understanding coding MDS Item H0100D, Appliances: Intermittent Catheterization

MDS Item H0100D – Appliances: Intermittent Catheterization

Introduction

Intermittent catheterization is an important urinary management practice for residents who cannot fully empty their bladder. Proper documentation of intermittent catheterization use ensures continuity of care and reduces the risk of complications such as infections. MDS Item H0100D captures whether intermittent catheterization has been performed on a resident within the last seven days.

What is MDS Item H0100D?

MDS Item H0100D is used to document whether a resident has undergone intermittent catheterization. This form of catheterization involves the temporary insertion of a catheter for bladder drainage and is removed after each use, unlike indwelling catheters.

Guidelines for Coding H0100D

• Code 1: If the resident underwent intermittent catheterization at any time during the last seven days.
• Code 0: If intermittent catheterization was not used during the observation period.

Instructions:

• Review the medical records to confirm whether intermittent catheterization was used for urinary drainage.
• Do not code one-time catheterizations for specimen collection.

Example Scenario:

Resident E is unable to fully empty their bladder and requires intermittent catheterization twice a day. Code 1 for intermittent catheterization.

Best Practices for Accurate Coding

• Documentation: Ensure that catheterization procedures are properly recorded in the medical record.
• Communication: Engage nursing staff to confirm the resident’s need for intermittent catheterization and their response to the procedure.
• Training: Provide education to staff on sterile techniques for intermittent catheterization to prevent urinary tract infections.

Conclusion

Properly coding MDS Item H0100D ensures accurate documentation of intermittent catheterization, promoting better care management and reducing the risk of urinary 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 H-3.

Disclaimer:

Please note that the information provided in this guide for MDS 3.0 Item H0100D 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.