Understanding and coding MDS Item I0900: Peripheral Vascular Disease (PVD) or Peripheral Arterial Disease (PAD)

MDS Item I0900 – Peripheral Vascular Disease (PVD) or Peripheral Arterial Disease (PAD)

Introduction

Peripheral vascular disease (PVD) and peripheral arterial disease (PAD) are common circulatory conditions in elderly residents, often leading to reduced blood flow to the extremities. MDS Item I0900 captures whether a resident has been diagnosed with PVD or PAD, both of which require ongoing monitoring and management.

What is MDS Item I0900?

MDS Item I0900 documents whether a resident has a diagnosis of PVD or PAD. These conditions result from narrowed or blocked arteries, which restrict blood flow to the limbs, increasing the risk of complications like ulcers or infections.

Guidelines for Coding I0900

• Code 1: If the resident has a diagnosis of peripheral vascular disease (PVD) or peripheral arterial disease (PAD).
• Code 0: If the resident does not have PVD or PAD.

Instructions:

• Review the resident’s medical records to confirm the diagnosis of PVD or PAD, including any relevant diagnostic tests or physician notes.

Example Scenario:

Resident D was diagnosed with peripheral arterial disease after experiencing leg pain and intermittent claudication. Code 1 for MDS Item I0900.

Best Practices for Accurate Coding

• Documentation: Ensure PVD or PAD is clearly documented, including any treatments or interventions, such as medications or wound care.
• Monitoring: Regularly assess blood flow to the extremities and document any changes in the resident’s condition.
• Training: Train staff to recognize symptoms of PVD or PAD, such as leg pain or poor wound healing.

Conclusion

Accurately coding MDS Item I0900 helps care teams identify residents at risk for complications related to PVD or PAD, ensuring proper monitoring and management to prevent worsening of the condition.

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-10​.

Disclaimer:

Please note that the information provided in this guide for MDS 3.0 Item I0900 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.