| Code | Display |
| 21112-8 | Birth date |
| 21843-8 | History of Usual occupation |
| 45396-9 | Social Security number [Identifier] |
| 45401-7 | Postal code [Location] |
| 46098-0 | Sex |
| 46496-6 | Agency patient number during assessment period [CMS Assessment] |
| 46499-0 | State of residence |
| 46552-6 | Treated for urinary tract infection in past 14 days [CMS Assessment] |
| 46553-4 | Urinary incontinence or urinary catheter present during assessment period [CMS Assessment] |
| 46582-3 | Discharge, transfer, death date |
| 46587-2 | Bowel incontinence frequency during assessment period [CMS Assessment] |
| 46589-8 | Cognitive functioning during assessment period [CMS Assessment] |
| 46592-2 | Frequency of behavior problems during assessment period [CMS Assessment] |
| 46595-5 | Grooming - functional ability during assessment period [CMS Assessment] |
| 46597-1 | Dress upper body - functional ability during assessment period [CMS Assessment] |
| 46599-7 | Dress lower body - functional ability during assessment period [CMS Assessment] |
| 50786-3 | Date of entry |
| 52462-9 | Nickname |
| 52463-7 | Patient Identification Number or Provider Account Number |
| 52525-3 | Discharge date |
| 52539-4 | Prior postal code [Location] |
| 52552-7 | Falls in the past year |
| 52556-8 | Payment sources |
| 52731-7 | Repetition of three words # [BIMS] |
| 52732-5 | Temporal orientation - current year [BIMS] |
| 52733-3 | Temporal orientation - current month [BIMS] |
| 52735-8 | Recall - sock [BIMS] |
| 52736-6 | Recall - blue [BIMS] |
| 52737-4 | Recall - bed [BIMS] |
| 52797-8 | Diagnosis ICD code [Identifier] |
| 54503-8 | Legal name of patient |
| 54519-4 | Interview for daily preferences during assessment period [CMS Assessment] |
| 54588-9 | Interpreter needed |
| 54589-7 | Preadmission Screening and Resident Review (PASRR) during assessment period [CMS Assessment] |
| 54594-7 | Medicare-covered stay since the most recent entry during assessment period [CMS Assessment] |
| 54597-0 | Comatose during assessment period [CMS Assessment] |
| 54599-6 | Hearing aid used during assessment period [CMS Assessment] |
| 54600-2 | Speech clarity.description of speech pattern during assessment period [CMS Assessment] |
| 54602-8 | Understanding verbal content during assessment period [CMS Assessment] |
| 54604-4 | Corrective lenses used during assessment period [CMS Assessment] |
| 54605-1 | Brief Interview for Mental Status (BIMS) should be conducted during assessment period [CMS Assessment] |
| 54609-3 | Temporal orientation - current day of the week [BIMS] |
| 54614-3 | Brief Interview for Mental Status - summary score [BIMS] |
| 54615-0 | Should staff assessment for mental status be conducted during assessment period [CMS Assessment] |
| 54616-8 | Short-term memory OK during assessment period [CMS Assessment] |
| 54617-6 | Long-term memory OK during assessment period [CMS Assessment] |
| 54634-1 | Should resident mood interview be conducted during assessment period [CMS Assessment] |
| 54637-4 | Little interest or pleasure in doing things in last 2 weeks.frequency [Reported PHQ-9 CMS] |
| 54638-2 | Feeling down, depressed or hopeless in last 2 weeks.presence [Reported PHQ-9 CMS] |
| 54639-0 | Feeling down, depressed or hopeless in last 2 weeks.frequency [Reported PHQ-9 CMS] |
| 54640-8 | Trouble falling or staying asleep, or sleeping too much in last 2 weeks.presence [Reported PHQ-9 CMS] |
| 54641-6 | Trouble falling or staying asleep, or sleeping too much in last 2 weeks.frequency [Reported PHQ-9 CMS] |
| 54642-4 | Feeling tired or having little energy in last 2 weeks.presence [Reported PHQ-9 CMS] |
| 54643-2 | Feeling tired or having little energy in last 2 weeks.frequency [Reported PHQ-9 CMS] |
| 54644-0 | Poor appetite or overeating in last 2 weeks.presence [Reported PHQ-9 CMS] |
| 54645-7 | Poor appetite or overeating in last 2 weeks.frequency [Reported PHQ-9 CMS] |
| 54646-5 | Feeling bad about yourself - or that you are a failure or have let yourself or your family down in last 2 weeks.presence [Reported PHQ-9 CMS] |
| 54647-3 | Feeling bad about yourself - or that you are a failure or have let yourself or your family down in last 2 weeks.frequency [Reported PHQ-9 CMS] |
| 54648-1 | Trouble concentrating on things, such as reading the newspaper or watching television in last 2 weeks.presence [Reported PHQ-9 CMS] |
| 54649-9 | Trouble concentrating on things, such as reading the newspaper or watching television in last 2 weeks.frequency [Reported PHQ-9 CMS] |
| 54650-7 | Moving 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 usual in last 2 weeks.presence [Reported PHQ-9 CMS] |
| 54651-5 | Moving 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 usual in last 2 weeks.frequency [Reported PHQ-9 CMS] |
| 54658-0 | Little interest or pleasure in doing things in last 2 weeks.presence [Observed PHQ-9 CMS] |
| 54659-8 | Little interest or pleasure in doing things in last 2 weeks.frequency [Observed PHQ-9 CMS] |
| 54660-6 | Feeling or appearing down, depressed or hopeless in last 2 weeks.presence [Observed PHQ-9 CMS] |
| 54661-4 | Feeling or appearing down, depressed, or hopeless in last 2 weeks.frequency [Observed PHQ-9 CMS] |
| 54662-2 | Trouble falling or staying asleep, or sleeping too much in last 2 weeks.presence [Observed PHQ-9 CMS] |
| 54663-0 | Trouble falling or staying asleep, or sleeping too much in last 2 weeks.frequency [Observed PHQ-9 CMS] |
| 54664-8 | Feeling tired or having little energy in last 2 weeks.presence [Observed PHQ-9 CMS] |
| 54665-5 | Feeling tired or having little energy in last 2 weeks.frequency [Observed PHQ-9 CMS] |
| 54666-3 | Poor appetite or overeating in last 2 weeks.presence [Observed PHQ-9 CMS] |
| 54667-1 | Poor appetite or overeating in last 2 weeks.frequency [Observed PHQ-9 CMS] |
| 54668-9 | Indicating that (s)he feels bad about self, are a failure, or has let self or family down in last 2W.presence [Observed PHQ-9 CMS] |
| 54669-7 | Indicating that (s)he feels bad about self, are a failure, or has let self or family down in last 2W.frequency [Observed PHQ-9 CMS] |
| 54670-5 | Trouble concentrating on things, such as reading the newspaper or watching television in last 2 weeks.presence [Observed PHQ-9 CMS] |
| 54671-3 | Trouble concentrating on things, such as reading the newspaper or watching television in last 2 weeks.frequency [Observed PHQ-9 CMS] |
| 54672-1 | Moving or speaking so slowly that other people have noticed. Or the opposite - being so fidgety or restless that (s)he has been moving around a lot more than usual in last 2 weeks.presence [Observed PHQ-9 CMS] |
| 54673-9 | States that life isn't worth living, wishes for death, or attempts to harm self in last 2 weeks.presence [Observed PHQ-9 CMS] |
| 54674-7 | States that life isn't worth living, wishes for death, or attempts to harm self in last 2 weeks.frequency [Observed PHQ-9 CMS] |
| 54675-4 | Being short-tempered, easily annoyed in last 2 weeks.presence [Observed PHQ-9 CMS] |
| 54676-2 | Being short-tempered, easily annoyed in last 2 weeks.frequency [Observed PHQ-9 CMS] |
| 54677-0 | Staff assessment of resident mood total severity score [Observed PHQ-9 CMS] |
| 54682-0 | Physical behavioral symptoms directed toward others during assessment period [CMS Assessment] |
| 54683-8 | Verbal behavioral symptoms directed toward others during assessment period [CMS Assessment] |
| 54684-6 | Other behavioral symptoms not directed toward others during assessment period [CMS Assessment] |
| 54685-3 | Overall presence of behavioral symptoms during assessment period [CMS Assessment] |
| 54686-1 | Put the resident at significant risk for physical illness or injury during assessment period [CMS Assessment] |
| 54687-9 | Significantly interfere with the resident's care during assessment period [CMS Assessment] |
| 54688-7 | Significantly interfere with the resident's participation in activities or social interactions during assessment period [CMS Assessment] |
| 54689-5 | Put others at significant risk for physical injury during assessment period [CMS Assessment] |
| 54690-3 | Significantly intrude on the privacy or activity of others during assessment period [CMS Assessment] |
| 54691-1 | Significantly disrupt care or living environment during assessment period [CMS Assessment] |
| 54692-9 | Rejection of care - presence and frequency in last 7 days [CMS Assessment] |
| 54693-7 | Wandering - presence and frequency in last 7 days [CMS Assessment] |
| 54694-5 | Wandering places resident at significant risk of getting to a potentially dangerous place in last 7 days [CMS Assessment] |
| 54695-2 | Wandering significantly intrudes on the privacy or activities of others in last 7 days [CMS Assessment] |
| 54696-0 | Change in behavioral or other symptoms in last 7 days [CMS Assessment] |
| 54697-8 | Interview for daily and activity preferences should be conducted during assessment period [CMS Assessment] |
| 54701-8 | How important it is to have snacks available between meals while in this facility during assessment period [CMS Assessment] |
| 54713-3 | How important it is to participate in religious services or practices while in this facility during assessment period [CMS Assessment] |
| 54773-7 | Constipation present during assessment period [CMS Assessment] |
| 54833-9 | Pain severity during assessment period [CMS Assessment] |
| 54834-7 | Rate pain severity during assessment period using verbal descriptor scale |
| 54845-3 | Tobacco use during assessment period [CMS Assessment] |
| 54846-1 | Life expectancy of less than 6 months during assessment period [CMS Assessment] |
| 54850-3 | Fall one or more times in the last month prior to admission [CMS Assessment] |
| 54851-1 | Fall one or more times in the last 2 to 6 months prior to admission [CMS Assessment] |
| 54852-9 | Any fracture related to a fall in the 6 months prior to admission [CMS Assessment] |
| 54853-7 | Has the patient had any falls since admission or prior assessment [CMS Assessment] |
| 54854-5 | Number of falls since admission or prior assessment [CMS Assessment] |
| 54855-2 | Number of falls since admission or prior assessment - no injury [CMS Assessment] |
| 54856-0 | Number of falls since admission or prior assessment - injury except major [CMS Assessment] |
| 54857-8 | Number of falls since admission or prior assessment - major injury [CMS Assessment] |
| 54884-2 | Number of pressure injuries - stage 1 during assessment period [CMS Assessment] |
| 54886-7 | Number of pressure injuries present upon admission/reentry - stage 2 during assessment period [CMS Assessment] |
| 54887-5 | Number of pressure injuries present upon admission/reentry - stage 3 during assessment period [CMS Assessment] |
| 54890-9 | Number of pressure injuries present upon admission/reentry - stage 4 during assessment period [CMS Assessment] |
| 54893-3 | Number of pressure injuries - unstageable due to non-removable dressing or device during assessment period [CMS Assessment] |
| 54894-1 | Number of pressure injuries present upon admission/reentry - unstageable due to non-removable dressing during assessment period [CMS Assessment] |
| 54899-0 | Preferred language |
| 54904-8 | Moving or speaking so slowly that other people have noticed. Or the opposite - being so fidgety or restless that (s)he has been moving around a lot more than usual in last 2 weeks.frequency [Observed PHQ-9 CMS] |
| 54946-9 | Number of pressure injuries - unstageable due to coverage of wound bed by slough/eschar during assessment period [CMS Assessment] |
| 54947-7 | Number of pressure injuries present upon admission/reentry - unstageable due to coverage of wound bed by slough/eschar during assessment period [CMS Assessment] |
| 54950-1 | Number of pressure injuries - unstageable with suspected deep tissue injury in evolution during assessment period [CMS Assessment] |
| 54951-9 | Number of pressure injuries present upon admission/reentry - unstageable with suspected deep tissue injury in evolution during assessment period [CMS Assessment] |
| 55019-4 | Influenza virus vaccine received in facility during assessment period [CMS Assessment] |
| 55020-2 | Reason influenza virus vaccine not received during assessment period [CMS Assessment] |
| 55022-8 | Pneumococcal vaccination up to date during assessment period [CMS Assessment] |
| 55124-2 | Number of pressure injuries - stage 2 during assessment period [CMS Assessment] |
| 55125-9 | Number of pressure injuries - stage 3 during assessment period [CMS Assessment] |
| 55126-7 | Number of pressure injuries - stage 4 during assessment period [CMS Assessment] |
| 55128-3 | Discharge disposition |
| 57208-1 | Influenza vaccination received in Reporting Period [CMS Assessment] |
| 57222-2 | Oldest non-epithelialized stage 2 pressure injury present at discharge during assessment period [CMS Assessment] |
| 57231-3 | Stage of most problematic pressure injury during assessment period [CMS Assessment] |
| 57232-1 | Stasis ulcer [CMS Assessment] |
| 57233-9 | Number of stasis ulcers during assessment period [CMS Assessment] |
| 57234-7 | Status of most problematic stasis pressure injury during assessment period [CMS Assessment] |
| 57235-4 | Surgical wound during assessment period [CMS Assessment] |
| 57236-2 | Status of most problematic surgical wound during assessment period [CMS Assessment] |
| 57237-0 | Exertion level causing shortness of breath during assessment period [CMS Assessment] |
| 57243-8 | Bathing - functional ability during assessment period [CMS Assessment] |
| 57244-6 | Toilet transferring - functional ability during assessment period [CMS Assessment] |
| 57246-1 | Transferring - functional ability during assessment period [CMS Assessment] |
| 57247-9 | Locomotion - functional ability during assessment period [CMS Assessment] |
| 57248-7 | Feeding - functional ability during assessment period [CMS Assessment] |
| 57260-2 | Non-agency caregiver ability and willingness to assist with ADL during assessment period [CMS Assessment] |
| 57262-8 | Non-agency caregiver ability and willingness to assist with medication administration during assessment period [CMS Assessment] |
| 57263-6 | Non-agency caregiver ability and willingness to assist with medical procedures/treatments during assessment period [CMS Assessment] |
| 57265-1 | Non-agency caregiver ability and willingness to assist with supervision and safety during assessment period [CMS Assessment] |
| 57276-8 | Emergent care utilized during assessment period [CMS Assessment] |
| 57277-6 | Reason for emergent care during assessment period [CMS Assessment] |
| 57280-0 | Risk of developing pressure injuries during assessment period [CMS Assessment] |
| 57284-2 | Management of injectable medications - ability during assessment period [CMS Assessment] |
| 57285-9 | Management of oral medications - ability during assessment period [CMS Assessment] |
| 57319-6 | Risk for hospitalization during assessment period [CMS Assessment] |
| 58104-1 | When confused within the last 14 days [CMS Assessment] |
| 58118-1 | Frequency of indicator of pain or possible pain during assessment period [CMS Assessment] |
| 58127-2 | Number of days insulin injections were received in last 7 days or since admission/reentry if less than 7 days [CMS Assessment] |
| 58128-0 | Number of days the physician changed the resident's insulin orders in last 7 days or since admission/reentry if less than 7 days [CMS Assessment] |
| 58131-4 | Date of influenza vaccination |
| 58141-3 | Respiratory therapy during assessment period [CMS Assessment] |
| 58146-2 | Active discharge planning in place for resident return to community during assessment period [CMS Assessment] |
| 58149-6 | Wants to talk to someone about the possibility of returning to the community during assessment period [CMS Assessment] |
| 58214-8 | One or more unhealed pressure injuries stage 1 or higher during assessment period [CMS Assessment] |
| 68468-8 | Attending physician NPI Provider |
| 69854-8 | Hispanic, latino-a, or spanish origin |
| 71440-2 | Discharge type [CMS Assessment] |
| 71441-0 | Level II Preadmission Screening and Resident Review (PASRR) during assessment period [CMS Assessment] |
| 71447-7 | Received scheduled pain medication regimen during assessment period [CMS Assessment] |
| 71448-5 | Received PRN pain medications or was offered and declined during assessment period [CMS Assessment] |
| 71449-3 | Received non-medication intervention for pain during assessment period [CMS Assessment] |
| 75618-9 | Comorbid condition |
| 76468-8 | Organization NPI |
| 76696-4 | Name [Identifier] Facility |
| 81885-6 | Secondary diagnosis |
| 83246-9 | IRF-PAI v3.0, LCDS v4.00 - Current number of unhealed pressure injuries at each stage - admission during assessment period [CMS Assessment] |
| 83252-7 | Special treatments, procedures, and programs at admission [CMS Assessment] |
| 83256-8 | IRF-PAI v3.0, LCDS v4.00 - Current number of unhealed pressure injuries at each stage - discharge during assessment period [CMS Assessment] |
| 85070-1 | Prior functioning.self care during assessment period [CMS Assessment] |
| 85073-5 | Functional cognition during assessment period [CMS Assessment] |
| 85396-0 | IRF-PAI - Facility information during assessment period [CMS Assessment] |
| 85398-6 | Admitted from Facility |
| 85399-4 | Prior residence |
| 85400-0 | Prior living arrangement during assessment period [CMS Assessment] |
| 85402-6 | Primary payment source during assessment period [CMS Assessment] |
| 85407-5 | Arthritis conditions recorded during assessment period [CMS Assessment] |
| 85411-7 | Patient discharged against medical advice during assessment period [CMS Assessment] |
| 85417-4 | Discharge living arrangement during assessment period [CMS Assessment] |
| 85418-2 | Diagnosis for interruption or death during assessment period [CMS Assessment] |
| 85419-0 | Complications during rehabilitation stay during assessment period [CMS Assessment] |
| 85493-5 | IRF-PAI - Speech-language pathology services - week 1 [CMS Assessment] |
| 85585-8 | Date of condition onset |
| 85813-4 | IRF-PAI - Payment source during assessment period [CMS Assessment] |
| 85918-1 | Unhealed pressure injury at stage 2 or higher or designated as unstageable during assessment period [CMS Assessment] |
| 85920-7 | Symptom control rating during assessment period [CMS Assessment] |
| 86471-0 | Ostomy for bowel elimination in the last 14 days [CMS Assessment] |
| 86495-9 | When anxious within the last 14 days [CMS Assessment] |
| 86527-9 | Conditions related to intellectual disability and developmental disability status during assessment period [CMS Assessment] |
| 86597-2 | Potential indicators of psychosis during assessment period [CMS Assessment] |
| 86624-4 | Bladder and bowel appliances used during assessment period [CMS Assessment] |
| 86671-5 | Active diagnoses during assessment period [CMS Assessment] |
| 86675-6 | Shortness of breath during assessment period [CMS Assessment] |
| 86676-4 | Problem conditions during assessment period [CMS Assessment] |
| 86677-2 | Signs and symptoms of swallowing disorder during assessment period [CMS Assessment] |
| 86678-0 | Weight gain of 5% or more in the last month or gain of 10% or more in last 6 months [CMS Assessment] |
| 86748-1 | Skin and ulcer/injury treatments during assessment period [CMS Assessment] |
| 86761-4 | Procedures performed during last 14 days - while a resident [CMS Assessment] |
| 86763-0 | Speech-language pathology and audiology services during assessment period [CMS Assessment] |
| 86767-1 | Occupational therapy during assessment period [CMS Assessment] |
| 86768-9 | Physical therapy during assessment period [CMS Assessment] |
| 86786-1 | Physical restraints used in bed - bed rail used during assessment period [CMS Assessment] |
| 86787-9 | Physical restraints used in bed - trunk restraint used during assessment period [CMS Assessment] |
| 86788-7 | Physical restraints used in bed - limb restraint during assessment period [CMS Assessment] |
| 86789-5 | Other physical restraints used in bed during assessment period [CMS Assessment] |
| 86790-3 | Physical restraints used in chair or out of bed - trunk restraint used during assessment period [CMS Assessment] |
| 86791-1 | Physical restraints used in chair or out of bed - limb restraint used during assessment period [CMS Assessment] |
| 86792-9 | Physical restraints used in chair or out of bed - chair prevents rising used during assessment period [CMS Assessment] |
| 86793-7 | Other physical restraints used in chair or out of bed used during assessment period [CMS Assessment] |
| 86851-3 | Invasive mechanical ventilator liberation status at discharge during assessment period [CMS Assessment] |
| 87538-5 | Assessed for readiness for SBT by day 2 of stay during assessment period [CMS Assessment] |
| 87539-3 | Invasive mechanical ventilation support upon admission during assessment period [CMS Assessment] |
| 87540-1 | Deemed medically ready for SBT by day 2 of stay during assessment period [CMS Assessment] |
| 87541-9 | Is there documentation of reason(s) in the patient's medical record that the patient was deemed medically unready for SBT by day 2 of stay during assessment period [CMS Assessment] |
| 87542-7 | SBT performed by day 2 of stay during assessment period [CMS Assessment] |
| 88296-9 | Antipsychotic medications since admission/entry or reentry or the prior OBRA assessment, whichever is more recent during assessment period [CMS Assessment] |
| 88297-7 | Gradual dose reduction (GDR) attempted during assessment period [CMS Assessment] |
| 88298-5 | Date of last attempted gradual dose reduction during assessment period [CMS Assessment] |
| 88299-3 | Physician documented GDR as clinically contraindicated during assessment period [CMS Assessment] |
| 88300-9 | Date physician documented GDR as clinically contraindicated during assessment period [CMS Assessment] |
| 88308-2 | Other alarm used during assessment period [CMS Assessment] |
| 88309-0 | Alarms during assessment period [CMS Assessment] |
| 88310-8 | Bed alarm used during assessment period [CMS Assessment] |
| 88311-6 | Chair alarm used during assessment period [CMS Assessment] |
| 88312-4 | Floor mat alarm used during assessment period [CMS Assessment] |
| 88313-2 | Motion sensor alarm used during assessment period [CMS Assessment] |
| 88314-0 | Wander/elopement alarm used during assessment period [CMS Assessment] |
| 88465-0 | Types and sources of assistance - start of care or resumption of care during assessment period [CMS Assessment] |
| 88489-0 | OASIS E - Primary diagnosis during assessment period [CMS Assessment] |
| 88490-8 | OASIS E - Other diagnoses during assessment period [CMS Assessment] |
| 88961-8 | MDS v3.0 - RAI v1.17.2 - Current number of unhealed pressure injuries at each stage during assessment period [CMS Assessment] |
| 89381-8 | Walk 50 feet with two turns - functional goal during assessment period [CMS Assessment] |
| 89383-4 | Walk 150 feet - functional goal during assessment period [CMS Assessment] |
| 89385-9 | Walk 10 feet - functional goal during assessment period [CMS Assessment] |
| 89390-9 | Toilet transfer - functional goal during assessment period [CMS Assessment] |
| 89402-2 | Picking up object - functional goal during assessment period [CMS Assessment] |
| 89409-7 | Eating - functional goal during assessment period [CMS Assessment] |
| 89412-1 | Car transfer - functional goal during assessment period [CMS Assessment] |
| 89416-2 | Go up and down 4 steps - functional goal during assessment period [CMS Assessment] |
| 89418-8 | Go up and down 12 steps - functional goal during assessment period [CMS Assessment] |
| 89420-4 | Go up and down a curb/step - functional goal during assessment period [CMS Assessment] |
| 90489-6 | MDS v3.0 - RAI v1.17.2 - Type of assessment during assessment period [CMS Assessment] |
| 90543-0 | Percent intake by artificial route while a resident and during the last 7 days during assessment period [CMS Assessment] |
| 90544-8 | Therapies during Part A Medicare stay [CMS Assessment] |
| 92850-7 | Range of motion during assessment period [CMS Assessment] Upper extremity |
| 92851-5 | Range of motion during assessment period [CMS Assessment] Lower extremity |
| 93156-8 | How much of the time has pain made it hard for you to sleep at night during assessment period [CMS Assessment] |
| 93159-2 | How often do you feel lonely or isolated from those around you during assessment period [CMS Assessment] |
| 93160-0 | How often have you limited your participation in rehabilitation therapy sessions due to pain over during assessment period [CMS Assessment] |
| 93181-6 | Provision of current reconciled medication list to patient at discharge during assessment period [CMS Assessment] |
| 93182-4 | Provision of current reconciled medication list to subsequent provider at discharge during assessment period [CMS Assessment] |
| 93202-0 | Ventilator weaning status during assessment period [CMS Assessment] |
| 93203-8 | LCDS v5.00 - Spontaneous breathing trial during assessment period [CMS Assessment] |
| 94876-0 | Self-care priorities for the next 6 months during assessment period [CMS Assessment] |
| 94877-8 | Mobility priorities for the next 6 months during assessment period [CMS Assessment] |
| 94878-6 | Instrumental activities of daily living priorities for the next 6 months during assessment period [CMS Assessment] |
| 94879-4 | Need for and availability of a cane/crutch during assessment period [CMS Assessment] |
| 94880-2 | Need for and availability of a walker during assessment period [CMS Assessment] |
| 94881-0 | Need for and availability of a standard folding walker during assessment period [CMS Assessment] |
| 94882-8 | Need for and availability of a walker with seat during assessment period [CMS Assessment] |
| 94883-6 | Need for and availability of a walker with wheels during assessment period [CMS Assessment] |
| 94884-4 | Need for and availability of a wheelchair during assessment period [CMS Assessment] |
| 94885-1 | Need for and availability of a manual wheelchair during assessment period [CMS Assessment] |
| 94886-9 | Need for and availability of a motorized wheelchair/scooter during assessment period [CMS Assessment] |
| 94887-7 | Need for and availability of a limb prosthesis during assessment period [CMS Assessment] |
| 94888-5 | Need for and availability of a specialized seating pad during assessment period [CMS Assessment] |
| 94889-3 | Need for and availability of a mechanical lift during assessment period [CMS Assessment] |
| 94890-1 | Need for and availability of a reacher/grabber during assessment period [CMS Assessment] |
| 94891-9 | Need for and availability of a sock aid during assessment period [CMS Assessment] |
| 94892-7 | Need for and availability of an orthotic/brace during assessment period [CMS Assessment] |
| 94893-5 | Need for and availability of a bed rail during assessment period [CMS Assessment] |
| 94894-3 | Need for and availability of an electronic bed during assessment period [CMS Assessment] |
| 94895-0 | Need for and availability of grab bars during assessment period [CMS Assessment] |
| 94896-8 | Need for and availability of a transfer board during assessment period [CMS Assessment] |
| 94897-6 | Need for and availability of a shower/commode chair during assessment period [CMS Assessment] |
| 94898-4 | Need for and availability of a walk/wheel-in shower during assessment period [CMS Assessment] |
| 94899-2 | Need for and availability of glasses or contact lenses during assessment period [CMS Assessment] |
| 94900-8 | Need for and availability of a hearing aid during assessment period [CMS Assessment] |
| 94901-6 | Need for and availability of a communication device during assessment period [CMS Assessment] |
| 94902-4 | Need for and availability of stair rails during assessment period [CMS Assessment] |
| 94903-2 | Need for and availability of a lift chair during assessment period [CMS Assessment] |
| 94904-0 | Need for and availability of ramps during assessment period [CMS Assessment] |
| 94905-7 | Need for and availability of a raised toilet seat during assessment period [CMS Assessment] |
| 94906-5 | Need for and availability of a glucometer during assessment period [CMS Assessment] |
| 94907-3 | Need for and availability of Continuous Positive Airway Pressure device during assessment period [CMS Assessment] |
| 94908-1 | Need for and availability of an oxygen concentrator during assessment period [CMS Assessment] |
| 94910-7 | Need for and availability of other assistive devices during assessment period [CMS Assessment] |
| 94911-5 | Living arrangement priorities for the next 6 months during assessment period [CMS Assessment] |
| 94912-3 | Availability of caregiver assistance during assessment period [CMS Assessment] |
| 94913-1 | Level of paid caregiver assistance in the past month [CMS Assessment] |
| 94914-9 | Level of unpaid caregiver assistance in the past month [CMS Assessment] |
| 94915-6 | Paid caregiver's ability and willingness to provide self-care assistance during assessment period [CMS Assessment] |
| 94916-4 | Unpaid caregiver's ability and willingness to provide self-care assistance during assessment period [CMS Assessment] |
| 94917-2 | Paid caregiver's ability and willingness to provide mobility assistance during assessment period [CMS Assessment] |
| 94918-0 | Unpaid caregiver's ability and willingness to provide mobility assistance during assessment period [CMS Assessment] |
| 94919-8 | Paid caregiver's ability and willingness to provide instrumental activities of daily living assistance during assessment period [CMS Assessment] |
| 94920-6 | Unpaid caregiver's ability and willingness to provide instrumental activities of daily living assistance during assessment period [CMS Assessment] |
| 94921-4 | Paid caregiver's ability and willingness to provide medication administration assistance during assessment period [CMS Assessment] |
| 94922-2 | Unpaid caregiver's ability and willingness to provide medication administration assistance during assessment period [CMS Assessment] |
| 94923-0 | Paid caregiver's ability and willingness to provide medical procedure/treatment assistance during assessment period [CMS Assessment] |
| 94924-8 | Unpaid caregiver's ability and willingness to provide medical procedure/treatment assistance during assessment period [CMS Assessment] |
| 94925-5 | Paid caregiver's ability and willingness to provide management of equipment assistance during assessment period [CMS Assessment] |
| 94926-3 | Unpaid caregiver's ability and willingness to provide management of equipment assistance during assessment period [CMS Assessment] |
| 94927-1 | Paid caregiver's ability and willingness to provide supervision during assessment period [CMS Assessment] |
| 94928-9 | Unpaid caregiver's ability and willingness to provide supervision during assessment period [CMS Assessment] |
| 94929-7 | Paid caregiver's ability and willingness to provide advocacy or facilitation of person's participation during assessment period [CMS Assessment] |
| 94930-5 | Unpaid caregiver's ability and willingness to provide advocacy or facilitation of person's participation during assessment period [CMS Assessment] |
| 94931-3 | Caregiving priorities for the next 6 months during assessment period [CMS Assessment] |
| 94932-1 | Does the patient walk during assessment period [CMS Assessment] |
| 94933-9 | Eating - most dependent performance during the past month [CMS Assessment] |
| 94934-7 | Oral hygiene - most dependent performance during the past month [CMS Assessment] |
| 94935-4 | Wash upper body - most dependent performance during the past month [CMS Assessment] |
| 94936-2 | Shower/bathe self - most dependent performance during the past month [CMS Assessment] |
| 94937-0 | Upper body dressing - most dependent performance during the past month [CMS Assessment] |
| 94938-8 | Lower body dressing - most dependent performance during the past month [CMS Assessment] |
| 94939-6 | Putting on and taking off footwear - most dependent performance during the past month [CMS Assessment] |
| 94940-4 | Roll left and right - most dependent performance during the past month [CMS Assessment] |
| 94941-2 | Sit to lying - most dependent performance during the past month [CMS Assessment] |
| 94942-0 | Lying to sitting on side of bed - most dependent performance during the past month [CMS Assessment] |
| 94943-8 | Sit to stand - most dependent performance during the past month [CMS Assessment] |
| 94944-6 | Chair/bed-to-chair transfer - most dependent performance during the past month [CMS Assessment] |
| 94945-3 | Toilet transfer - most dependent performance during the past month [CMS Assessment] |
| 94946-1 | Car transfer - most dependent performance during the past month [CMS Assessment] |
| 94947-9 | Walk 10 feet - most dependent performance during the past month [CMS Assessment] |
| 94948-7 | Walk 50 feet with two turns - most dependent performance during the past month [CMS Assessment] |
| 94949-5 | Walk 150 feet - most dependent performance during the past month [CMS Assessment] |
| 94950-3 | Walking 10 feet on uneven surfaces - most dependent performance during the past month [CMS Assessment] |
| 94951-1 | Go up and down a curb/step - most dependent performance during the past month [CMS Assessment] |
| 94952-9 | Go up and down 4 steps - most dependent performance during the past month [CMS Assessment] |
| 94953-7 | Go up and down 12 steps - most dependent performance during the past month [CMS Assessment] |
| 94954-5 | Picking up object - most dependent performance during the past month [CMS Assessment] |
| 94955-2 | Walks indoors - most dependent performance during the past month [CMS Assessment] |
| 94956-0 | Carries something in both hands - most dependent performance during the past month [CMS Assessment] |
| 94957-8 | Walks for 15 minutes - most dependent performance during the past month [CMS Assessment] |
| 94958-6 | Walks across a street - most dependent performance during the past month [CMS Assessment] |
| 94959-4 | Wheel 50 feet with two turns - most dependent performance during the past month [CMS Assessment] |
| 94960-2 | Wheel 150 feet - most dependent performance during the past month [CMS Assessment] |
| 94961-0 | Wheels for 15 minutes - most dependent performance during the past month [CMS Assessment] |
| 94962-8 | Wheels across a street - most dependent performance during the past month [CMS Assessment] |
| 94963-6 | Makes a light cold meal - most dependent performance during the past month [CMS Assessment] |
| 94964-4 | Makes a light hot meal - most dependent performance during the past month [CMS Assessment] |
| 94965-1 | Light daily housework - most dependent performance during the past month [CMS Assessment] |
| 94966-9 | Heavier periodic housework - most dependent performance during the past month [CMS Assessment] |
| 94967-7 | Light shopping- most dependent performance during the past month [CMS Assessment] |
| 94968-5 | Answering telephone call - most dependent performance during the past month [CMS Assessment] |
| 94969-3 | Placing telephone call - most dependent performance during the past month [CMS Assessment] |
| 94970-1 | Medication management.oral medications - most dependent performance during the past month [CMS Assessment] |
| 94971-9 | Medication management.inhalant/mist medications - most dependent performance during the past month [CMS Assessment] |
| 94972-7 | Medication management.injectable medications - most dependent performance during the past month [CMS Assessment] |
| 94973-5 | Simple financial management - most dependent performance during the past month [CMS Assessment] |
| 94974-3 | Complex financial management - most dependent performance during the past month [CMS Assessment] |
| 94975-0 | Living arrangement during the past month [CMS Assessment] |
| 94976-8 | Makes a light cold meal - usual functional ability during assessment period [CMS Assessment] |
| 94977-6 | Makes a light hot meal - usual functional ability during assessment period [CMS Assessment] |
| 94978-4 | Light daily housework - usual functional ability during assessment period [CMS Assessment] |
| 94979-2 | Heavier periodic housework - usual functional ability during assessment period [CMS Assessment] |
| 94980-0 | Light shopping - usual functional ability during assessment period [CMS Assessment] |
| 94981-8 | Answering telephone call - usual functional ability during assessment period [CMS Assessment] |
| 94982-6 | Placing telephone call - usual functional ability during assessment period [CMS Assessment] |
| 94983-4 | Medication management.oral medications - usual functional ability during assessment period [CMS Assessment] |
| 94984-2 | Medication management.inhalant/mist medications - usual functional ability during assessment period [CMS Assessment] |
| 94985-9 | Medication management.injectable medications - usual functional ability during assessment period [CMS Assessment] |
| 94986-7 | Simple financial management - usual functional ability during assessment period [CMS Assessment] |
| 94987-5 | Complex financial management - usual functional ability during assessment period [CMS Assessment] |
| 94988-3 | Living arrangement during assessment period [CMS Assessment] |
| 94989-1 | Wheels across a street - usual functional ability during assessment period [CMS Assessment] |
| 94990-9 | Wheels for 15 minutes - usual functional ability during assessment period [CMS Assessment] |
| 94991-7 | Wheel 150 feet - usual functional ability during assessment period [CMS Assessment] |
| 94992-5 | Wheel 50 feet with two turns - usual functional ability during assessment period [CMS Assessment] |
| 94993-3 | Walks across a street - usual functional ability during assessment period [CMS Assessment] |
| 94994-1 | Walks for 15 minutes - usual functional ability during assessment period [CMS Assessment] |
| 94995-8 | Carries something in both hands - usual functional ability during assessment period [CMS Assessment] |
| 94996-6 | Walks indoors - usual functional ability during assessment period [CMS Assessment] |
| 94997-4 | Picking up object - usual functional ability during assessment period [CMS Assessment] |
| 94998-2 | Go up and down 12 steps - usual functional ability during assessment period [CMS Assessment] |
| 94999-0 | Go up and down 4 steps - usual functional ability during assessment period [CMS Assessment] |
| 95000-6 | Go up and down a curb/step - usual functional ability during assessment period [CMS Assessment] |
| 95001-4 | Walking 10 feet on uneven surfaces - usual functional ability during assessment period [CMS Assessment] |
| 95002-2 | Walk 150 feet - usual functional ability during assessment period [CMS Assessment] |
| 95003-0 | Walk 50 feet with two turns - usual functional ability during assessment period [CMS Assessment] |
| 95004-8 | Walk 10 feet - usual functional ability during assessment period [CMS Assessment] |
| 95005-5 | Car transfer - usual functional ability during assessment period [CMS Assessment] |
| 95006-3 | Toilet transfer - usual functional ability during assessment period [CMS Assessment] |
| 95007-1 | Chair/bed-to-chair transfer - usual functional ability during assessment period [CMS Assessment] |
| 95008-9 | Sit to stand - usual functional ability during assessment period [CMS Assessment] |
| 95009-7 | Lying to sitting on side of bed - usual functional ability during assessment period [CMS Assessment] |
| 95010-5 | Sit to lying - usual functional ability during assessment period [CMS Assessment] |
| 95011-3 | Roll left and right - usual functional ability during assessment period [CMS Assessment] |
| 95012-1 | Putting on/taking off footwear - usual functional ability during assessment period [CMS Assessment] |
| 95013-9 | Lower body dressing - usual functional ability during assessment period [CMS Assessment] |
| 95014-7 | Upper body dressing - usual functional ability during assessment period [CMS Assessment] |
| 95015-4 | Shower/bathe self - usual functional ability during assessment period [CMS Assessment] |
| 95016-2 | Wash upper body - usual functional ability during assessment period [CMS Assessment] |
| 95017-0 | Toileting hygiene - usual functional ability during assessment period [CMS Assessment] |
| 95018-8 | Oral hygiene - usual functional ability during assessment period [CMS Assessment] |
| 95019-6 | Eating - usual functional ability during assessment period [CMS Assessment] |
| 95021-2 | Manual wheelchair use during assessment period [CMS Assessment] |
| 95022-0 | Motorized wheelchair/scooter use during assessment period [CMS Assessment] |
| 95035-2 | FASI v1.0 - Availability of Paid and Unpaid Assistance during assessment period [CMS Assessment] |
| 95042-8 | Used or needed assistive devices in the past month [CMS Assessment] |
| 95043-6 | Toileting hygiene - most dependent performance during the past month [CMS Assessment] |
| 95131-9 | FASI v1.0 - Mobility (Wheelchair) [CMS Assessment] |
| 95737-3 | Expression of ideas and wants during assessment period [CMS Assessment] |
| 95738-1 | Does the patient use a wheelchair/scooter during assessment period [CMS Assessment] |
| 95739-9 | Indicate the type of wheelchair/scooter used during assessment period [CMS Assessment] |
| 95740-7 | Understanding verbal and non-verbal content during assessment period [CMS Assessment] |
| 95744-9 | Hearing.ability to hear during assessment period [CMS Assessment] |
| 95745-6 | Vision.ability to see in adequate light during assessment period [CMS Assessment] |
| 95813-2 | Is there evidence of an acute change in mental status from the patient's baseline during assessment period [CAM.CMS] |
| 101327-5 | MDS v3.0 - RAI v1.18.11 - Nutritional approaches - on admission during assessment period [CMS Assessment] |
| 101330-9 | MDS v3.0 - RAI v1.18.11 - Number of venous and arterial ulcers during assessment period [CMS Assessment] |
| 101331-7 | MDS v3.0 - RAI v1.18.11 - Ulcers, wounds and skin problems during assessment period [CMS Assessment] |
| 101333-3 | MDS v3.0 - RAI v1.18.11 - Determination of pressure injury risk [CMS Assessment] |
| 101351-5 | Has lack of transportation kept you from medical appointments, meetings, work, or from getting things needed for daily living during assessment period [CMS Assessment] |
| 103693-8 | Body weight during assessment period [CMS Assessment] |