Understanding and Coding MDS 3.0 Item I5100: Quadriplegia

MDS 3.0 Item I5100: Quadriplegia

Introduction

Purpose:
Quadriplegia is the paralysis of all four limbs, typically caused by a spinal cord injury. MDS Item I5100 tracks residents with quadriplegia, ensuring that comprehensive care plans are developed to meet their needs, including mobility assistance, respiratory support, and prevention of complications such as pressure ulcers.

What is MDS Item I5100?

Explanation:
MDS Item I5100 captures cases of quadriplegia, which involves paralysis of both the arms and legs. Proper documentation ensures that residents with quadriplegia receive necessary care, including respiratory management, physical therapy, and support for ADLs.

Guidelines for Coding MDS Item I5100

Coding Instructions:

• Quadriplegia must be diagnosed by a healthcare provider and actively managed.
• Code MDS Item I5100 as present if the resident is diagnosed with quadriplegia and requires comprehensive care, such as ventilator support or mobility assistance.
  For example, if a resident with quadriplegia requires a mechanical lift for transfers and has a care plan for respiratory support, MDS Item I5100 should be coded as present.

Best Practices for Accurate Coding

Documentation:

• Ensure thorough documentation of the quadriplegia diagnosis and associated care needs, including respiratory support, mobility assistance, and skin integrity monitoring.

Communication:

• Collaborate with nurses, therapists, and physicians to provide coordinated care that addresses the complex needs of residents with quadriplegia.

Training:

• Provide staff with training on safe transfer techniques, the use of mechanical lifts, and strategies for preventing complications such as respiratory distress and pressure ulcers.

Conclusion

Summary:
Accurate coding of MDS Item I5100 ensures that residents with quadriplegia receive the specialized care they need, including respiratory support, mobility assistance, and measures to prevent secondary 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 I5100 is based on the CMS's Long-Term Care Facility Resident Assessment Instrument 3.0 User’s Manual, Version 1.19.1, October 2024.