Understanding and Coding MDS Item I1400 – Benign Prostatic Hyperplasia (BPH)

Introduction

Benign prostatic hyperplasia (BPH) is a common condition in elderly males, leading to urinary retention and frequent urination. MDS Item I1400 captures the presence of BPH, which requires management to prevent complications such as urinary tract infections (UTIs) and bladder damage.

What is MDS Item I1400?

MDS Item I1400 identifies residents diagnosed with benign prostatic hyperplasia (BPH), a non-cancerous enlargement of the prostate gland. Recognizing BPH in residents allows care teams to manage symptoms and prevent complications.

Guidelines for Coding I1400

• Code 1: If the resident has a diagnosis of benign prostatic hyperplasia (BPH).
• Code 0: If the resident does not have BPH.

Instructions:

• Review the resident’s medical records to confirm a diagnosis of BPH and any related treatments.

Example Scenario:

Resident B was diagnosed with BPH and has been prescribed medication to manage urinary symptoms. Code 1 for MDS Item I1400.

Best Practices for Accurate Coding

• Documentation: Ensure the diagnosis of BPH is documented, along with any medications or treatments prescribed to manage symptoms.
• Monitoring: Monitor for symptoms such as urinary retention, frequency, or infections that may arise from BPH.
• Training: Train staff to recognize the symptoms of BPH and the importance of monitoring urinary function.

Conclusion

Accurately coding MDS Item I1400 ensures that residents with BPH receive timely interventions to manage symptoms and prevent 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, Chapter 3, Page I-10​.

Disclaimer:

Please note that the information provided in this guide for MDS 3.0 Item I1400 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.