Understanding and Coding MDS 3.0 Item I5950: Psychotic Disorder (Other Than Schizophrenia)

Understanding and Coding MDS 3.0 Item I5950: Psychotic Disorder (Other Than Schizophrenia)

Introduction

Purpose:
Psychotic disorders are characterized by impaired thinking, delusions, and hallucinations. MDS Item I5950 ensures that residents diagnosed with psychotic disorders (other than schizophrenia) receive appropriate care, including medication and behavioral interventions.

What is MDS Item I5950?

Explanation:
MDS Item I5950 documents the diagnosis of psychotic disorders, ensuring care plans address the need for antipsychotic medications and therapy to manage symptoms like delusions and hallucinations. This item excludes schizophrenia, which is coded separately.

Guidelines for Coding MDS Item I5950

Coding Instructions:

• Psychotic disorders must be diagnosed by a healthcare provider and actively managed.
• Code this item as present if the resident is receiving treatment for a psychotic disorder, such as medication or psychotherapy.
  For example, if a resident is taking antipsychotic medication for delusions, MDS Item I5950 should be coded as present.

Best Practices for Accurate Coding

Documentation:

• Ensure the resident’s medical record includes a diagnosis of a psychotic disorder and any treatments, including medication and therapy sessions.

Communication:

• Work closely with mental health professionals and the care team to monitor the effectiveness of antipsychotic medications and adjust treatment as needed.

Training:

• Train staff to recognize and respond appropriately to symptoms of psychosis, such as hallucinations or paranoia.

Conclusion

Summary:
Accurate coding of MDS Item I5950 ensures that residents with psychotic disorders receive comprehensive mental health care, improving their safety and quality of life.

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 I5950 is based on the CMS's Long-Term Care Facility Resident Assessment Instrument 3.0 User’s Manual, Version 1.19.1, October 2024.