Understanding and coding MDS Item I1650: Obstructive Uropathy

MDS 3.0 Item I1650: Obstructive Uropathy

Introduction:

Obstructive uropathy is a condition where urine flow is blocked, causing complications in kidney function. Accurate MDS coding helps ensure that residents with this condition receive necessary interventions.

What is MDS Item I1650?:

Item I1650 focuses on diagnoses related to urinary obstructions, such as stones or tumors, that affect normal bladder or kidney function.

Guidelines for Coding I1650:

Code I1650 for residents with a physician-documented diagnosis of obstructive uropathy within the last 7 days. Ensure that any surgical interventions or catheterization are recorded properly.

Example: A resident undergoing treatment for ureteral stones, leading to urinary retention, would be coded under I1650.

Best Practices for Accurate Coding:

• Documentation: Ensure clear documentation of all obstructive uropathy treatments and interventions.
• Communication: Collaborate with the care team to manage urinary catheterization and surgical interventions.
• Training: Provide training for staff on recognizing signs of urinary obstruction and implementing timely care.

Conclusion:

Correct coding of obstructive uropathy ensures that residents receive the care needed to maintain kidney and bladder function, preventing serious 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, Page I-10.

Disclaimer:

Please note that the information provided in this guide for MDS 3.0 Item I1650 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.