Understanding coding MDS 3.0 Item I3700: Arthritis

MDS 3.0 Item I3700: Arthritis

Introduction

Purpose:
Arthritis, including osteoarthritis and rheumatoid arthritis, is a prevalent condition among elderly residents. MDS Item I3700 tracks residents diagnosed with arthritis, ensuring they receive appropriate pain management and therapeutic interventions to maintain their quality of life.

What is MDS Item I3700?

Explanation:
MDS Item I3700 captures cases of arthritis, including degenerative joint disease, osteoarthritis, and rheumatoid arthritis. Proper documentation ensures that residents receive necessary treatments such as pain management, physical therapy, or anti-inflammatory medications.

Guidelines for Coding MDS Item I3700

Coding Instructions:

• The arthritis diagnosis must be confirmed by a healthcare provider.
• Code this item if the condition is actively treated or managed during the look-back period.
  For instance, if a resident is receiving pain medication or physical therapy for osteoarthritis, MDS Item I3700 should be coded as present.

Best Practices for Accurate Coding

Documentation:

• Include all documentation of treatments, therapies, or medications aimed at managing arthritis symptoms, along with relevant assessments by the care team.

Communication:

• Ensure that nursing staff and therapists coordinate care to monitor the resident’s response to treatment and adjust care plans accordingly.

Training:

• Regularly train staff on arthritis management techniques and symptom monitoring to improve residents’ mobility and reduce pain.

Conclusion

Summary:
Accurate coding of MDS Item I3700 helps to ensure that residents with arthritis receive effective treatment and care, improving their quality of life and reducing pain-related 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. Pages I-12 to I-14.

Disclaimer

This guide for MDS 3.0 Item I3700 is based on the CMS's Long-Term Care Facility Resident Assessment Instrument 3.0 User’s Manual, Version 1.19.1, October 2024.