|
1 |
BENE_ID |
Encrypted 723 Beneficiary ID |
| 2 |
ASMT_ID |
Encrypted Assessment ID |
| 3 |
AGENT_ID |
Agent ID |
| 4 |
AST_BEG_VER_DT |
Assessment Beginning Version Date |
| 5 |
ASMT_CRCTN_VRSN_NUM |
Assessment Correction Version Number |
| 6 |
ASMT_END_VRSN_DT |
Assessment Ending Version Date |
| 7 |
IRF_ASMT_INT_ID |
Encrypted D16Assessment Internal ID |
| 8 |
AST_MOD_CD |
Assessment Modification Code |
| 9 |
CALCTD_AGE_TXT |
Calculated Age Code |
| 10 |
CALCTD_CMG_TXT |
Calculated CMG Code |
| 11 |
CALCTD_CMG_VRSN_TXT |
Calculated CMG Version Code |
| 12 |
CALCTD_CGNTV_SCALE_TXT |
Calculated Cognitive Scale Code |
| 13 |
CALCTD_MOTOR_SCALE_TXT |
Calculated Motor Scale Code |
| 14 |
ORGNL_ASMT_INT_ID |
Encrypted D189Original Assessment Internal ID |
| 15 |
PRVDR_INT_NUM |
Provider Internal Number |
| 16 |
RES_CHG_TIMESTAMP |
Resident Data Update Timestamp |
| 17 |
RSDNT_MATCH_CRTR_CD |
Resident Match Criteria Code |
| 18 |
SFTWR_ID |
Software ID |
| 19 |
SFT_VER |
Software Version |
| 21 |
SUBMISSION_DATE |
Submission Date |
| 22 |
SUBMSN_SQNC_NUM |
Submission Sequence Number |
| 23 |
SBMTD_CMG_TXT |
Submitted CMG Code |
| 24 |
SBMTD_CMG_VRSN_TXT |
Submitted CMG Version Code |
| 25 |
TRGT_DT |
Target Date |
| 26 |
VRSN_CD1 |
Version Code 1 |
| 27 |
VRSN_CD2 |
Version Code 2 |
| 28 |
FAC_MDCR_PRVDR_NUM |
(1B) Facility Medicare Provider Number |
| 29 |
BIRTH_DT |
(6) Birth Date |
| 30 |
GNDR_CD |
(8) Gender Code |
| 31 |
ETH_AMRCN_INDN_AK_NTV_SW |
(9A) Race: American Indian/Alaskan Native |
| 32 |
ETH_ASN_SW |
(9B) Race: Asian |
| 33 |
ETH_AFRCN_AMRCN_SW |
(9C) Race: Black or African American |
| 34 |
ETH_HSPNC_LTN_SW |
(9D) Ethnicity: Hispanic or Latino |
| 35 |
ETH_NTV_HI_PCFC_ISLDR_SW |
(9E) Race: Native Hawaiian or other Pacific Islander |
| 36 |
ETH_WHT_SW |
(9F) Race: White |
| 37 |
MRTL_STUS_CD |
(10) Marital Status |
| 38 |
ZIP_CD |
(11) ZIP code of patients pre-hospital residence |
| 39 |
ADMSN_DT |
(12) Admission Date |
| 40 |
ASMT_RFRNC_DT |
(13) Assessment Reference Date |
| 41 |
ADMSN_CLS_CD |
(14) Admission Class |
| 42 |
ADMT_FROM_CD |
(15) Admit From (at date of admission) |
| 43 |
PRE_HOSP_LVG_SET_CD |
(16) Pre-Hospital Living Setting |
| 44 |
PRE_HOSP_LVG_WTH_CD |
(17) Pre-Hospital Living With |
| 45 |
PRE_HOSP_VCTNL_CTGRY_CD |
(18) Pre-Hospital Vocational Category |
| 46 |
PRE_HOSP_VCTNL_EFRT_CD |
(19) Pre-Hospital Vocational Effort |
| 47 |
PRMRY_PMT_SRC_CD |
(20A) Primary Payment Source |
| 48 |
SCNDRY_PMT_SRC_CD |
(20B) Secondary Payment Source |
| 49 |
IMPRMNT_GRP_ADMSN_CD |
(21a) Impairment Group: Admission |
| 50 |
IMPRMNT_GRP_DSCHRG_CD |
(21d) Impairment Group: Discharge |
| 51 |
ETLGC_DGNS_CD |
(22) Etiologic Diagnosis Code (ICD-9 Code) |
| 52 |
ONST_DT |
(23) Date of Onset |
| 53 |
CMRBD_COND_A_CD |
(24A) Comorbid Conditions (ICD-9 Code) |
| 54 |
CMRBD_COND_B_CD |
(24B) Comorbid Conditions (ICD-9 Code) |
| 55 |
CMRBD_COND_C_CD |
(24C) Comorbid Conditions (ICD-9 Code) |
| 56 |
CMRBD_COND_D_CD |
(24D) Comorbid Conditions (ICD-9 Code) |
| 57 |
CMRBD_COND_E_CD |
(24E) Comorbid Conditions (ICD-9 Code) |
| 58 |
CMRBD_COND_F_CD |
(24F) Comorbid Conditions (ICD-9 Code) |
| 59 |
CMRBD_COND_G_CD |
(24G) Comorbid Conditions (ICD-9 Code) |
| 60 |
CMRBD_COND_H_CD |
(24H) Comorbid Conditions (ICD-9 Code) |
| 61 |
CMRBD_COND_I_CD |
(24I) Comorbid Conditions (ICD-9 Code) |
| 62 |
CMRBD_COND_J_CD |
(24J) Comorbid Conditions (ICD-9 Code) |
| 200 |
CMRBD_CONDS_K_CD |
24K Comorbid Conditions: ICD Code K |
| 201 |
CMRBD_CONDS_L_CD |
24L Comorbid Conditions: ICD Code L |
| 202 |
CMRBD_CONDS_M_CD |
24M Comorbid Conditions: ICD Code M |
| 203 |
CMRBD_CONDS_N_CD |
24N Comorbid Conditions: ICD Code N |
| 204 |
CMRBD_CONDS_O_CD |
24O Comorbid Conditions: ICD Code O |
| 205 |
CMRBD_CONDS_P_CD |
24P Comorbid Conditions: ICD Code P |
| 206 |
CMRBD_CONDS_Q_CD |
24Q Comorbid Conditions: ICD Code Q |
| 207 |
CMRBD_CONDS_R_CD |
24R Comorbid Conditions: ICD Code R |
| 208 |
CMRBD_CONDS_S_CD |
24S Comorbid Conditions: ICD Code S |
| 209 |
CMRBD_CONDS_T_CD |
24T Comorbid Conditions: ICD Code T |
| 210 |
CMRBD_CONDS_U_CD |
24U Comorbid Conditions: ICD Code U |
| 211 |
CMRBD_CONDS_V_CD |
24V Comorbid Conditions: ICD Code V |
| 212 |
CMRBD_CONDS_W_CD |
24W Comorbid Conditions: ICD Code W |
| 213 |
CMRBD_CONDS_X_CD |
24X Comorbid Conditions: ICD Code X |
| 63 |
CMTS_SW |
(25) Comatose: Admission |
| 64 |
DLRS_SW |
(26) Delirious: Admission |
| 65 |
SWLWG_ADMSN_CD |
(27a) Swallowing Status: Admission |
| 66 |
SWLWG_DSCHRG_CD |
(27d) Swallowing Status: Discharge |
| 67 |
DHYDRTN_ADMSN_SW |
(28a) Clinical Signs of Dehydration: Admission |
| 68 |
DHYDRTN_DSCHRG_SW |
(28d) Clinical Signs of Dehydration: Discharge |
| 69 |
BLADR_ASTNC_ADMSN_CD |
(29a) Bladder Level of Assistance: Admission |
| 70 |
BLADR_ASTNC_DSCHRG_CD |
(29d) Bladder Level of Assistance: Discharge |
| 71 |
BLADR_ACDNT_ADMSN_CD |
(30a) Bladder Frequency of Accidents: Admission |
| 72 |
BLADR_ACDNT_DSCHRG_CD |
(30d) Bladder Frequency of Accidents: Discharge |
| 73 |
BWL_ASTNC_ADMSN_CD |
(31a) Bowel Level of Assistance: Admission |
| 74 |
BWL_ASTNC_DSCHRG_CD |
(31d) Bowel Level of Assistance: Discharge |
| 75 |
BWL_ACDNT_ADMSN_CD |
(32a) Bowel Frequency of Accidents: Admission |
| 76 |
BWL_ACDNT_DSCHRG_CD |
(32d) Bowel Frequency of Accidents: Discharge |
| 77 |
TUB_TRNSFR_ADMSN_CD |
(33a) Tub Transfer: Admission |
| 78 |
TUB_TRNSFR_DSCHRG_CD |
(33d) Tub Transfer: Discharge |
| 79 |
SHWR_TRNSFR_ADMSN_CD |
(34a) Shower Transfer: Admission |
| 80 |
SHWR_TRNSFR_DSCHRG_CD |
(34d) Shower Transfer: Discharge |
| 81 |
DSTNC_WLKD_ADMSN_CD |
(35a) Distance Walked: Admission |
| 82 |
DSTNC_WLKD_DSCHRG_CD |
(35d) Distance Walked: Discharge |
| 83 |
DSTNC_WC_ADMSN_CD |
(36a) Distance Traveled in Wheelchair: Admission |
| 84 |
DSTNC_WC_DSCHRG_CD |
(36d) Distance Traveled in Wheelchair: Discharge |
| 85 |
WLK_ADMSN_CD |
(37a) Walk: Admission |
| 86 |
WLK_DSCHRG_CD |
(37d) Walk: Discharge |
| 87 |
WC_ADMSN_CD |
(38a) Wheelchair: Admission |
| 88 |
WC_DSCHRG_CD |
(38d) Wheelchair: Discharge |
| 89 |
EATG_ADMSN_CD |
(39Aa) Self-Care: Eating: Admission |
| 90 |
EATG_DSCHRG_CD |
(39Ad) Self-Care: Eating: Discharge |
| 91 |
EATG_GOAL_CD |
(39Ag) Self-Care: Eating: Goal |
| 92 |
GRMG_ADMSN_CD |
(39Ba) Self-Care: Grooming: Admission |
| 93 |
GRMG_DSCHRG_CD |
(39Bd) Self-Care: Grooming: Discharge |
| 94 |
GRMG_GOAL_CD |
(39Bg) Self-Care: Grooming: Goal |
| 95 |
BATHG_ADMSN_CD |
(39Ca) Self-Care: Bathing: Admission |
| 96 |
BATHG_DSCHRG_CD |
(39Cd) Self-Care: Bathing: Discharge |
| 97 |
BATHG_GOAL_CD |
(39Cg) Self-Care: Bathing: Goal |
| 98 |
DRSG_UPR_ADMSN_CD |
(39Da) Self-Care: Dressing-Upper: Admission |
| 99 |
DRSG_UPR_DSCHRG_CD |
(39Dd) Self-Care: Dressing-Upper: Discharge |
| 100 |
DRSG_UPR_GOAL_CD |
(39Dg) Self-Care: Dressing-Upper: Goal |
| 101 |
DRSG_LWR_ADMSN_CD |
(39Ea) Self-Care: Dressing-Lower: Admission |
| 102 |
DRSG_LWR_DSCHRG_CD |
(39Ed) Self-Care: Dressing-Lower: Discharge |
| 103 |
DRSG_LWR_GOAL_CD |
(39Eg) Self-Care: Dressing-Lower: Goal |
| 104 |
TOILTG_ADMSN_CD |
(39Fa) Self-Care: Toileting: Admission |
| 105 |
TOILTG_DSCHRG_CD |
(39Fd) Self-Care: Toileting: Discharge |
| 106 |
TOILTG_GOAL_CD |
(39Fg) Self-Care: Toileting: Goal |
| 107 |
SPHNCTR_BLADR_ADMSN_CD |
(39Ga) Sphincter Control - Bladder: Admission |
| 108 |
SPHNCTR_BLADR_DSCHRG_CD |
(39Gd) Sphincter Control - Bladder: Discharge |
| 109 |
SPHNCTR_BLADR_GOAL_CD |
(39Gg) Sphincter Control - Bladder: Goal |
| 110 |
SPHNCTR_BWL_ADMSN_CD |
(39Ha) Sphincter Control - Bowel: Admission |
| 111 |
SPHNCTR_BWL_DSCHRG_CD |
(39Hd) Sphincter Control - Bowel: Discharge |
| 112 |
SPHNCTR_BWL_GOAL_CD |
(39Hg) Sphincter Control - Bowel: Goal |
| 113 |
BED_CHR_WC_ADMSN_CD |
(39Ia) Transfers - Bed, chair, wheelchair: Admission |
| 114 |
BED_CHR_WC_DSCHRG_CD |
(39Id) Transfers - Bed, chair, wheelchair: Discharge |
| 115 |
BED_CHR_WC_GOAL_CD |
(39Ig) Transfers - Bed, chair, wheelchair: Goal |
| 116 |
TOILT_ADMSN_CD |
(39Ja) Transfers - Toilet: Admission |
| 117 |
TOILT_DSCHRG_CD |
(39Jd) Transfers - Toilet: Discharge |
| 118 |
TOILT_GOAL_CD |
(39Jg) Transfers - Toilet: Goal |
| 119 |
TUB_SHWR_ADMSN_CD |
(39Ka) Transfers - Tub, Shower: Admission |
| 120 |
TUB_SHWR_DSCHRG_CD |
(39Kd) Transfers - Tub, Shower: Discharge |
| 121 |
TUB_SHWR_GOAL_CD |
(39Kg) Transfers - Tub, Shower: Goal |
| 122 |
WLK_WC_ADMSN_CD |
(39La) Locomotion - Walk/wheelchair: Admission |
| 123 |
WLK_WC_BOTH_ADMSN_CD |
(39Laa) Locomotion - Walk/wheelchair/both: Admission |
| 124 |
WLK_WC_DSCHRG_CD |
(39Ld) Locomotion - Walk/wheelchair: Discharge |
| 125 |
WLK_WC_BOTH_DSCHRG_CD |
(39Ldd) Locomotion - Walk/wheelchair/both: Discharge |
| 126 |
WLK_WC_GOAL_CD |
(39Lg) Locomotion - Walk/wheelchair: Goal |
| 127 |
STR_ADMSN_CD |
(39Ma) Locomotion - Stairs: Admission |
| 128 |
STR_DSCHRG_CD |
(39Md) Locomotion - Stairs: Discharge |
| 129 |
STR_GOAL_CD |
(39Mg) Locomotion - Stairs: Goal |
| 130 |
CMPRHNSN_ADMSN_CD |
(39Na) Communication - Comprehension: Admission |
| 131 |
CMPRHNSN_ADTRY_VISL_ADMSN_CD |
(39Naa) Communication - Auditory/Visual/Both: Admission |
| 132 |
CMPRHNSN_DSCHRG_CD |
(39Nd) Communication - Comprehension: Discharge |
| 133 |
CMPRHNSN_ADTRY_VISL_DSCHRG_CD |
(39Ndd) Communication - Auditory/Visual/Both: Discharge |
| 134 |
CMPRHNSN_GOAL_CD |
(39Ng) Communication - Comprehension: Goal |
| 135 |
EXPRSN_ADMSN_CD |
(39Oa) Communication - Expression: Admission |
| 136 |
EXPRSN_VCL_NVCL_ADMSN_CD |
(39Oaa) Communication - Vocal/Nonvocal/Both: Admission |
| 137 |
EXPRSN_DSCHRG_CD |
(39Od) Communication - Expression: Discharge |
| 138 |
EXPRSN_VCL_NVCL_DSCHRG_CD |
(39Odd) Communication - Vocal/Nonvocal/Both: Discharge |
| 139 |
EXPRSN_GOAL_CD |
(39Og) Communication - Expression: Goal |
| 140 |
SCL_INTRCTN_ADMSN_CD |
(39Pa) Social Cognition - Social Interaction: Admission |
| 141 |
SCL_INTRCTN_DSCHRG_CD |
(39Pd) Social Cognition - Social Interaction: Discharge |
| 142 |
SCL_INTRCTN_GOAL_CD |
(39Pg) Social Cognition - Social Interaction: Goal |
| 143 |
PRBLM_SLVG_ADMSN_CD |
(39Qa) Social Cognition - Problem Solving: Admission |
| 144 |
PRBLM_SLVG_DSCHRG_CD |
(39Qd) Social Cognition - Problem Solving: Discharge |
| 145 |
PRBLM_SLVG_GOAL_CD |
(39Qg) Social Cognition - Problem Solving: Goal |
| 146 |
MEMRY_ADMSN_CD |
(39Ra) Social Cognition - Memory: Admission |
| 147 |
MEMRY_DSCHRG_CD |
(39Rd) Social Cognition - Memory: Discharge |
| 148 |
MEMRY_GOAL_CD |
(39Rg) Social Cognition - Memory: Goal |
| 149 |
DSCHRG_DT |
(40) Discharge Date |
| 150 |
DSCHRG_AGNST_MDCL_ADVC_SW |
(41) Patient Discharged Against Medical Advice |
| 151 |
PGM_INTRPTN_SW |
(42) Program Interruption(s) |
| 152 |
TRNSFR_1_DT |
(43A) First Interruption Date |
| 153 |
RTRN_1_DT |
(43B) First Return Date |
| 154 |
TRNSFR_2_DT |
(43C) Second Interruption Date |
| 155 |
RTRN_2_DT |
(43D) Second Return Date |
| 156 |
TRNSFR_3_DT |
(43E) Third Interruption Date |
| 157 |
RTRN_3_DT |
(43F) Third Return Date |
| 158 |
DSCHRG_TO_LVG_SETG_CD |
(44A) Discharge to Living Setting |
| 159 |
DSCHRG_WTH_HOME_HLTH_SRVC_SW |
(44B) Was Patient Discharged with Home Health Services? |
| 160 |
DSCHRG_TO_LVG_WTH_CD |
(45) Discharge to Living With |
| 161 |
DGNS_TRNSFR_DEATH_CD |
(46) Diagnosis for Interruption or Death (ICD-9 Code) |
| 162 |
CMPLCTN_DRNG_REHAB_A_CD |
(47A) Complications During Rehabilitation Stay (ICD-9 Code) |
| 163 |
CMPLCTN_DRNG_REHAB_B_CD |
(47B) Complications During Rehabilitation Stay (ICD-9 Code) |
| 164 |
CMPLCTN_DRNG_REHAB_C_CD |
(47C) Complications During Rehabilitation Stay (ICD-9 Code) |
| 165 |
CMPLCTN_DRNG_REHAB_D_CD |
(47D) Complications During Rehabilitation Stay (ICD-9 Code) |
| 166 |
CMPLCTN_DRNG_REHAB_E_CD |
(47E) Complications During Rehabilitation Stay (ICD-9 Code) |
| 167 |
CMPLCTN_DRNG_REHAB_F_CD |
(47F) Complications During Rehabilitation Stay (ICD-9 Code) |
| 168 |
SOB_EXRTN_ADMSN_SW |
(48a) Shortness of Breath With Exertion: Admission |
| 169 |
SOB_EXRTN_DSCHRG_SW |
(48d) Shortness of Breath With Exertion: Discharge |
| 170 |
SOB_REST_ADMSN_SW |
(49a) Shortness of Breath At Rest: Admission |
| 171 |
SOB_REST_DSCHRG_SW |
(49d) Shortness of Breath At Rest: Discharge |
| 172 |
DFCLTY_CLRG_ARWY_ADMSN_SW |
(50a) Weak Cough and Difficulty Clearing Airway Secretions: Admission |
| 173 |
DFCLTY_CLRG_ARWY_DSCHRG_SW |
(50d) Weak Cough and Difficulty Clearing Airway Secretions: Discharge |
| 174 |
MOST_SVR_PN_RATE_ADMSN_CD |
(51a) Rate the Highest Level of Pain Reported by the Patient Within the Assessment Period: Admission |
| 175 |
MOST_SVR_PN_RATE_DSCHRG_CD |
(51d) Rate the Highest Level of Pain Reported by the Patient Within the Assessment Period: Discharge |
| 176 |
HIGHST_PRSR_ULCR_ADMSN_CD |
(52Aa) Highest Current Pressure Ulcer stage: Admission |
| 177 |
HIGHST_PRSR_ULCR_DSCHRG_CD |
(52Ad) Highest Current Pressure Ulcer stage: Discharge |
| 178 |
PRSR_ULCR_ADMSN_CNT |
(52Ba) Number of Current Pressure Ulcers: Admission |
| 179 |
PRSR_ULCR_DSCHRG_CNT |
(52Bd) Number of Current Pressure Ulcers: Discharge |
| 180 |
LRGST_PRSR_ULCR_ADMSN_NUM |
(52Ca) Length Multiplied by Width: Admission |
| 181 |
LRGST_PRSR_ULCR_DSCHRG_NUM |
(52Cd) Length Multiplied by Width: Discharge |
| 182 |
EXDT_AMT_ADMSN_CD |
(52Da) Exudate Amount: Admission |
| 183 |
EXDT_AMT_DSCHRG_CD |
(52Dd) Exudate Amount: Discharge |
| 184 |
TISUE_TYPE_ADMSN_CD |
(52Ea) Tissue Type: Admission |
| 185 |
TISUE_TYPE_DSCHRG_CD |
(52Ed) Tissue Type: Discharge |
| 186 |
TOT_PUSH_SCRE_ADMSN_NUM |
(52Fa) Total PUSH Score: Admission |
| 187 |
TOT_PUSH_SCRE_DSCHRG_NUM |
(52Fd) Total PUSH Score: Discharge |
| 188 |
STNDG_BAL_PRBLM_ADMSN_SW |
(53a) Standing Balance Problem: Admission |
| 189 |
STNDG_BAL_PRBLM_DSCHRG_SW |
(53d) Standing Balance Problem: Discharge |
| 190 |
TOT_FALL_DRNG_REHAB_STAY_NUM |
(54) Total Number of Falls During the Rehabilitation Stay: Discharge |
| 215 |
UNHLD_PRSR_ULCR_AT_ADMSN_CD |
M0210 Unhealed Pressure Ulcers at Admission Number |
| 216 |
STG_1_PRSR_ULCR_ADMSN_NUM |
M0210 Unhealed Pressure Ulcers at Discharge Number |
| 217 |
STG_1_PRSR_ULCR_ADMSN_NUM |
M0300A1 Stage 1 Pressure Ulcers Admission Number |
| 218 |
STG_1_PRSR_ULCR_DSCHRG_NUM |
M0300A1 Stage 1 Pressure Ulcers Discharge Number |
| 219 |
STG_1_PRSR_ULCR_DSCHRG_POA_NUM |
M0300A2 Stage 1 Pressure Ulcers Discharge Present on Admission Number |
| 220 |
STG_1_PRSR_ULCR_DSCHRG_NOT_NUM |
M0300A3 Stage 1 Pressure Ulcers Discharge Not Present on Admission Number |
| 221 |
STG_2_PRSR_ULCR_DSCHRG_POA_NUM |
M0300B2 Stage 2 Pressure Ulcers Discharge Present on Admission Number |
| 222 |
STG_2_ULCR_DSCHRG_UNSTGBL_NUM |
M0300B3 Stage 2 Pressure Ulcers Discharge Unstageable on Admission Number |
| 223 |
STG_2_PRSR_ULCR_DSCHRG_NOT_NUM |
M0300B4 Stage 2 Pressure Ulcers Discharge Not Present or Lesser Stage on Admission Number |
| 224 |
STG_3_PRSR_ULCR_DSCHRG_POA_NUM |
M0300C2 Stage 3 Pressure Ulcers Discharge Present on Admission Number |
| 225 |
STG_3_ULCR_DSCHRG_UNSTGBL_NUM |
M0300C3 Stage 3 Pressure Ulcers Discharge Unstageable on Admission Number |
| 226 |
STG_4_PRSR_ULCR_DSCHRG_POA_NUM |
M0300D2 Stage 4 Pressure Ulcers Discharge Present on Admission Number |
| 227 |
UNSTGBL_PRSR_ULCR_ADMSN_NUM |
M0300E1 Unstageable Pressure Ulcers non-Removable Dressing Admission Number |
| 228 |
UNSTGBL_PRSR_ULCR_DSCHRG_NUM |
M0300E1 Unstageable Pressure Ulcers non-Removable Dressing Discharge Number |
| 229 |
UNSTGBL_PRSR_ULCR_NON_NUM |
M0300E2 Unstageable Pressure Ulcers non-Removable Dressing Discharge on Admission Number |
| 230 |
UNSTGBL_PRSR_ULCR_STG_NUM |
M0300E3 Unstageable Pressure Ulcers non-Removable Dressing Discharge Stageable on Admission Number |
| 231 |
UNSTGBL_ULCR_AND_OR_ADMSN_NUM |
M0300F1 Unstageable Pressure Ulcers Slough and/or Eschar Admission Number |
| 232 |
UNSTGBL_ULCR_AND_OR_DSCHRG_NUM |
M0300F1 Unstageable Pressure Ulcers Slough and/or Eschar Discharge Number |
| 233 |
UNSTGBL_ULCR_TISUE_ADMSN_NUM |
M0300F2 Unstageable Pressure Ulcers Slough/Eschar on Admission Number |
| 234 |
UNSTGBL_PRSR_TISUE_STG_NUM |
M0300F3 Unstageable Pressure Ulcers Slough and/or Eschar Discharge Stageable on Admission Number |
| 235 |
UNSTGBL_ULCR_DTI_ADMSN_NUM |
M0300G1 Unstageable Pressure Ulcers DTI Admission Number |
| 236 |
UNSTGBL_ULCR_DTI_DSCHRG_NUM |
M0300G1 Unstageable Pressure Ulcers DTI Discharge Number |
| 237 |
UNSTGBL_ULCR_DTI_PU_NUM |
M0300G2 Unstageable Pressure Ulcers DTI Disch were Unst DTI PU Admission |
| 238 |
HLG_STG_1_ULCR_NUM |
M0900A Healed Stage 1 Ulcers Number |
| 239 |
HLG_STG_2_ULCR_NUM |
M0900B Healed Stage 2 Ulcers Number |
| 240 |
HLG_STG_3_ULCR_NUM |
M0900C Healed Stage 3 Ulcers Number |
| 242 |
DBTC_NPHRTY_IND |
I2900C Diabetic Nephropathy Code |
| 243 |
O0250B_INFLNZ_RCVD_DT |
O0250B Influenza Received Date |
| 244 |
CALCD_CCN_NUM |
Calculated CCN - Calculated CMS Certification Number |
| 245 |
ETLGC_DGNS_A_CD |
22A Etiologic Diagnosis A |
| 246 |
INDVDL_PT_WK_1_NUM |
O0401AA PT: Total Minutes Individual Therapy Week 1 |
| 247 |
CNCRNT_PT_WK_1_NUM |
O0401AB PT: Total Minutes Concurrent Therapy Week 1 |
| 248 |
GRP_PT_WK_1_NUM |
O0401AC PT: Total Minutes Group Therapy Week 1 |
| 249 |
CO_TRTMT_PT_WK_1_NUM |
O0401AD PT: Total Minutes Co-treatment Therapy Week 1 |
| 250 |
INDVDL_OT_WK_1_NUM |
O0401BA OT: Total Minutes Individual Therapy Week 1 |
| 251 |
CNCRNT_OT_WK_1_NUM |
O0401BB OT: Total Minutes Concurrent Therapy Week 1 |
| 252 |
GRP_OT_WK_1_NUM |
O0401BC OT: Total Minutes Group Therapy Week 1 |
| 253 |
CO_TRTMT_OT_WK_1_NUM |
O0401BD OT: Total Minutes Co-treatment Therapy Week 1 |
| 254 |
INDVDL_SPCH_THRPY_WK_1_NUM |
O0401CA SLP: Total Minutes Individual Therapy Week 1 |
| 255 |
CNCRNT_SPCH_THRPY_WK_1_NUM |
O0401CB SLP: Total Minutes Concurrent Therapy Week 1 |
| 256 |
GRP_SPCH_THRPY_WK_1_NUM |
O0401CC SLP: Total Minutes Group Therapy Week 1 |
| 257 |
CO_TRTMT_SPCH_THRPY_WK_1_NUM |
O0401CD SLP: Total Minutes Co-treatment Therapy Week 1 |
| 258 |
INDVDL_PT_WK_2_NUM |
O0402AA PT: Total Minutes Individual Therapy Week 2 |
| 259 |
CNCRNT_PT_WK_2_NUM |
O0402AB PT: Total Minutes Concurrent Therapy Week 2 |
| 260 |
GRP_PT_WK_2_NUM |
O0402AC PT: Total Minutes Group Therapy Week 2 |
| 261 |
CO_TRTMT_PT_WK_2_NUM |
O0402AD PT: Total Minutes Co-treatment Therapy Week 2 |
| 262 |
INDVDL_OT_WK_2_NUM |
O0402BA OT: Total Minutes Individual Therapy Week 2 |
| 263 |
CNCRNT_OT_WK_2_NUM |
O0402BB OT: Total Minutes Concurrent Therapy Week 2 |
| 264 |
GRP_OT_WK_2_NUM |
O0402BC OT: Total Minutes Group Therapy Week 2 |
| 265 |
CO_TRTMT_OT_WK_2_NUM |
O0402BD OT: Total Minutes Co-treatment Therapy Week 2 |
| 266 |
INDVDL_SPCH_THRPY_WK_2_NUM |
O0402CA SLP: Total Minutes Individual Therapy Week 2 |
| 267 |
CNCRNT_SPCH_THRPY_WK_2_NUM |
O0402CB SLP: Total Minutes Concurrent Therapy Week 2 |
| 268 |
GRP_SPCH_THRPY_WK_2_NUM |
O0402CC SLP: Total Minutes Group Therapy Week 2 |
| 269 |
CO_TRTMT_SPCH_THRPY_WK_2_NUM |
O0402CD SLP: Total Minutes Co-treatment Therapy Week 2 |
| 270 |
CALCD_BIRTH_DT_SBMT_CD |
Calculated Birth Date Submit Code |
| 271 |
DBTC_NEUROPATHY_IND |
Diabetic Neuropathy Indicator |
| 272 |
HEALED_STG_2_PRSR_ULCRS_NUM |
M0900B Healed Stage 2 Pressure Ulcers Number |
| 273 |
HEALED_STG_3_PRSR_ULCRS_NUM |
M0900C Healed Stage 3 Pressure Ulcers Number |
| 274 |
HEALED_STG_4_PRSR_ULCRS_NUM |
M0900D Healed Stage 4 Pressure Ulcers Number |
| 275 |
PROCD_DT |
Processed Date |
| 276 |
PRPHRL_ARTERIAL_IND |
I0900B Peripheral Arterial Code |
| 277 |
SFTWR_PROD_NAME |
Software Product Name (IRF) |
| 278 |
STG_2_PRSR_ULCRS_ADMSN_NUM |
48AA/M0300B1 Stage 2 Pressure Ulcers Admission Number. When Discharge Date is on or after Oct. 1,2014, M0300B1 Stage 2 Pressure Ulcers Admission Number will be displayed |
| 279 |
STG_2_PRSR_ULCRS_DSCHRG_NUM |
48AD/M0300B1 Stage 2 Pressure Ulcers Discharge Number. When Discharge Date is on or after Oct. 1,2014, M0300B1 Stage 2 Pressure Ulcers Discharge Number will be displayed |
| 280 |
STG_3_PRSR_ULCR_DSCHRG_NOT_NUM |
M0300C4 Stage 3 Pressure Ulcers Discharge Not Present or Lesser Stage on Admission Number |
| 281 |
STG_3_PRSR_ULCRS_ADMSN_NUM |
48BA/M0300C1 Stage 3 Pressure Ulcers Admission Number. When Discharge Date is on or after Oct. 1,2014, M0300C1 Stage 3 Pressure Ulcers Admission Number will be displayed |
| 282 |
STG_3_PRSR_ULCRS_DSCHRG_NUM |
48BD/M0300C1 Stage 3 Pressure Ulcers Discharge Number. When Discharge Date is on or after Oct. 1,2014, M0300C1 Stage 3 Pressure Ulcers Discharge Number will be displayed |
| 283 |
STG_4_PRSR_ULCR_DSCHRG_NOT_NUM |
M0300D4 Stage 4 Pressure Ulcers Discharge Not Present or Lesser Stage on Admission Number |
| 284 |
STG_4_PRSR_ULCRS_ADMSN_NUM |
48CA/M0300D1 Stage 4 Pressure Ulcers Admission Number. When Discharge Date is on or after Oct. 1,2014, M0300D1 Stage 4 Pressure Ulcers Admission Number will be displayed |
| 285 |
STG_4_PRSR_ULCRS_DSCHRG_NUM |
48CD/M0300D1 Stage 4 Pressure Ulcers Discharge Number. When Discharge Date is on or after Oct. 1,2014, M0300D1 Stage 4 Pressure Ulcers Discharge Number will be displayed |
| 286 |
WORSENING_STG_2_PRSR_ULCRS_NUM |
M0800A Worsening Stage 2 Pressure Ulcers Number |
| 287 |
WORSENING_STG_3_PRSR_ULCRS_NUM |
M0800B Worsening Stage 3 Pressure Ulcers Number |
| 288 |
WORSENING_STG_4_PRSR_ULCRS_NUM |
M0800C Worsening Stage 4 Pressure Ulcers Number |
| 289 |
FAC_ID |
Facility ID (IRF-PAI) |
| 290 |
SFTWR_VNDR_NAME |
Software Vendor Name (IRF-PAI) |
| 291 |
HGT_NUM |
25A Height Number |
| 292 |
WT_NUM |
26A Weight Number |
| 293 |
DSCHRG_ALIVE_IND |
44C Discharged Alive |
| 294 |
DSCHRG_DSTNTN_CD |
44D Discharge Destination Code |
| 295 |
STG_4_ULCR_DSCHRG_UNSTGBL_NUM |
M0300D3 Stage 4 Pressure Ulcers Discharge Unstageable on Admission Number |
| 296 |
STG_4_ULCR_DSCHRG_UNSTGBL_NUM |
M0900D Healed Stage 4 Ulcers Number |
| 297 |
DML_IND |
I2900A Diabetes Mellitus Code |
| 298 |
INFLNZ_RCVD_IND |
O0250A Influenza Received Code (IRF) |
| 299 |
RSN_INFLNZ_NOT_RCVD_CD |
O0250C Reason Influenza Not Received Code (IRF) |
| 300 |
DBTC_RETINOPATHY_IND |
I2900B Diabetic Retinopathy Code |
| 301 |
BB0700_EXPRSN_IDEA_WNT_IND |
BB0700 Expression Idea Want Code: Admission |
| 302 |
BB0800_UNDRSTND_VRBL_NON_VRBL |
BB0800 Undrstnd Vrbl/Non-Vrbl Content (3-day asmt period) |
| 303 |
C0100_CNDCTD_MENTL_STUS_CD |
C0100 Brief Interview for Mental Status Be Conducted Code (IRF) |
| 304 |
C0200_WORD_RPETE_1ST_ATMPT_CD |
C0200 BIMS: Number of Words Repeated After First Attempt (IRF) |
| 305 |
C0300A_RPT_YR_CD |
C0300A BIMS: Temporal Orientation - Able to Report Correct Year (IRF) |
| 306 |
C0300B_RPT_MO_CD |
C0300B BIMS: Temporal Orientation - Able to Report Correct Month (IRF) |
| 307 |
C0300C_RPT_DAY_CD |
C0300C BIMS: Temporal Orientation - Able to Report Correct Day of Week (IRF) |
| 308 |
C0400A_RCLL_1ST_WORD_CD |
C0400A BIMS: Recall - Able to Recall Sock (IRF) |
| 309 |
C0400B_RCLL_2ND_WORD_CD |
C0400B BIMS: Recall - Able to Recall Blue (IRF) |
| 310 |
C0400C_RCLL_3RD_WORD_CD |
C0400C BIMS: Recall - Able to Recall Bed (IRF) |
| 311 |
C0500_BIMS_SCRE_NUM |
C0500 Brief Interview for Mental Status (BIMS) Score Number (IRF) |
| 312 |
C0600_CNDCT_STF_MENTL_STUS_CD |
C0600 Staff to Conduct Brief Interview for Mental Status (IRF) |
| 313 |
C0900A_RCLL_CRNTL_SEASN_CD |
C0900A Memory/Recall - Current Season (3-day Asmt Prd) |
| 314 |
C0900B_RCLL_LCTN_ROOM_CD |
C0900B Memory/Recall - Loc Of Own Room (3-day Asmt Prd) |
| 315 |
C0900C_RCLL_STF_NAME_CD |
C0900C Memory/Recall - Staff Names/Faces (3-day Asmt Prd) |
| 316 |
C0900E_RCLL_HOSP_IND |
C0900E Memory/Recall - in Hospital Unit (3-day Asmt Prd) |
| 317 |
C0900Z_RCLL_NONE_CD |
C0900Z Memory/Recall - None Of The Above (3-day Asmt Prd) |
| 318 |
GG0100A_PRIOR_SELF_CARE_IND |
GG0100A Prior Functioning - Self Care Code |
| 319 |
GG0100B_PRIOR_INDR_MBLTY_IND |
GG0100B Prior Functioning - Indoor Mobility Code |
| 320 |
GG0100C_PRIOR_STRS_IND |
GG0100C Prior Functioning - Stairs CodeGG0100C Prior Functioning - Stairs Code |
| 321 |
GG0100D_PRIOR_FNCTNL_CGNTN_IND |
GG0100D Prior Functioning - Functional Cognition Code |
| 322 |
GG0110A_PRIOR_MNL_WLCHR_IND |
GG0110A Prior Device Use - Manual Wheelchair Code |
| 323 |
GG0110B_PRIOR_MTRZD_WLCHR_IND |
GG0110B Prior Device Use - Motorized Wheelchair and/or Scooter Code |
| 324 |
GG0110C_PRIOR_MCHNCL_LIFT_IND |
GG0110C Prior Device Use - Mechanical Lift Code |
| 325 |
GG0110D_PRIOR_WLKR_IND |
GG0110D Prior Device Use - Walker Code |
| 326 |
GG0110E_PRIOR_ORTHTCS_IND |
GG0110E Prior Device Use - Orthotics Prosthetics Code |
| 327 |
GG0110Z_PRIOR_NONE_OF_THE_ABV |
GG0110Z Prior Device Use - None of Above Code |
| 328 |
GG0130A1_EATG_ABILITY_STRT_CD |
GG0130A1 Admission Performance Eating Code |
| 329 |
GG0130A2_EATG_GOAL_BY_END_CD |
GG0130A2 Discharge Goal Eating Code |
| 330 |
GG0130A3_EATG_ABILITY_END_CD |
GG0130A3 Discharge Performance Eating Code |
| 331 |
GG0130B1_ORAL_ABILITY_STRT_CD |
GG0130B1 Admission Performance Oral Hygiene Code |
| 332 |
GG0130B2_ORAL_GOAL_BY_END_CD |
GG0130B2 Discharge Goal Oral Hygiene Code |
| 333 |
GG0130B3_ORAL_ABILITY_END_CD |
GG0130B3 Discharge Performance Oral Hygiene Code |
| 334 |
GG0130C1_TOILT_ABILITY_STRT_CD |
GG0130C1 Admission Performance Toileting Hygiene Code |
| 335 |
GG0130C2_TOILT_GOAL_BY_END_CD |
GG0130C2 Discharge Goal Toileting Hygiene Code |
| 336 |
GG0130C3_TOILT_ABILITY_END_CD |
GG0130C3 Discharge Performance Toileting Hygiene Code |
| 337 |
GG0130E1_BTHE_SELF_STRT_CD |
GG0130E1 Admission Performance Bathing Code |
| 338 |
GG0130E2_BTHE_SELF_GOAL_CD |
GG0130E2 Discharge Goal Bathing Code |
| 339 |
GG0130E3_BTHE_SELF_END_CD |
GG0130E3 Discharge Performance Bathing Code |
| 340 |
GG0130F1_UPR_DRSNG_STRT_CD |
GG0130F1 Admission Performance Upper Body Dressing Code |
| 341 |
GG0130F2_UPR_DRSNG_GOAL_CD |
GG0130F2 Discharge Goal Upper Dressing Code |
| 342 |
GG0130F3_UPR_DRSNG_END_CD |
GG0130F3 Discharge Performance Upper Dressing Code |
| 343 |
GG0130G1_LWR_DRSNG_STRT_CD |
GG0130G1 Admission Performance Lower Body Dressing Code |
| 344 |
GG0130G2_LWR_DRSNG_GOAL_CD |
GG0130G2 Discharge Goal Lower Dressing Code |
| 345 |
GG0130G3_LWR_DRSNG_END_CD |
GG0130G3 Discharge Performance Lower Dressing Code |
| 346 |
GG0130H1_ON_OFF_FTWR_STRT_CD |
GG0130H1 Admission Performance Footwear Code |
| 347 |
GG0130H2_ON_OFF_FTWR_GOAL_CD |
GG0130H2 Discharge Goal Footwear Code |
| 348 |
GG0130H3_ON_OFF_FTWR_END_CD |
GG0130H3 Discharge Performance Footwear Code |
| 349 |
GG0170A1_ROLL_STRT_CD |
GG0170A1 Admission Performance Roll Left Right Code |
| 350 |
GG0170A2_ROLL_GOAL_CD |
GG0170A2 Discharge Goal Roll Left Right Code |
| 351 |
GG0170A3_ROLL_END_CD |
GG0170A3 Discharge Performance Roll Left Right Code |
| 325 |
GG0170B1_SIT_LYNG_STRT_CD |
GG0170B1 Admission Performance Sit to Lying Code |
| 353 |
GG0170B2_SIT_LYNG_GOAL_END_CD |
GG0170B2 Discharge Goal Sit to Lying Code |
| 354 |
GG0170B3_SIT_LYNG_END_CD |
GG0170B3 Discharge Performance Sit to Lying Code |
| 355 |
GG0170C1_STTG_BED_SIDE_STRT_CD |
GG0170C1 Admission Performance Lying to Sit Code |
| 356 |
GG0170C2_STTG_BED_SIDE_GOAL_CD |
GG0170C2 Discharge Goal Lying to Sit Code |
| 357 |
GG0170C3_STTG_BED_SIDE_END_CD |
GG0170C3 Discharge Performance Lying to Sit Code |
| 358 |
GG0170D1_STTG_STNDG_STRT_CD |
GG0170D1 Admission Performance Sit to Stand Code |
| 359 |
GG0170D2_STTG_STNDG_GOAL_CD |
GG0170D2 Discharge Goal Sit to Stand Code |
| 360 |
GG0170D3_STTG_STNDG_END_CD |
GG0170D3 Discharge Performance Sit to Stand Code |
| 361 |
GG0170E1_TRNSFR_STRT_CD |
GG0170E1 Admission Performance Chair/Bed to Chair Transfer Code |
| 362 |
GG0170E2_TRNSFR_GOAL_BY_END_CD |
GG0170E2 Discharge Goal Chair/Bed Transfer Code |
| 363 |
GG0170E3_TRNSFR_END_CD |
GG0170E3 Discharge Performance Chair to Bed Code |
| 364 |
GG0170F1_TOILT_TRNSFR_STRT_CD |
GG0170F1 Admission Performance Toilet Transfer Code |
| 365 |
GG0170F2_TOILT_TRNSFR_GOAL_CD |
GG0170F2 Discharge Goal Toilet Transfer Code |
| 366 |
GG0170F3_TOILT_TRNSFR_END_CD |
GG0170F3 Discharge Performance Toilet Transfer Code |
| 367 |
GG0170G1_CAR_TRNSFR_STRT_CD |
GG0170G1 Admission Performance Car Transfer Code |
| 368 |
GG0170G2_CAR_TRNSFR_GOAL_CD |
GG0170G2 Discharge Goal Car Transfer Code |
| 369 |
GG0170G3_CAR_TRNSFR_END_CD |
GG0170G3 Discharge Performance Car Transfer Code |
| 370 |
GG0170H1_RSDNT_WLK_STRT_CD |
GG0170H1 Admission Performance Patient Walk Code |
| 371 |
GG0170H3_RSDNT_WLK_END_CD |
GG0170H3 Discharge Performance Patient Walk Code |
| 372 |
GG0170I1_WLK_10_FEET_STRT_CD |
GG0170I1 Admission Performance Walk 10 Feet Code |
| 373 |
GG0170I2_WLK_10_FEET_GOAL_CD |
GG0170I2 Discharge Goal Walk 10 Feet Code |
| 374 |
GG0170I3_WLK_10_FEET_END_CD |
GG0170I3 Discharge Performance Walk 10 Feet Code |
| 375 |
GG0170J1_WLK_50_2_TURN_STRT_CD |
GG0170J1 Admission Performance Walk 50 Feet Code |
| 376 |
GG0170J2_WLK_50_2_TURN_GOAL_CD |
GG0170J2 Discharge Goal Walk 50 Feet Code |
| 377 |
GG0170J3_WLK_50_2_TURN_END_CD |
GG0170J3 Discharge Performance Walk 50 Feet Code |
| 378 |
GG0170K1_WLK_150_STRT_CD |
GG0170K1 Admission Performance Walk 150 Feet Code |
| 379 |
GG0170K2_WLK_150_BYGOAL_CD |
GG0170K2 Discharge Goal Walk 150 Feet Code |
| 380 |
GG0170K3_WLK_150_END_CD |
GG0170K3 Discharge Performance Walk 150 Feet Code |
| 381 |
GG0170L1_WLKG_UNEVEN_STRT_CD |
GG0170L1 Admission Performance Walk 10 Feet On Uneven Surface Code |
| 382 |
GG0170L2_WLKG_UNEVEN_GOAL_CD |
GG0170L2 Discharge Goal Walk 10 Feet On Uneven Surface Code |
| 383 |
GG0170L3_WLKG_UNEVEN_END_CD |
GG0170L3 Discharge Performance Walk 10 Feet On Uneven Surface Code |
| 384 |
GG0170M1_1_STP_STRT_CD |
GG0170M1 Admission Performance 1 Step Code |
| 385 |
GG0170M2_1_STP_GOAL_CD |
GG0170M2 Discharge Goal 1 Step Code |
| 386 |
GG0170M3_1_STP_END_CD |
GG0170M3 Discharge Performance 1 Step Code |
| 387 |
GG0170N1_4_STP_STRT_CD |
GG0170N1 Admission Performance 4 Steps Code |
| 388 |
GG0170N2_4_STP_GOAL_CD |
GG0170N2 Discharge Goal 4 Steps Code |
| 389 |
GG0170N3_4_STP_END_CD |
GG0170N3 Discharge Performance 4 Steps Code |
| 390 |
GG0170O1_12_STP_STRT_CD |
GG0170O1 Admission Performance 12 Steps Code |
| 391 |
GG0170O2_12_STP_GOAL_CD |
GG0170O2 Discharge Goal 12 Steps Code |
| 392 |
GG0170O3_12_STP_END_CD |
GG0170O3 Discharge Performance 12 Steps Code |
| 393 |
GG0170P1_PCKNG_UP_OBJ_STRT_CD |
GG0170P1 Admission Performance Pick up Object Code |
| 394 |
GG0170P2_PCKNG_UP_OBJ_GOAL_CD |
GG0170P2 Discharge Goal Pick up Object Code |
| 395 |
GG0170P3_PCKNG_UP_OBJ_END_CD |
GG0170P3 Discharge Performance Pick up Object Code |
| 396 |
GG0170Q1_USE_WLCHR_STRT_CD |
GG0170Q1 Does patient use wheelchair and/or scooter (Adm) |
| 397 |
GG0170Q3_USE_WLCHR_END_CD |
GG0170Q3 Does patient use wheelchair and/or scooter (Dschg) |
| 398 |
GG0170RR1_TYPE_OF_WLCHR_STRT_C |
GG0170RR1 Indicate type of wheelchair or scooter (Adm) |
| 399 |
GG0170RR3_TYPE_OF_WLCHR_END_CD |
GG0170RR3 Indicate type of wheelchair or scooter (Dschg) |
| 400 |
GG0170S1_WHEEL_150_STRT_CD |
GG0170S1 Admission Performance Wheelchair 150 Feet Code |
| 401 |
GG0170S2_WHEEL_150_GOAL_CD |
GG0170S2 Discharge Goal Wheelchair 150 Feet Code |
| 402 |
GG0170S3_WHEEL150_END_CD |
GG0170S3 Discharge Performance Wheelchair 150 Feet Code |
| 403 |
GG0170SS1_TYPE_OF_WLCHR_150_ST |
GG0170SS1 Indicate type of wheelchair or scooter (Adm) |
| 404 |
GG0170SS3_TYPE_OF_WLCHR150_END |
GG0170SS3 Indicate type of wheelchair or scooter (Dschg) |
| 405 |
H0350_URNRY_CNTNC_IND |
H0350 Urinary Continence Code |
| 406 |
H0400_BWL_CNTNC_IND |
H0400 Bowel Continence Code |
| 407 |
I0900_PRPHRL_VSCLR_DEASE_IND |
I0900 Peripheral Vascular Disease (PVD) Code |
| 408 |
I2900_DML_CD |
I2900 Diabetes Mellitus (DM) Code |
| 409 |
I7900_NO_ACTV_DEASE_CD |
I7900 No Active Disease Code |
| 410 |
J1750_HSTRY_OF_FLS_IND |
J1750 History of Falls Code |
| 411 |
J1800_FALL_LAST_ASMT_CD |
J1800 Falls Since Admission or Prior Assessment Code |
| 412 |
J1900A_FALL_NO_INJURY_CD |
J1900A Number of Falls Since Admission or Prior Assessment With No Injury Code |
| 413 |
J1900B_FALL_INJURY_CD |
J1900B Number of Falls Since Admission or Prior Assessment With Injury Except Major Code |
| 414 |
J1900C_FALL_MAJ_INJURY_CD |
J1900C Number of Falls Since Admission or Prior Assessment With Major Injury Code |
| 415 |
J2000_PRIOR_SRGRY_IND |
J2000 Prior Surgery Code |
| 416 |
K0110A_SWLNG_RGLR_FOOD_SW |
K0110A Swallowing Regular Food Code |
| 417 |
K0110B_SWLNG_MDFYD_FOOD_SW |
K0110B Swallowing Modified Food Code |
| 418 |
K0110C_SWLNG_TUBE_SW |
K0110C Swallowing Tube Code |
| 419 |
M0800A_WRSNG_STG_2_ULCRS_NUM |
M0800A Pressure Ulcers - Number of Worsening Stage 2 Pressure Ulcers Since Admission |
| 420 |
M0800B_WRSNG_STG_3_ULCRS_NUM |
M0800B Pressure Ulcers - Number of Worsening Stage 3 Pressure Ulcers Since Admission |
| 421 |
M0800C_WRSNG_STG_4_ULCRS_NUM |
M0800C Pressure Ulcers - Number of Worsening Stage 4 Pressure Ulcers Since Admission |
| 422 |
M0800D_WRSNG_DRSNG_ULCRS_NUM |
M0800D Pressure Ulcers - Number of Worsening Unstageable Non-removable dressing Pressure Ulcers Since Admission |
| 423 |
M0800E_WRSNG_ESC_ULCRS_NUM |
M0800E Pressure Ulcers - Number of Worsening Unstageable Slough and/or Eschar Pressure Ulcers Since Admission |
| 425 |
N2001_DRUG_RGMN_RVW_IND |
N2001 Drug Regimen Review |
| 426 |
N2003_MDCTN_FLW_UP_IND |
N2003 Medication Follow-up |
| 427 |
N2005_MDCTN_INTRVTN_IND |
N2005 Medication Intervention |
| 428 |
O0100N_TOT_PRNTRL_NTRTN_SW |
O0100N Total Parenteral Nutrition Code |
