Step-by-Step Coding Guide for Item Set GG0110Z: None of the Above

This guide provides detailed instructions for accurately coding and documenting when none of the mobility device options listed in section GG0110 of the MDS 3.0 apply to the resident, specifically for item GG0110Z.

1. Review of Medical Records

• Objective: Determine if the resident uses any mobility devices not listed in previous GG0110 items.
• Key Points:
  • Carefully review the resident's medical records, including physical and occupational therapy assessments, nursing notes, and physician orders, to identify any use of mobility devices.
  • Look specifically for any mention of mobility aids or assistance not covered in other GG0110 categories (e.g., manual wheelchair, motorized wheelchair/scooter, walker, etc.).

2. Understanding Definitions

• Objective: Clarify what "None of the Above" implies.
• Key Points:
  • None of the Above (GG0110Z): Indicates that the resident does not use any of the mobility devices listed in the GG0110 series of questions. This item confirms the absence of these specified aids in the resident's current mobility strategy.

3. Coding Instructions

• Objective: Accurately document the absence of specified mobility devices.
• Key Points:
  • Code "1" if, after review, it is determined that the resident does not use any of the mobility devices listed in the GG0110 item set.
  • Code "0" if the resident uses one or more of the devices listed in previous GG0110 items.

4. Coding Tips

• Ensure a thorough review of all sections of GG0110 to confirm no devices are used before coding GG0110Z as "1".
• Consult with interdisciplinary team members if there is uncertainty about the use of any listed devices.

5. Documentation

• Objective: Maintain comprehensive documentation to support the coding choice.
• Key Points:
  • Document the assessment process and findings that led to the determination that no listed mobility devices are used.
  • Note discussions with the resident, family, or caregivers that may have contributed to understanding the resident's mobility aids.

6. Common Errors to Avoid

• Incorrectly coding "None of the Above" without confirming the resident's current use or non-use of the listed mobility devices.
• Overlooking or misinterpreting information in the medical record that indicates the use of a mobility device.

7. Practical Application

• Scenario: During her assessment for the MDS 3.0, it is determined that Ms. Brenda Lee does not use a manual wheelchair, motorized wheelchair/scooter, walker, or any other device listed under GG0110. She relies solely on the assistance of staff for transfers and mobility. After a comprehensive review of her medical records and consultation with her care team, the MDS Coordinator codes GG0110Z as "1", indicating that none of the listed mobility devices apply to Ms. Lee's current mobility status.

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. 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.