Understanding and coding MDS Item I2200: Tuberculosis

MDS Item I2200: Tuberculosis

Title:

MDS 3.0 Item I2200: Tuberculosis

Introduction:

Tuberculosis (TB) is a serious bacterial infection that primarily affects the lungs. In long-term care facilities, accurate coding for MDS Item I2200 ensures that residents with TB receive proper isolation, treatment, and follow-up care.

What is MDS Item I2200?

Item I2200 covers the diagnosis of tuberculosis, caused by the bacteria Mycobacterium tuberculosis. This item is crucial for tracking residents with active TB or those under treatment, helping to prevent outbreaks and ensuring adherence to infection control protocols.

Guidelines for Coding I2200:

To code for tuberculosis under I2200:

• A physician must document the diagnosis of TB within the past 7 days.
• The resident may be receiving active treatment or undergoing monitoring for TB.

Example: A resident is diagnosed with active pulmonary TB after a positive sputum culture. The diagnosis is documented, and treatment with antibiotics is initiated. This resident would be coded under I2200.

Best Practices for Accurate Coding:

• Documentation: Ensure proper documentation of TB diagnosis, treatment regimen, and infection control measures.
• Communication: Collaborate with public health officials and infection control staff to manage TB cases effectively.
• Training: Educate staff on TB symptoms, treatment protocols, and proper isolation procedures.

Conclusion:

Tuberculosis is a highly infectious disease that requires meticulous documentation and coding under MDS Item I2200. Proper coding ensures infection control measures are followed to protect other residents and staff.

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 I2200 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.