Understanding and coding MDS Item I0700: Hypertension

MDS Item I0700 – Hypertension

Introduction

Hypertension, or high blood pressure, is a common condition in long-term care residents and requires ongoing management to prevent complications like stroke or heart attack. MDS Item I0700 identifies residents with hypertension, ensuring proper monitoring and treatment.

What is MDS Item I0700?

MDS Item I0700 captures whether a resident has a diagnosis of hypertension, defined as a systolic blood pressure above 160 mm Hg or a diastolic blood pressure above 95 mm Hg. Proper documentation helps ensure the care team can track and manage blood pressure levels effectively.

Guidelines for Coding I0700

• Code 1: If the resident has a diagnosis of hypertension.
• Code 0: If the resident does not have hypertension.

Instructions:

• Review the resident’s medical records and blood pressure readings to confirm the diagnosis of hypertension.

Example Scenario:

Resident B has a diagnosis of hypertension and takes medication to manage it. Code 1 for MDS Item I0700.

Best Practices for Accurate Coding

• Documentation: Ensure blood pressure readings and medication adjustments are documented in the resident’s medical records.
• Monitoring: Regularly monitor and document blood pressure levels to track the effectiveness of treatments.
• Training: Provide training on the importance of monitoring hypertension and recognizing signs of poorly controlled blood pressure.

Conclusion

Properly coding MDS Item I0700 ensures residents with hypertension are monitored and treated effectively, reducing the risk of complications like heart disease or stroke.

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, Chapter 3, Page I-10​.

Disclaimer:

Please note that the information provided in this guide for MDS 3.0 Item I0700 was originally based on the CMS's Long-Term Care Facility Resident Assessment Instrument 3.0 User’s Manual, Version 1.19.1, October 2024. Every effort will be made to update it to the most current version. The MDS 3.0 Manual is typically updated every October. If there are no changes to the Item Set, there will be no changes to this guide. This guidance is intended to assist healthcare professionals, particularly new nurses or MDS coordinators, in understanding and applying the correct coding procedures for this specific item within MDS 3.0. The guide is not a substitute for professional judgment or the facility’s policies. It is crucial to stay updated with any changes or updates in the MDS 3.0 manual or relevant CMS regulations. The guide does not cover all potential scenarios and should not be used as a sole resource for MDS 3.0 coding. Additionally, this guide refrains from handling personal patient data and does not provide medical or legal advice. Users are responsible for ensuring compliance with all applicable laws and regulations in their respective practices.