-3900


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Property Specification
Data System LTCH
Data Specs V3.00.1 - DRAFT
Edit Type Consistency
Severity Warning
Edit Text A dash (-) submitted in this quality measure item may result in a payment reduction for your facility of two percentage points for the affected payment determination.
Version Notes [V3.00.0]-Removed mapping to items I0101, M0800A-F, O0100F3 and O0100F4, since those items were deleted. Added mappings to items B0100, BB0700, BB0800, C1610A-D, C1610E1, C1610E2, GG0130A1, GG0130A3, GG0130B1, GG0130B3, GG0130C1, GG0130C3, GG0130D1, GG0130D3, GG0170A1, GG0170A3, GG0170B1, GG0170B3, GG0170C1, GG0170C3, GG0170D1, GG0170D3, GG0170E1, GG0170E3, GG0170F1, GG0170F3, GG0170I1, GG0170I3, GG0170J1, GG0170J3, GG0170K1, GG0170K3, GG0170Q1, GG0170Q3, GG0170R1, GG0170R3, GG0170RR1, GG0170RR3, GG0170S1, GG0170S3, GG0170SS1, GG0170SS3, M0300B1-M0300G2, N2001, N2003, N2005, O0150A-O0150E, O0200A, O0250A, O0250C. Removed mappings to items H0400, I0900, I1501, I1502, I2101, I2600, I2900, I4100, I4501, I4801, I4900, I5000, I5102, I5110, I5601, I5602, I7900, J1800, J1900A, J1900B, K0200A, K0200B, O0100G, O0100J, O0100N, O0100Z. Note that these changes are retroactive to January 1, 2017.
[V3.00.1]-Removed mappings to M0300B1, M0300C1, M0300D1, M0300E1, M0300F1 and M0300G1. Added mappings back to H0400, I0900, I2900, K0200A, and K0200B. NOTE: The statement in V3.00.0 that changes are retroactive to January 1, 2017 is retracted. All revisions to edit -3900 in V3.00.0 and V3.00.1 are retroactive to April 1, 2016, EXCEPT for the following NEW items: N2001, N2003, N2005, O0150A-E, O0200A.

Item List
Item ID Description
B0100 Comatose
BB0700 Expression of Ideas and Wants (3-day asmt period)
BB0800 Understand Verbal/Non-Verbal Content (3-day asmt)
C1610A Acute onset
C1610B Fluctuating Course
C1610C Inattention
C1610D Disorganized Thinking
C1610E1 Altered Consc Lvl - Alert
C1610E2 Altered Consc Lvl - Vigilant/Lethargic/Stupor/Coma
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
GG0130D1 Self-Care (Adm Perf) - Wash upper body
GG0130D3 Self-Care (Dschg Perf) - Wash upper body
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
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
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.
H0350 Bladder continence
H0400 Bowel continence
I0900 Peripheral vascular disease (PVD) or PAD
I2900 Diabetes mellitus (DM)
I5101 Complete Tetraplegia
I5200 Multiple Sclerosis (MS)
I5250 Huntington"s Disease
I5300 Parkinson"s Disease
I5450 Amyotrophic Lateral Sclerosis
I5460 Locked-In State
I5470 Severe Anoxic Brain Damage, Cerebral Edema
J1900C Num Falls Since Admission - Major injury
K0200A Height (in inches)
K0200B Weight (in pounds)
M0300B2 Stage 2 pressure ulcers: number at admit
M0300C2 Stage 3 pressure ulcers: number at admit
M0300D2 Stage 4 pressure ulcers: number at admit
M0300E2 Unstageable due to dressing/device: number at adm
M0300F2 Unstageable slough/eschar: number at admit
M0300G2 Unstageable as deep tissue: num at adm
N2001 Drug Regimen Review
N2003 Medication Follow-up
N2005 Medication Intervention
O0150A SBT: Invasive Mechanical Ventilation Support
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
O0250A Was influenza vaccine received
O0250C If influenza vaccine not received, state reason

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Generated: 03/14/2018 01:51:15 PM