Step-by-Step Coding Guide for Item Set GG0120Z: Mobility Devices: None of the Above

This guide aims to assist in accurately coding and documenting when a resident does not use any of the mobility devices listed in the GG0120 series of the MDS 3.0, specifically for item GG0120Z.

1. Review of Medical Records

• Objective: Confirm the absence of mobility device use.
• Key Points:
  • Thoroughly review the resident's medical records, including therapy assessments and daily care notes, to verify that no mobility aids (such as walkers, canes, crutches, wheelchairs, prosthetics) are used.
  • Check recent care plans and interdisciplinary team meeting notes for any changes in mobility status or device use.

2. Understanding Definitions

• Objective: Clarify the scope of "None of the Above."
• Key Points:
  • None of the Above: Indicates the resident does not use any of the mobility devices listed in the prior sections of GG0120, including canes, crutches, walkers, wheelchairs (manual or electric), and prosthetic limbs.

3. Coding Instructions

• Objective: Accurately document the non-use of listed mobility devices.
• Key Points:
  • Code "1" if, after thorough review, the resident is confirmed not to use any of the mobility aids listed in GG0120 items.
  • Code "0" if the resident uses any mobility aid listed in previous GG0120 items.

4. Coding Tips

• Double-check with the resident, family, or caregivers to confirm the non-use of mobility aids, as they may provide insights not captured in medical records.
• Review therapy notes closely, as therapists often document mobility aid trials or recommendations.

5. Documentation

• Objective: Maintain clear documentation supporting the absence of mobility device use.
• Key Points:
  • Document the assessment process and findings that led to the determination of no mobility device use.
  • Note any consultations with the resident, family, or other healthcare providers that confirm this finding.

6. Common Errors to Avoid

• Assuming a resident does not use any mobility device without confirming through comprehensive record review and discussions.
• Overlooking temporary use of mobility aids that might not be currently in use but were used during the assessment period.

7. Practical Application

• Scenario: Mrs. Elaine Thompson, who has maintained her ability to ambulate independently without the support of mobility devices, underwent a comprehensive assessment by the physical therapy team. Despite her advanced age, Mrs. Thompson demonstrates sufficient balance and strength for safe, independent ambulation. After reviewing her medical records, therapy assessments, and confirming with Mrs. Thompson and her daughter, the MDS Coordinator codes "1" for GG0120Z, indicating she does not use any of the listed mobility aids.

The Step-by-Step Coding Guide for item GG0120Z 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.