Understanding and coding MDS Item I0100, Cancer (with or without metastasis)

MDS Item I0100 – Cancer (with or without metastasis)

Introduction

Cancer, whether localized or metastatic, has a significant impact on residents' health and quality of life. MDS Item I0100 tracks the presence of cancer, helping care teams manage symptoms, monitor progression, and adjust care plans accordingly.

What is MDS Item I0100?

MDS Item I0100 captures whether a resident has a diagnosis of cancer, with or without metastasis. This includes all types of cancer, such as skin, lung, or breast cancer, and those that have spread to other parts of the body (metastatic).

Guidelines for Coding I0100

• Code 1: If the resident has a diagnosis of cancer, whether localized or metastatic.
• Code 0: If the resident does not have cancer.

Instructions:

• Review the resident’s medical records to confirm the diagnosis of cancer.
• Include both new and previously diagnosed cancers that are still being monitored or treated.

Example Scenario:

Resident G has metastatic breast cancer that has spread to the liver. Code 1 for cancer (with or without metastasis) in MDS Item I0100.

Best Practices for Accurate Coding

• Documentation: Ensure the cancer diagnosis is clearly documented in the resident’s medical history, along with the type and stage of cancer.
• Collaboration: Work closely with oncologists and other healthcare providers to track treatment and progression.
• Training: Educate staff on the nuances of coding for cancer, especially in cases where metastasis is present.

Conclusion

Properly coding MDS Item I0100 ensures accurate documentation of cancer diagnoses, helping care teams manage the resident’s care and adjust treatment plans accordingly.

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, Chapter 3, Page I-9.

Disclaimer:

Please note that the information provided in this guide for MDS 3.0 Item I0100 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. Every effort will be made to update it to the most current version. The MDS 3.0 Manual is typically updated every October. If there are no changes to the Item Set, there will be no changes to this guide. This guidance is intended to assist healthcare professionals, particularly new nurses or MDS coordinators, in understanding and applying the correct coding procedures for this specific item within MDS 3.0. The guide is not a substitute for professional judgment or the facility’s policies. It is crucial to stay updated with any changes or updates in the MDS 3.0 manual or relevant CMS regulations. The guide does not cover all potential scenarios and should not be used as a sole resource for MDS 3.0 coding. Additionally, this guide refrains from handling personal patient data and does not provide medical or legal advice. Users are responsible for ensuring compliance with all applicable laws and regulations in their respective practices.