Understanding and Coding MDS Item I1550: Neurogenic Bladder

Understanding and Coding MDS 3.0 Item I1550: Neurogenic Bladder

Introduction:

Neurogenic bladder refers to a dysfunctional bladder due to nerve damage, common in patients with spinal cord injuries or neurological conditions. Accurately coding this condition in MDS 3.0 ensures proper bladder management strategies.

What is MDS Item I1550?:

Item I1550 captures neurogenic bladder diagnoses, crucial for developing care plans around urinary incontinence and catheter management.

Guidelines for Coding I1550:

Code I1550 if there is a documented physician diagnosis of neurogenic bladder within the last 7 days. Review all care plans to include management of incontinence, catheter use, or other interventions.

Example: A resident with a spinal cord injury and ongoing intermittent catheterization due to neurogenic bladder should be coded under I1550.

Best Practices for Accurate Coding:

• Documentation: Ensure the neurogenic bladder diagnosis and care plans are updated regularly in the resident’s medical record.
• Communication: Coordinate with urologists to manage long-term urinary needs and treatment changes.
• Training: Educate staff on catheter care and bladder management techniques to improve quality of care.

Conclusion:

Coding neurogenic bladder under I1550 ensures that residents receive tailored care for their urinary health, helping to prevent complications.

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 I1550 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.