Understanding and Coding MDS 3.0 Item I5350: Tourettes Syndrome

Understanding and Coding MDS 3.0 Item I5350: Tourettes Syndrome

Introduction

Purpose:
Tourettes syndrome is a neurological disorder characterized by involuntary movements and vocal tics. MDS Item I5350 captures this diagnosis to ensure that residents receive appropriate care and support for managing tics and related behavioral symptoms.

What is MDS Item I5350?

Explanation:
MDS Item I5350 records the presence of Tourettes syndrome, ensuring that care plans include interventions to manage the tics and any associated behavioral challenges. Accurate coding helps ensure that residents receive medications, therapies, or behavioral interventions tailored to their needs.

Guidelines for Coding MDS Item I5350

Coding Instructions:

• Tourettes syndrome must be diagnosed by a healthcare provider and actively managed during the assessment period.
• Code this item as present if the resident is receiving any treatment or care related to Tourettes syndrome, including medication or behavioral therapy.
  For example, if a resident is receiving medication to reduce tics and attending therapy to manage behavioral symptoms, MDS Item I5350 should be coded as present.

Best Practices for Accurate Coding

Documentation:

• Ensure that the medical record includes a formal diagnosis of Tourettes syndrome and documents any ongoing treatment plans.

Communication:

• Communication between nursing staff, behavioral therapists, and physicians is essential to monitor the effectiveness of treatments and adjust care as needed.

Training:

• Staff should be trained to manage involuntary movements or vocalizations and be sensitive to the social and emotional challenges residents with Tourettes may face.

Conclusion

Summary:
Accurately coding MDS Item I5350 ensures that residents with Tourettes syndrome receive the care and support needed to manage their tics and behavioral symptoms effectively.

Click here to see a detailed Step-by-Step on how to complete this item set.

Reference

• CMSs Long-Term Care Facility Resident Assessment Instrument 3.0 Users Manual, Version 1.19.1, October 2024, Pages I-12 to I-13.

Disclaimer

This guide for MDS 3.0 Item I5350 is based on the CMSs Long-Term Care Facility Resident Assessment Instrument 3.0 Users Manual, Version 1.19.1, October 2024. Every effort will be made to update this guide as necessary.