Understanding and Coding MDS Item I1500: Renal Insufficiency, Renal Failure, ESRD

Understanding and Coding MDS Item I1500: Renal Insufficiency, Renal Failure, ESRD

Introduction:

Renal insufficiency, renal failure, and end-stage renal disease (ESRD) are critical health issues affecting many residents in long-term care. Accurately coding MDS Item I1500 ensures that healthcare providers can effectively monitor and manage these conditions.

What is MDS Item I1500?:

MDS Item I1500 addresses diagnoses related to renal insufficiency, renal failure, or ESRD. This item captures the presence of chronic kidney disease in residents and ensures appropriate care plans are developed to support kidney function and overall health.

Guidelines for Coding I1500:

To code I1500 correctly, the diagnosis of renal insufficiency, failure, or ESRD must be documented by a physician within the last 7 days. Conditions such as acute kidney injury do not apply to this item. Ensure thorough documentation and ICD coding for accuracy.

Example: A resident receiving dialysis for ESRD with ongoing fluid management therapy would be marked as having an active diagnosis of ESRD under I1500.

Best Practices for Accurate Coding:

• Documentation: Ensure all active diagnoses related to kidney function are clearly documented by the attending physician.
• Communication: Maintain close communication with nephrologists and dialysis centers to update the resident's condition.
• Training: Regular training on identifying symptoms of renal failure and coding procedures will improve accuracy.

Conclusion:

Accurate coding of renal conditions in I1500 is essential for managing long-term care residents’ needs. Correct documentation helps in coordinating care, especially for residents requiring dialysis or other renal support.

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, Page I-10.

Disclaimer:

Please note that the information provided in this guide for MDS 3.0 Item I1500 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.