GG0120. Mobility Devices

Step-by-Step Coding Guide for GG0120: Mobility Devices

Introduction to GG0120

• Objective: Understand the coding for Mobility Devices (GG0120A to GG0120Z) within the MDS 3.0 assessment process.
• Key Points: This item set focuses on identifying the types of mobility devices a resident uses for locomotion in indoor and outdoor settings. Coding accurately ensures appropriate care planning and resource allocation.

Understanding the Components

• Detailed Description: GG0120 encompasses various mobility devices, ranging from canes and walkers to manual and motorized wheelchairs, and prosthetic/orthotic devices.
• Outcomes and Implications: Accurate coding reflects the resident's current mobility status and aids in designing targeted interventions.

The Assessment Process

• When and How to Perform the Assessment:
  1. Observe the resident during various activities within the 3-day assessment period.
  2. Consult with the interdisciplinary team, including physical therapists and nursing staff, to gather comprehensive information on the resident's use of mobility devices.
• Specific Requirements: Document all types of mobility devices the resident uses, noting any differences in indoor versus outdoor use.

Coding and Documentation

• Explanation of Coding Options:
  • A-Z Options: Each letter corresponds to a specific type of mobility device, such as A for Cane/Crutch, B for Walker, etc.
  • Code each applicable device: Mark all devices the resident uses, acknowledging that multiple devices may be used for different circumstances or environments.
• Importance of Precise Documentation: Clearly document observations and team input, specifying the context in which each device is used (e.g., indoor versus outdoor).

Practice Exercises for Coding and Documentation

• Scenario 1: A resident uses a front-wheeled walker indoors and a manual wheelchair outdoors for longer distances. How would you code GG0120?

  • Coding: GG0120B (Walker) and GG0120I (Manual Wheelchair).

• Scenario 2: A resident with a recent leg amputation uses a prosthetic limb for short walks indoors and relies on a motorized wheelchair for outdoor mobility. How to code GG0120?

  • Coding: GG0120H (Prosthetic/Orthotic Devices) and GG0120J (Motorized Wheelchair).

Common Errors and Best Practices

• Typical Mistakes: Overlooking device use variations between indoor and outdoor settings.
• Strategies: Ensure thorough observation and consultation with the care team. Document the use context for each device accurately.

Practical Applications

• Case Studies/Scenarios: Engage in team discussions using real-life resident scenarios to practice coding.
• Role-playing/Interactive Exercises: Simulate assessment situations to enhance understanding and accuracy in coding.

Resources for Further Learning

• Relevant Guidelines: CMS’s RAI Version 3.0 Manual, particularly the sections related to Section GG.
• Updates and Changes: Stay informed on updates to the MDS 3.0 and Section GG through CMS memos and training materials.

Q&A and Interactive Session

• Objective: Address specific queries and clarify doubts regarding coding for GG0120.
• Interactive Discussion: Encourage participation in discussions to resolve common coding challenges.

Additional Tips:

• Double-check the resident's care plan and medical records for accuracy.
• Regularly update your knowledge with CMS training and updates.

By following these steps, you'll be able to accurately code the GG0120 item set, ensuring the resident's mobility needs are correctly identified and addressed in their care plan.

The Step-by-Step Coding Guide for item GG0120 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.