GG0170S1


Item Summary

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Property Specification
Data System LTCH
Data Specs V4.00.0 DRAFT
Description Func Mobil (Adm Perf) - Wheel 150 feet
Group Asmt
Type Code
Length 2
Fixed Start-End 875-876
Version Notes

Item Subsets
Active LA
Inactive LP,LU,LE,XX
State optional

Item Values
Value LOINC Text
06 Independent
05 Setup or clean-up assistance
04 Supervision or touching assistance
03 Partial/moderate assistance
02 Substantial/maximal assistance
01 Dependent
07 Patient refused
09 Not applicable
10 Not attempted due to environmental limitations
88 Not attempted due to medical condition or safety concerns
- Not assessed/no information
^ Blank (skip pattern)

Item Edits
Edit ID Type Severity Edit Text
-1009 Format Fatal Only the code values listed in the "Item Values" table of the Detailed Data Specifications Report may be submitted for this item.
-3043 Consistency Fatal a) If GG0170Q1=[0], then items GG0170R1, GG0170R2, G0170RR1, GG0170S1, GG0170S2, and GG0170SS1 must be equal to [^].
b) If GG0170Q1=[1], then items GG0170R1, GG0170R2, G0170RR1, GG0170S1, GG0170S2, and GG0170SS1 must not be equal to [^].
c) If GG0170Q1=[-], then items GG0170R1, GG0170R2, G0170RR1, GG0170S1, GG0170S2, and GG0170SS1 must be equal to [-].
-3900 Consistency Warning A dash (-) submitted in this item may result in a payment reduction for your facility of two percentage points for the affected payment determination.
-3936 Consistency Fatal If GG0170Q1=[-], then all active items from GG0170R1 through GG0170SS1 must be equal to [-].
-4011 Skip Fatal (a) If GG0170Q1 = [0], then the following items GG0170R1, GG0170R2. GG0170RR1, GG0170S1, GG0170S2 and GG0170SS2 must equal [^]

(b) If GG0170Q1 = [1], then the following items from GG0170R1, GG0170R2. GG0170RR1, GG0170S1, GG0170S2 and GG0170SS2 must not equal [^]

(c) If GG0170Q1 = [-], then the following items GG0170R1, GG0170R2. GG0170RR1, GG0170S1, GG0170S2 and GG0170SS2 must equal [-]

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Generated: 02/29/2020 10:39:12 PM