Understanding and Coding MDS Item I1100: Cirrhosis

MDS Item I1100 – Cirrhosis

Introduction

Cirrhosis is a serious liver condition marked by permanent scarring, affecting the liver's ability to function. It is critical to identify and monitor residents with cirrhosis as the condition can lead to severe complications such as liver failure, bleeding, and ascites.

What is MDS Item I1100?

MDS Item I1100 records whether the resident has a diagnosis of cirrhosis, a condition that results from chronic liver damage. Properly documenting cirrhosis in the MDS ensures that appropriate interventions are in place to manage complications and provide necessary care.

Guidelines for Coding I1100

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

Instructions:

• Review the resident’s medical records, including liver function tests, imaging reports, and physician notes to confirm the diagnosis of cirrhosis.

Example Scenario:

Resident A was diagnosed with cirrhosis following years of chronic hepatitis. Their care plan includes monitoring for ascites and managing symptoms of liver dysfunction. Code 1 for MDS Item I1100.

Best Practices for Accurate Coding

• Documentation: Ensure the diagnosis of cirrhosis is clearly documented, including any treatments such as diuretics, liver function monitoring, or medications to prevent complications.
• Monitoring: Regularly monitor residents with cirrhosis for complications like ascites, hepatic encephalopathy, or variceal bleeding.
• Training: Educate staff on the importance of early recognition of cirrhosis symptoms and understanding the potential complications.

Conclusion

Accurately coding MDS Item I1100 allows healthcare teams to monitor and manage residents with cirrhosis effectively, preventing serious complications and improving outcomes.

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 I1100 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.