K0710. Percent Intake by Artificial Route

Step-by-Step Coding Guide for K0710: Percent Intake by Artificial Route

Introduction to K0710

K0710 assesses the percentage of total calories and fluids a resident received through parenteral or tube feeding in the last 7 days. It's crucial for identifying residents at risk due to inadequate oral intake and those who depend significantly on artificial routes for nutrition and hydration.

Objective: Understand the importance and process for accurately coding K0710 to reflect a resident's intake through artificial routes such as tube feeding, total parenteral nutrition (TPN), or peripheral intravenous nutrition (IV) over the past 7 days.

Key Points:

• K0710 assesses the proportion of total calories and fluid intake a resident receives through artificial means.
• Accurate coding of K0710 is crucial for developing appropriate nutritional care plans, ensuring resident well-being, and meeting regulatory requirements.

Understanding the Components

Objective: Break down the components of K0710 and their significance.

• K0710A1 and K0710B1 require recording the total volume of fluid received through artificial routes.
• K0710A2 and K0710B2 are for documenting the total calories received through artificial nutrition.
• The item set distinguishes between tube feedings (K0710A) and IV nutrition, including TPN and lipids (K0710B).

The Assessment Process

Objective: Outline the steps to assess and code K0710 accurately.

1. Review the Medical Record: Gather data on artificial nutrition received, including types (e.g., tube feedings, TPN), volumes, and calorie content.
2. Consult with Nutrition Support Team: Collaborate with dietitians or nutritionists for accurate calorie and fluid intake calculations.
3. Daily Tracking: Use a systematic approach to track daily intake over the 7-day look-back period.

Coding and Documentation

Objective: Provide detailed instructions for coding K0710.

• K0710A1 & K0710B1 (Volume): Summarize the total volume in milliliters of fluid received by the resident through tube feedings and IV nutrition respectively over the past 7 days.
• K0710A2 & K0710B2 (Calories): Calculate the total calories received through each route. Use nutritional product labels and standard conversion tables as needed.
• Ensure documentation is clear, concise, and includes sources of information used for calculations.

Common Errors and Best Practices

Objective: Highlight typical mistakes and offer strategies to avoid them.

• Error: Inaccurate volume or calorie calculations due to oversight or misunderstanding of product labels.
• Best Practice: Double-check calculations and consult with a dietitian for complex cases.

Practical Applications

Objective: Apply knowledge through practical examples.

• Case Study: A resident receives 1500 mL of a tube feeding formula at 1.5 cal/mL over 7 days and 500 mL of TPN at 2.0 cal/mL. Calculate and code the total volume and calorie intake.

Resources for Further Learning

Objective: Direct learners to additional resources.

• CMS RAI Version 3.0 Manual, Chapter 3, K Section.
• Nutritional support literature and guidelines from professional nutrition organizations.

Q&A and Interactive Session

Objective: Address specific questions and engage with learners for clarification.

The Step-by-Step Coding Guide for item K0710 in MDS 3.0 Section K 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.