Understanding and coding MDS 3.0 Item I5700: Anxiety Disorder

MDS 3.0 Item I5700: Anxiety Disorder

Introduction

Purpose:
Anxiety disorders, which include conditions such as generalized anxiety disorder (GAD), panic disorder, and social anxiety, are prevalent among elderly residents and can severely impact their quality of life. MDS Item I5700 ensures that residents diagnosed with an anxiety disorder receive appropriate mental health care and support, helping to manage their symptoms and improve overall well-being.

What is MDS Item I5700?

Explanation:
MDS Item I5700 captures a diagnosis of anxiety disorder, a condition characterized by excessive worry, fear, and emotional distress. Accurate coding helps ensure that residents with anxiety receive appropriate interventions such as therapy, medication, or other behavioral strategies to reduce symptoms and improve their emotional and physical health.

Guidelines for Coding MDS Item I5700

Coding Instructions:

• Anxiety disorder must be diagnosed by a healthcare provider and actively managed during the assessment period.
• Code MDS Item I5700 as present if the resident is receiving treatment or support for an anxiety disorder, whether through counseling, medication, or other mental health services.
  For example, if a resident is taking medication for generalized anxiety disorder and participates in counseling sessions, MDS Item I5700 should be coded as present.

Best Practices for Accurate Coding

Documentation:

• Ensure that the resident’s medical record includes documentation of the anxiety disorder diagnosis, as well as any treatments such as psychotherapy, medications, or mental health interventions.

Communication:

• Collaborate with mental health professionals, nursing staff, and physicians to develop a care plan that addresses both the psychological and physical effects of anxiety.

Training:

• Train staff on recognizing symptoms of anxiety, such as restlessness or excessive worry, and provide guidance on supporting residents with anxiety disorders in daily interactions.

Conclusion

Summary:
Accurately coding MDS Item I5700 ensures that residents with anxiety disorders receive the mental health support they need, improving their emotional well-being and quality of life.

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-14 to I-15.

Disclaimer

This guide for MDS 3.0 Item I5700 is based on the CMS's Long-Term Care Facility Resident Assessment Instrument 3.0 User’s Manual, Version 1.19.1, October 2024. Every effort will be made to update this guide as necessary.