 | Nutritional Approaches (Discharge): Feeding Tube |
K0520C1 | Nutritional Approaches (Admission) : Mech Alt Diet |
K0520C4 | Nutritional Approaches (7 days): Mech Alt Diet |
K0520C5 | Nutritional Approaches (Discharge): Mech Alt Diet |
K0520D1 | Nutritional Approaches (Admission) : Therapeutic |
K0520D4 | Nutritional Approaches (7 day): Therapeutic |
K0520D5 | Nutritional Approaches (Discharge): Therapeutic |
K0520Z1 | Nutritional Approaches (Admission) : None |
K0520Z4 | Nutritional Approaches (7 days): None |
K0520Z5 | Nutritional Approaches (Discharge): None |
M0300B1 | Stage 2 pressure ulcers: number present |
M0300B2 | Stage 2 pressure ulcers: number at admit |
M0300C1 | Stage 3 pressure ulcers: number present |
M0300C2 | Stage 3 pressure ulcers: number at admit |
M0300D1 | Stage 4 pressure ulcers: number present |
M0300D2 | Stage 4 pressure ulcers: number at admit |
M0300E1 | Unstageable due to dressing/device: number present |
M0300E2 | Unstageable due to dressing/device: number at adm |
M0300F1 | Unstageable slough/eschar: number present |
M0300F2 | Unstageable slough/eschar: number at admit |
M0300G1 | Unstageable as deep tissue: num present |
M0300G2 | Unstageable as deep tissue: num at adm |
N0415A1 | High-Risk Drug (Is Taking): Antipsychotic |
N0415A2 | High-Risk Drug (Indication) : Antipsychotic |
N0415E1 | High-Risk Drug (Is taking): Anticoagulant |
N0415E2 | High-Risk Drug (Indication): Anticoagulant |
N0415F1 | High-Risk Drug (Is taking): Antibiotic |
N0415F2 | High-Risk Drug (Indication): Antibiotic |
N0415H1 | High-Risk Drug (Is taking): Opioid |
N0415H2 | High-Risk Drug (Indication): Opioid |
N0415I1 | High-Risk Drug (Is taking): Antiplatelet |
N0415I2 | High-Risk Drug (Indication): Antiplatelet |
N0415J1 | High-Risk Drug (Is taking): Hypoglycemic |
N0415J2 | High-Risk Drug (Indication): Hypoglycemic |
N0415Z1 | High-Risk Drug (Is taking): None of the above |
N2001 | Drug Regimen Review |
N2003 | Medication Follow-up |
N2005 | Medication Intervention |
O0110A1A | Treatment: Chemotherapy (Admission) |
O0110A1C | Treatment: Chemotherapy (Discharge) |
O0110A2A | Treatment: Chemo - IV (Admission) |
O0110A2C | Treatment: Chemo - IV (Discharge) |
O0110A3A | Treatment: Chemo - Oral (Admission) |
O0110A3C | Treatment: Chemo - Oral (Discharge) |
O0110A10A | Treatment: Chemo - Other (Admission) |
O0110A10C | Treatment: Chemo - Other (Discharge) |
O0110B1A | Treatment: Radiation (Admission) |
O0110B1C | Treatment: Radiation (Discharge) |
O0110C1A | Therapies: Oxygen Therapy (Admission) |
O0110C1C | Therapies: Oxygen Therapy (Discharge) |
O0110C2A | Therapies: Oxygen - Continuous (Admission) |
O0110C2C | Therapies: Oxygen - Continuous (Discharge) |
O0110C3A | Therapies: Oxygen - Intermittent (Admission) |
O0110C3C | Therapies: Oxygen - Intermittent (Discharge) |
O0110C4A | Therapies: Oxygen - High-concentration (Admission) |
O0110C4C | Therapies: Oxygen - High-concentration (Discharge) |
O0110D1A | Therapies: Suctioning (Admission) |
O0110D1C | Therapies: Suctioning (Discharge) |
O0110D2A | Therapies: Suctioning - Scheduled (Admission) |
O0110D2C | Therapies: Suctioning - Scheduled (Discharge) |
O0110D3A | Therapies: Suctioning - As Needed (Admission) |
O0110D3C | Therapies: Suctioning - As Needed (Discharge) |
O0110E1A | Therapies: Tracheostomy Care (Admission) |
O0110E1C | Therapies: Tracheostomy Care (Discharge) |
O0110F1C | Therapies: Invasive Mechanical Ventilator (Disch) |
O0110G1A | Therapies: Non-Invas Mechanical Ventilator (Admis) |
O0110G1C | Therapies: Non-Invas Mechanical Ventilator (Disch) |
O0110G2A | Therapies: BiPAP (Admission) |
O0110G2C | Therapies: BiPAP (Discharge) |
O0110G3A | Therapies: CPAP (Admission) |
O0110G3C | Therapies: CPAP (Discharge) |
O0110H1A | Other: IV Medications (Admission) |
O0110H1C | Other: IV Medications (Discharge) |
O0110H2A | Other: IV - Vasoactive medications (Admission) |
O0110H2C | Other: IV - Vasoactive medications (Discharge) |
O0110H3A | Other: IV - Antibiotics (Admission) |
O0110H3C | Other: IV - Antibiotics (Discharge) |
O0110H4A | Other: IV - Anticoagulation (Admission) |
O0110H4C | Other: IV - Anticoagulation (Discharge) |
O0110H10A | Other: IV - Other (Admission) |
O0110H10C | Other: IV - Other (Discharge) |
O0110I1A | Other: Transfusions (Admission) |
O0110I1C | Other: Transfusions (Discharge) |
O0110J1A | Other: Dialysis (Admission) |
O0110J1C | Other: Dialysis (Discharge) |
O0110J2A | Other: Hemodialysis (Admission) |
O0110J2C | Other: Hemodialysis (Discharge) |
O0110J3A | Other: Peritoneal dialysis (Admission) |
O0110J3C | Other: Peritoneal dialysis (Discharge) |
O0110O1A | Other: IV Access (Admission) |
O0110O1C | Other: IV Access (Discharge) |
O0110O2A | Other: IV Access - Peripheral (Admission) |
O0110O2C | Other: IV Access - Peripheral (Discharge) |
O0110O3A | Other: IV Access - Midline (Admission) |
O0110O3C | Other: IV Access - Midline (Discharge) |
O0110O4A | Other: IV Access - Central (Admission) |
O0110O4C | Other: IV Access - Central (Discharge) |
O0110Z1A | Other: None of the above (Admission) |
O0110Z1C | Other: None of the above (Discharge) |
O0150A | SBT: Invasive Mechanical Ventilation Support |
O0150A2 | SBT: Ventilator Weaning Status |
O0150B | SBT: Assessed for readiness by day 2 |
O0150C | SBT: Deemed medically ready by day 2 |
O0150D | SBT: Documentation of reason(s) - patient unready |
O0150E | SBT: Performed by day 2 |
O0200A | Invasive Mechanical Ventilator - Liberation Status |
O0350 | COVID-19 Vaccination Up To Date |
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Generated: 06/05/2024 03:40:40 PM