Step-by-Step Coding Guide for GG0110. Prior Device Use

Introduction to GG0110. Prior Device Use

Objective: Provide an understanding of the significance and purpose of coding for GG0110. Prior Device Use in the MDS 3.0. Key Points:

• GG0110. Prior Device Use captures information about the resident's use of devices such as wheelchair, walker, mechanical lift, or orthotics before the current illness, exacerbation, or injury.
• This item helps in planning care by identifying supports the resident may need for mobility.

Understanding the Components

Objective: Explain the components of GG0110. Prior Device Use. Key Points:

• GG0110A: Manual Wheelchair
• GG0110B: Motorized Wheelchair and/or Scooter
• GG0110C: Mechanical Lift
• GG0110D: Walker
• GG0110E: Orthotics/Prosthetics
• GG0110Z: None of the Above

The Assessment Process

Objective: Outline the process for accurately assessing and coding GG0110. Key Points:

• Review the resident's medical record, including therapy notes and nursing assessments, for information about device use prior to the current admission.
• Consult with the resident, if possible, and family members or caregivers about the resident's use of devices.
• Observe the resident during various activities for any indication of prior device use.

Coding and Documentation

Objective: Provide guidance on how to code GG0110 accurately and document findings. Key Points:

• For each device listed in GG0110A to GG0110E, code "1" if the resident used the device prior to the current illness, exacerbation, or injury, and "0" if the resident did not use the device.
• Code GG0110Z as "1" if none of the devices were used.
• Document in the resident's care plan any noted device use and how it impacts care planning.

Common Errors and Best Practices

Objective: Highlight common coding errors and provide best practices for GG0110. Key Points:

• Common Error: Overlooking consultation with the resident or family, leading to inaccurate coding.
• Best Practice: Always verify device use through multiple sources, including direct observation, family consultation, and medical record review.

Practical Applications

Objective: Apply coding knowledge through practical examples. Key Points:

• Scenario 1: A resident used a manual wheelchair and a walker prior to hospitalization. Code GG0110A as "1" and GG0110D as "1".
• Scenario 2: A resident did not use any mobility devices before the current illness. Code GG0110Z as "1".

Resources for Further Learning

Objective: Direct coders to additional resources for deeper understanding. Key Points:

• CMS's RAI Version 3.0 Manual chapters relevant to Section GG for detailed guidance.
• Online training modules on the CMS website.

Q&A and Interactive Session

Objective: Address specific questions and clarify doubts related to GG0110. Interactive Discussion: Encourage participants to share their experiences and questions about coding GG0110 for clarification.

The Step-by-Step Coding Guide for item GG0110 in MDS 3.0 Section GG is based on the Long-Term Care Facility Resident Assessment Instrument 3.0 User’s Manual, Version 1.18.11, dated October 2023. Please note that healthcare guidelines, policies, and regulations can undergo frequent updates. Therefore, healthcare professionals must ensure they are referencing the most current version of the MDS 3.0 manual. This guide aims to assist with understanding and applying the coding procedures as outlined in the referenced manual version. However, in cases where there are updates or changes to the manual after the mentioned date, users should refer to the latest version of the manual for the most accurate and up-to-date information. The guide should not substitute for professional judgment and the consultation of the latest regulatory guidelines in the healthcare field.