Understanding and Coding MDS 3.0 Item I5800: Depression (Other Than Bipolar)

Introduction

Purpose:
Depression is a common mental health condition among elderly residents, affecting their mood, energy levels, and overall well-being. MDS Item I5800 captures cases of depression (excluding bipolar disorder), ensuring that care plans incorporate appropriate treatment, such as therapy, medications, and monitoring.

What is MDS Item I5800?

Explanation:
MDS Item I5800 documents the diagnosis of depression, a condition characterized by persistent sadness, fatigue, and disinterest in daily activities. Proper documentation ensures that residents receive necessary mental health care, including antidepressants, counseling, or cognitive therapy.

Guidelines for Coding MDS Item I5800

Coding Instructions:

• Depression must be diagnosed by a healthcare provider and actively treated or monitored.
• Code this item as present if the resident is receiving treatment for depression, including medication or therapy.
  For example, if a resident is prescribed antidepressants and attends therapy sessions for depression, MDS Item I5800 should be coded as present.

Best Practices for Accurate Coding

Documentation:

• Ensure that the resident's medical record includes a formal diagnosis of depression and any treatment plans, such as medication or counseling.

Communication:

• Coordinate with mental health professionals, nursing staff, and physicians to monitor the resident’s progress and adjust the care plan as needed.

Training:

• Staff should be trained to recognize the symptoms of depression, such as loss of interest in activities and changes in mood, and how to respond appropriately.

Conclusion

Summary:
Accurately coding MDS Item I5800 ensures that residents with depression receive the mental health support they need to maintain their emotional well-being.

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

Reference

• CMS's Long-Term Care Facility Resident Assessment Instrument 3.0 User’s Manual, Version 1.19.1, October 2024, Pages I-14 to I-15.

Disclaimer

This guide for MDS 3.0 Item I5800 is based on the CMS's Long-Term Care Facility Resident Assessment Instrument 3.0 User’s Manual, Version 1.19.1, October 2024.