-5004
Property | Specification |
Data System | IRF-PAI |
Data Specs | V2.01.1 |
Edit Type | Consistency |
Severity | Warning |
Edit Text | Entering a dash as a response to any Quality Measure item may result in a payment reduction of two percentage points for the applicable FY annual increase factor. |
Version Notes | [V2.01.0]-Removed mappings to the following items: J1900A, J1900B, M0300A1_1, M0300A1_2, M0300E1_2, M0300F1_2, M0300G1_2, M0800D, M0800E, M0800F, M0900A1, M0900B, M0900C, M0900D. |
Item List | |
Item ID | Description |
25A | Height |
26A | Weight |
BB0700 | Expression of Ideas and Wants (3-day asmt period) |
BB0800 | Understanding Verbal Content (3-day asmt period) |
C0100 | Brief Interview - Mental Status (BIMS) |
C0200 | BIMS - Repetition of Three Words |
C0300A | BIMS - Temporal Orientation - Year |
C0300B | BIMS - Temporal Orientation - Month |
C0300C | BIMS - Temporal Orientation - Day |
C0500 | BIMS - Summary Score |
C0600 | Conduct Staff Assessment - Mental Status |
C0900A | Memory/Recall Ability - Current Season |
C0900B | Memory/Recall Ability - Location Of Own Room |
C0900C | Memory/Recall Ability - Staff Names and Faces |
C0900E | Memory/Recall Ability - In Hospital unit |
C0900Z | Memory/Recall Ability - None Of The Above |
GG0100A | Prior Function - Self Care |
GG0100B | Prior Function - Indoor Mobility (Ambulation) |
GG0100C | Prior Function - Stairs |
GG0100D | Prior Function - Functional Cognition |
GG0110A | Prior Device - Manual wheelchair |
GG0110B | Prior Device - Motorized wheelchair or scooter |
GG0110C | Prior Device - Mechanical lift |
GG0110D | Prior Device - Walker |
GG0110E | Prior Device - Orthotics/Prosthetics |
GG0110Z | Prior Device - None of the above |
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 |
GG0130E1 | Self-Care (Adm Perf) - Shower/bathe self |
GG0130E3 | Self-Care (Dschg Perf) - Shower/bathe self |
GG0130F1 | Self-Care (Adm Perf) - Upper Body Dressing |
GG0130F3 | Self-Care (Dschg Perf) - Upper Body Dressing |
GG0130G1 | Self-Care (Adm Perf) - Lower Body Dressing |
GG0130G3 | Self-Care (Dschg Perf) - Lower Body Dressing |
GG0130H1 | Self-Care (Adm Perf) - On/Off Footwear |
GG0130H3 | Self-Care (Dschg Perf) - On/Off Footwear |
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 sit 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 (Dschg Perf) - Car Transfer |
GG0170H1 | Does the patient walk (Adm) |
GG0170H3 | Does the patient walk (Dschg) |
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) - Walk 10 Ft Uneven Surf |
GG0170L3 | Func Mobil (Dschg Perf) - Walk 10 Ft 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 Object |
GG0170P3 | Func Mobil (Dschg Perf) - Picking Up Object |
GG0170Q1 | Does the patient use a wheelchair/scooter (Adm) |
GG0170Q3 | Does the patient use a wheelchair/scooter (Dschg) |
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/scooter (Adm) |
GG0170RR3 | Indicate the type of wheelchair/scooter (Dschg) |
GG0170S1 | Func Mobil (Adm Perf) - Wheel 150 feet |
GG0170S3 | Func Mobil (Dschg Perf) - Wheel 150 feet |
GG0170SS1 | Indicate the type of wheelchair/scooter (Adm) |
GG0170SS3 | Indicate the type of wheelchair/scooter (Dschg) |
H0350 | Bladder continence |
H0400 | Bowel continence |
I0900 | Diagnoses: Peripheral vascular disease (PVD)/PAD |
I2900 | Diagnoses: Diabetes mellitus (DM) |
I7900 | Diagnoses: None of the Above |
J1750 | History Of Falls |
J1800 | Any Falls Since Admission |
J1900C | Num Falls Since Admission - Major injury |
J2000 | Prior Surgery |
K0110A | Swallow/Nutrit - Regular Food |
K0110B | Swallow/Nutrit - Modified Food |
K0110C | Swallow/Nutrit - Tube/Parenteral Feeding |
M0210_1 | Pressure Ulcers Present on Admission |
M0210_2 | Pressure Ulcers Present on Discharge |
M0300B1_1 | Number of Stage 2 pressure ulcers: Admission |
M0300B1_2 | Number of Stage 2 pressure ulcers: Discharge |
M0300C1_1 | Number of Stage 3 pressure ulcers: Admission |
M0300C1_2 | Number of Stage 3 pressure ulcers: Discharge |
M0300D1_1 | Number of Stage 4 pressure ulcers: Admission |
M0300D1_2 | Number of Stage 4 pressure ulcers: Discharge |
M0300E1_1 | Nbr Unstg non-remov drsg pressure ulcers: Adm |
M0300F1_1 | Nbr Unstg slough/eschar pressure ulcers: Adm |
M0300G1_1 | Nbr Unstg DTI pressure ulcers: Adm |
M0800A | Worsened: Stage 2 pressure ulcers |
M0800B | Worsened: Stage 3 pressure ulcers |
M0800C | Worsened: Stage 4 pressure ulcers |
O0100N | Total Parenteral Nutrition |
NOTICE: These materials are in the public domain and cannot be copyrighted.
Generated: 08/17/2017 04:43:12 PM