-5004


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Property Specification
Data System IRF-PAI
Data Specs V4.00.0 DRAFT
Edit Type Consistency
Severity Warning
Edit Text Entering a dash as a response to any Quality Measure item may result in a payment reduction of two percentage points for the applicable FY annual increase factor.
Version Notes [V4.00.0]-Added mappings to items H0400, I0900, I2900, 25A and 26A.

Item List
Item ID Description
25A Height
26A Weight
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
GG0130E1 Self-Care (Adm Perf) - Shower/bathe self
GG0130E3 Self-Care (Dschg Perf) - Shower/bathe self
GG0130F1 Self-Care (Adm Perf) - Upper Body Dressing
GG0130F3 Self-Care (Dschg Perf) - Upper Body Dressing
GG0130G1 Self-Care (Adm Perf) - Lower Body Dressing
GG0130G3 Self-Care (Dschg Perf) - Lower Body Dressing
GG0130H1 Self-Care (Adm Perf) - On/Off Footwear
GG0130H3 Self-Care (Dschg Perf) - On/Off Footwear
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
GG0170G1 Func Mobil (Adm Perf) - Car Transfer
GG0170G3 Func Mobil (Dschg Perf) - Car 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
GG0170L1 Func Mobil (Adm Perf) - Walk 10 Ft Uneven Surf
GG0170L3 Func Mobil (Dschg Perf) - Walk 10 Ft Uneven Surf
GG0170M1 Func Mobil (Adm Perf) - 1 Step (Curb)
GG0170M3 Func Mobil (Dschg Perf) - 1 Step (Curb)
GG0170N1 Func Mobil (Adm Perf) - 4 Steps
GG0170N3 Func Mobil (Dschg Perf) - 4 Steps
GG0170O1 Func Mobil (Adm Perf) - 12 Steps
GG0170O3 Func Mobil (Dschg Perf) - 12 Steps
GG0170P1 Func Mobil (Adm Perf) - Picking Up Object
GG0170P3 Func Mobil (Dschg Perf) - Picking Up Object
GG0170Q1 Does patient use wheelchair and/or scooter (Adm)
GG0170Q3 Does patient use wheelchair and/or scooter (Dschg)
GG0170R1 Func Mobil (Adm Perf) - Wheel 50 feet w/2 turns
GG0170R3 Func Mobil (Dschg Perf) - Wheel 50 feet w/2 turns
GG0170RR1 Indicate type of wheelchair or scooter (Adm)
GG0170RR3 Indicate type of wheelchair or scooter (Dschg)
GG0170S1 Func Mobil (Adm Perf) - Wheel 150 feet
GG0170S3 Func Mobil (Dschg Perf) - Wheel 150 feet
GG0170SS1 Indicate type of wheelchair or scooter (Adm)
GG0170SS3 Indicate type of wheelchair or scooter (Dschg)
H0400 Bowel continence
I0900 Diagnoses: Peripheral vascular disease (PVD)/PAD
I2900 Diagnoses: Diabetes mellitus (DM)
J1900C Num Falls Since Admission - Major injury
M0300B1_2 Number of Stage 2 pressure ulcers: Discharge
M0300B2_2 Nbr Disch Stg 2 PU were Adm Stg 2 PU
M0300C1_2 Number of Stage 3 pressure ulcers: Discharge
M0300C2_2 Nbr Disch Stg 3 PU were Adm Stg 3 PU
M0300D1_2 Number of Stage 4 pressure ulcers: Discharge
M0300D2_2 Nbr Disch Stg 4 PU were Adm Stg 4 PU
M0300E1_2 Nbr Unstg non-remov drsg prss ulcers/injrs: Dschrg
M0300E2_2 Nbr Unstg NRD Disch PU/Injrs present at Adm
M0300F1_2 Nbr Unstg slough/eschar pressure ulcers: Dschrg
M0300F2_2 Nbr Unstg S/E Disch PU were Adm Unstg S/E PU
M0300G1_2 Nbr Unstg DTI pressure injrs: Dschrg
M0300G2_2 Nbr Unstg DTI Disch PU/Injrs present at Adm
N2001 Drug Regimen Review
N2003 Medication Follow-up
N2005 Medication Intervention

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Generated: 01/23/2019 09:42:17 AM