-1009
Property | Specification |
Data System | LTCH |
Data Specs | V1.00.3 |
Edit Type | Format |
Severity | Fatal |
Edit Text | Only the code values listed in the "Item Values" table of the Detailed Data Specifications Report may be submitted for this item. |
Version Notes | (v1.00.2) Reworded text by removing last sentence. (v1.00.1) Reworded edit text by removing subtitle. |
Item List | |
Item ID | Description |
ASMT_SYS_CD | Assessment system code |
ITM_SBST_CD | Item subset code |
STATE_CD | Facility"s state postal code |
A0050 | Type of record |
A0200 | Type of provider |
A0250 | Reason for Assessment |
A0800 | Gender |
A1000A | Ethnicity: American Indian or Alaska Native |
A1000B | Ethnicity: Asian |
A1000C | Ethnicity: Black or African American |
A1000D | Ethnicity: Hispanic or Latino |
A1000E | Ethnicity: Native Hawaiian/Pacific Islander |
A1000F | Ethnicity: White |
A1050 | Highest education completed |
A1100A | Does the patient need or want an interpreter |
A1200 | Marital status |
A1400A | Payer: Medicare (FFS) |
A1400B | Payer: Medicare (managed care/Part C/Mcr Advant.) |
A1400C | Payer: Medicaid (FFS) |
A1400D | Payer: Medicaid (managed care) |
A1400E | Payer: Workers" compensation |
A1400F | Payer: Title programs |
A1400G | Payer: Other Government |
A1400H | Payer: Private insurance/Medigap |
A1400I | Payer: Private managed care |
A1400J | Payer: Self-pay |
A1400K | Payer: No payor source |
A1400X | Payer: Unknown |
A1400Y | Payer: Other |
A1800 | Admitted from |
A1810A | Last 2 mo: Short-stay acute hospital (IPPS) |
A1810B | Last 2 mo: Community residential setting |
A1810C | Last 2 mo: Long-term care facility (LTC) |
A1810D | Last 2 mo: Skilled nursing facility (SNF) |
A1810E | Last 2 mo: Hospital emergency department |
A1810F | Last 2 mo: Long-term care hospital (LTCH) |
A1810G | Last 2 mo: Inpatient rehabilitation fac/unit(IRF) |
A1810H | Last 2 mo: Home health agency (HHA) |
A1810I | Last 2 mo: Hospice |
A1810J | Last 2 mo: Outpatient services |
A1810K | Last 2 mo: Psychiatric hospital or unit |
A1810L | Last 2 mo: ID/DD facility |
A1810Z | Last 2 mo: None of the above |
A1955 | Discharge delay |
A1960 | Reason for discharge delay |
A1970 | Discharge return status |
A2100 | Discharge location |
B0100 | Comatose |
GG0160A | Functional Mobil: Roll left and right |
GG0160B | Functional Mobil: Sit to lying |
GG0160C | Functional Mobil: Lying to sitting on side of bed |
H0400 | Bowel continence |
I0900 | Peripheral vascular disease (PVD) or PAD |
I2900 | Diabetes mellitus (DM) |
I5600 | Malnutrition (protein, calorie), risk of malnutrit |
M0210 | Patient has Stage 1 or higher pressure ulcers |
M0700 | Most severe tissue type for any pressure ulcer |
NOTICE: These materials are in the public domain and cannot be copyrighted.
Generated: 07/12/2012 12:51:39 PM