Understanding and Coding MDS 3.0 Item I5300: Parkinsons Disease

Introduction

Purpose:
Parkinsons disease is a chronic and progressive movement disorder that impacts mobility, muscle control, and balance. MDS Item I5300 ensures that residents with Parkinsons disease receive appropriate care, including medication, physical therapy, and mobility support.

What is MDS Item I5300?

Explanation:
MDS Item I5300 captures the diagnosis of Parkinsons disease, ensuring that residents with this condition receive tailored care to manage symptoms like tremors, stiffness, and difficulty with movement. Accurate coding helps direct interventions such as physical therapy and medications to control motor symptoms.

Guidelines for Coding MDS Item I5300

Coding Instructions:

• Parkinsons disease must be diagnosed by a healthcare provider and actively managed during the assessment period.
• Code this item as present if the resident is receiving care for Parkinsons disease, including treatments like medications (e.g., levodopa) or physical therapy.
  For example, if a resident is prescribed medication to control tremors and attends physical therapy sessions for balance issues, MDS Item I5300 should be coded as present.

Best Practices for Accurate Coding

Documentation:

• Ensure the residents medical record includes a formal diagnosis of Parkinsons disease, along with ongoing treatments and therapies.

Communication:

• Collaborate with physical therapists, nurses, and neurologists to monitor the progression of Parkinsons and adjust care as needed to maintain the residents mobility and independence.

Training:

• Staff should be trained to assist with mobility challenges and to recognize signs of worsening symptoms, such as freezing of gait or increased stiffness.

Conclusion

Summary:
Accurately coding MDS Item I5300 ensures that residents with Parkinsons disease receive appropriate treatments and mobility support to manage their symptoms and maintain their quality of life.

Click here to see a detailed Step-by-Step on how to complete this item set.

Reference

• CMSs Long-Term Care Facility Resident Assessment Instrument 3.0 Users Manual, Version 1.19.1, October 2024, Pages I-12 to I-13.

Disclaimer

This guide for MDS 3.0 Item I5300 is based on the CMSs Long-Term Care Facility Resident Assessment Instrument 3.0 Users Manual, Version 1.19.1, October 2024. Every effort will be made to update this guide as necessary.