OASIS C-2/ICD-10 Change (Crosswalk)

Appendix A OASISICD10-OASISc2 Change Table final 3-15-16 SXF (3).docx

(CMS-10545) Outcome and Assessment Information Set (OASIS) OASIS–C2/ICD–10

OASIS C-2/ICD-10 Change (Crosswalk)

OMB: 0938-1279

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Comparison of OASIS-C1/ICD-10 to OASIS-C2


OASIS-C1/ICD-10 Item

OASIS-C2 Item

M0010

CMS Certification Number

M0010

CMS Certification Number

M0014

Branch State

M0014

Branch State

M0016

Branch ID Number

M0016

Branch ID Number

M0018

National Provider Identifier (NPI) for the attending physician who has signed plan of care

M0018

National Provider Identifier (NPI) for the attending physician who has signed plan of care

M0020

Patient ID Number

M0020

Patient ID Number

M0030

Start of Care Date

M0030

Start of Care Date

M0032

Resumption of Care Date

M0032

Resumption of Care Date

M0040

Patient Name

M0040

Patient Name

M0050

Patient State of Residence

M0050

Patient State of Residence

M0060

Patient Zip Code

M0060

Patient Zip Code

M0063

Medicare Number

M0063

Medicare Number

M0064

Social Security Number

M0064

Social Security Number

M0065

Medicaid Number

M0065

Medicaid Number

M0066

Birth Date

M0066

Birth Date

M0069

Gender

M0069

Gender

M0080

Discipline of Person Completing Assessment

M0080

Discipline of Person Completing Assessment

M0090

Date Assessment Completed

M0090

Date Assessment Completed

M0100

This Assessment is Currently Being Completed for the Following Reason

M0100

This Assessment is Currently Being Completed for the Following Reason:

M0102

Date of Physician-ordered Start of Care (Resumption of Care): If the physician indicated a specific start of care (resumption of care) date when the patient was referred for home health services, record the date specified.

__ __ /__ __ /____

month/ day / year

(Go to M0110, if date entered)

NA –No specific SOC date ordered by physician

M0102

Date of Physician-ordered Start of Care (Resumption of Care): If the physician indicated a specific start of care (resumption of care) date when the patient was referred for home health services, record the date specified.




/



/





[Go to M0110, if date entered ]

month / day / year

NA- No specific SOC date ordered by physician

M0104

Date of Referral: Indicate the date that the written or verbal referral for initiation or resumption of care was received by the HHA.

__ __ /__ __ /____

month/ day / year

M0104

Date of Referral: Indicate the date that the written or verbal referral for initiation or resumption of care was received by the HHA.




/



/





[Go to M0110, if date entered ]

month/ day / year




M0110

Episode Timing Is the Medicare home health payment episode for which this assessment will define a case mix group an “early” episode or a “later” episode in the patient’s current sequence of adjacent Medicare home health payment episodes?

M0110

Episode Timing Is the Medicare home health payment episode for which this assessment will define a case mix group an “early” episode or a “later” episode in the patient’s current sequence of adjacent Medicare home health payment episodes?

M0140

Race/Ethnicity

M0140

Race/Ethnicity

M0150

Current Payment Sources for Home Care

M0150

Current Payment Sources for Home Care

M0903

Date of Last (Most Recent) Home Visit

M0903

Date of Last (Most Recent) Home Visit

M0906

Discharge/Transfer/Death Date

M0906

Discharge/Transfer/Death Date

M1000

From which of the following Inpatient Facilities was the patient discharged during the past

14 days? (Mark all that apply.)

M1000

From which of the following Inpatient Facilities was the patient discharged within the past 14 days? (Mark all that apply.)

M1005

Inpatient Discharge Date (most recent)

M1005

Inpatient Discharge Date (most recent)

M1011

List each Inpatient Diagnosis and ICD-10-CM code at the level of highest specificity for only those conditions actively treated during an inpatient stay within the last 14 days(no V, W, X, Y, or Z codes or surgical codes)

NA Not applicable (patient was not discharged from an inpatient facility) [Omit “NA” option on SOC, ROC]

M1011

List each Inpatient Diagnosis and ICD-10-CM code at the level of highest specificity for only those conditions actively treated during an inpatient stay within the last 14 days (no V, W, X, Y, or Z codes or surgical codes)

NA Not applicable (patient was not discharged from an inpatient facility) [Omit “NA” option on SOC, ROC]





M1017

Diagnoses Requiring Medical or Treatment Regimen Change Within Past 14 Days: List the patient's Medical Diagnoses and ICD-10-CM codes at the level of highest specificity for those conditions requiring changed medical or treatment regimen within the past 14 days (no V, W, X, Y, or Z codes or surgical codes)


NA Not applicable (no medical or treatment regimen changes within the past 14 days)

M1017

Diagnoses Requiring Medical or Treatment Regimen Change Within Past 14 Days: List the patient's Medical Diagnoses and ICD-10-CM codes at the level of highest specificity for those conditions requiring changed medical or treatment regimen within the past 14 days (no V, W, X, Y, or Z codes or surgical codes)

NA Not applicable (no medical or treatment regimen changes within the past 14 days)


M1018

Conditions Prior to Regimen Change or Inpatient Stay Within Past 14 Days: If this patient experienced an inpatient facility discharge or change in medical or treatment regimen within the past 14 days, indicate any conditions that existed prior to the inpatient stay or change in medical or treatment regimen

M1018

Conditions Prior to Regimen Change or Inpatient Stay Within Past 14 Days: If this patient experienced an inpatient facility discharge or change in medical or treatment regimen within the past 14 days, indicate any conditions that existed prior to the inpatient stay or change in medical or treatment regimen

M1021

Primary Diagnosis & Degree of Symptom Control

M1021

Primary Diagnosis & Degree of Symptom Control

M1023

Other Diagnoses & Degree of Symptom Control

M1023

Other Diagnoses & Degree of Symptom Control

M1025

Optional Diagnoses (OPTIONAL)

(not used for payment)

M1025

Optional Diagnoses (OPTIONAL)

(not used for payment)




M1028

Active Diagnoses- Comorbidities and Co-existing Conditions – Check all that apply. See OASIS Guidance Manual for a complete list of relevant ICD-10 codes.

M1030

Therapies the patient receives at home

M1030

Therapies the patient receives at home

M1033

Risk for Hospitalization: Which of the following signs or symptoms characterize this patient as at risk for hospitalization? (Mark all that apply.)

M1033

Risk for Hospitalization: Which of the following signs or symptoms characterize this patient as at risk for hospitalization? (Mark all that apply.)

M1034

Overall Status: Which description best fits the patient’s overall status?

M1034

Overall Status: Which description best fits the patient’s overall status?

M1036

Risk Factors

M1036

Risk Factors

M1041

Influenza Vaccine Data Collection Period: Does this episode of care (SOC/ROC to Transfer/Discharge) include any dates on or between October 1 and March 31?

M1041

Influenza Vaccine Data Collection Period: Does this episode of care (SOC/ROC to Transfer/Discharge) include any dates on or between October 1 and March 31?

M1046

Influenza Vaccine Received: did the patient receive the influenza vaccine for this year’s flu season?

M1046

Influenza Vaccine Received: did the patient receive the influenza vaccine for this year’s flu season?

M1051

Pneumococcal Vaccine: Has the patient ever received the pneumococcal vaccination (for example, pneumovax)?

M1051

Pneumococcal Vaccine: Has the patient ever received the pneumococcal vaccination (for example, pneumovax)?

M1056

Reason PPV not received: If patient has never received the pneumococcal vaccination (for example, pneumovax), state reason:

M1056

Reason PPV not received: If patient has never received the pneumococcal vaccination (for example, pneumovax), state reason:




M1060

Height and Weight – While measuring, if the number is X.1 – X.4 round down; X.5 or greater round up a. Height (in inches). Record most recent height measure since the most recent SOC/ROC b. Weight (in pounds). Base weight on most recent measure in last 30 days; measure weight consistently, according to standard agency practice (for example, in a.m. after voiding, before meal, with shoes off, etc.).



b. Weight (in pounds). Base weight on most recent measure in last 30 days; measure weight consistently, according to standard agency practice (for example, in a.m. after voiding, before meal, with shoes off, etc.)



a. Height (in inches). Record most recent height measure since the most recent SOC/ROC



b. Weight (in pounds). Base weight on most recent measure in last 30 days; measure weight consistently, according to standard agency practice (for example, in a.m. after voiding, before meal, with shoes off, etc.)



M1100

Patient Living Situation Which of the following best describes the patient's residential circumstance and availability of assistance? (Check one box only.)

M1100

Patient Living Situation Which of the following best describes the patient's residential circumstance and availability of assistance? (Check one box only.)

M1200

Vision (with corrective lenses if the patient usually wears them):

M1200

Vision (with corrective lenses if the patient usually wears them):

M1210

Ability to hear (with hearing aid or hearing appliance if normally used):

M1210

Ability to Hear (with hearing aid or hearing appliance if normally used):

M1220

Understanding of Verbal Content in patient's own language (with hearing aid or device if used):

M1220

Understanding of Verbal

Content in patient's own language (with hearing aid or device if used):

M1230

Speech and Oral (Verbal) Expression of Language (in patient's own language):

M1230

Speech and Oral (Verbal) Expression of Language (in patient's own language):

M1240

Has this patient had a formal Pain Assessment using a standardized, validated pain assessment tool (appropriate to the patient’s ability to communicate the severity of pain)?

M1240

Has this patient had a formal Pain Assessment using a standardized, validated pain assessment tool (appropriate to the patient’s ability to communicate the severity of pain)?

M1242

Frequency of Pain Interfering with patient's activity or movement

M1242

Frequency of Pain Interfering with patient's activity or movement:

M1300

Pressure Ulcer Assessment: Was this patient assessed for Risk of Developing Pressure Ulcers?

M1300

Pressure Ulcer Assessment: Was this patient assessed for Risk of Developing Pressure Ulcers?

M1302

Does this patient have a Risk of Developing Pressure Ulcers

M1302

Does this patient have a Risk of Developing Pressure Ulcers

M1306

Does this patient have at least one Unhealed Pressure Ulcer at Stage II or Higher or designated as "unstageable"? (Excludes Stage I pressure ulcers and healed Stage II pressure ulcers)

M1306

Does this patient have at least one Unhealed Pressure Ulcer at Stage 2 or Higher or designated as "unstageable"? (Excludes Stage 1 pressure ulcers and healed Stage 2 pressure ulcers)

M1307

The Oldest Stage II Pressure Ulcer that is present at discharge (Excludes healed stage II pressure ulcers)

M1307

The Oldest Stage 2 Pressure Ulcer that is present at discharge (Excludes healed Stage 2 pressure ulcers)

M1308

Current Number of Unhealed Pressure Ulcers at Each Stage or Unstageable: (Enter “0” if none; EXCLUDES Stage I pressure ulcers and healed Stage II ulcers)

M1311

Current Number of Unhealed Pressure Ulcers at Each Stage

M1309

Worsening in Pressure Ulcer Status since SOC/ROC

Instructions a-c: For Stage II, III, IV pressure ulcers, report the number that are new or have increased in numerical stage since the most recent SOC/ROC

Instructions for d: For pressure ulcers that are Unstageable due to slough/eschar, report the number that are new or were a Stage I or II at the most SOC/ROC

M1313

Worsening in Pressure Ulcer Status since SOC/ROC: Indicate the number of current pressure ulcers that were not present or were at a lesser stage at the most recent SOC/ROC. If no current pressure ulcer at a given stage, enter 0.

A1. Stage 2: Partial thickness loss of dermis presenting as a shallow open ulcer with red pink wound bed, without slough. May also present as an intact or open/ruptured blister.

Number of Stage 2 pressure ulcers

A2. Number of these Stage 2 pressure ulcers that were present at most recent SOC/ROC

B1. Stage 3: Full thickness tissue loss. Subcutaneous fat may be visible but bone, tendon, or muscle is not exposed. Slough may be present but does not obscure the depth of tissue loss. May include undermining and tunneling. Number of Stage 3 pressure ulcers

B2. Number of these Stage 3 pressure ulcers that were present at most recent SOC/ROC

C1. Stage 4: Full thickness tissue loss with exposed bone, tendon, or muscle. Slough or eschar may be present on some parts of the wound bed. Often includes undermining and tunneling. Number of Stage 4 pressure ulcers.

C2. Number of these Stage 4 pressure ulcers that were present at most recent SOC/ROC.

D1. Unstageable: Non-removable dressing: Known but not stageable due to non-removable dressing/device. Number of unstageable pressure ulcers due to non-removable dressing/device

D2. Number of these unstageable pressure ulcers that were present at most recent SOC/ROC

E1. Unstageable: Slough and/or eschar: Known but not stageable due to coverage of wound bed by slough and/or eschar

E2. Number of these unstageable pressure ulcers that were present at most recent SOC/ROC

F1. Unstageable: Deep tissue injury: Suspected deep tissue injury in evolution Number of unstageable pressure ulcers with suspected deep tissue injury in evolution

F2. Number of these unstageable pressure ulcers that were present at most recent SOC/ROC


[Omit “A2, B2, C2, D2, E2 and F2” on SOC/ROC ]





M1313

Worsening in Pressure Ulcer Status since SOC/ROC:

Instructions for a-c: Indicate the number of current pressure ulcers that were not present or were at a lesser stage at the most recent SOC/ROC. If no current pressure ulcer at a given stage, enter 0.

  1. Stage 2

  2. Stage 3

  3. Stage 4





M1313

Instructions for e: For pressure ulcers that are Unstageable due to slough/eschar, report the number that are new or were at a Stage 1 or 2 at the most recent SOC/ROC.

a. Unstageable – Known or likely but Unstageable due to non-removable dressing.

b. Unstageable – Known or likely but Unstageable due to coverage of wound bed by slough and/or eschar.

c. Unstageable – Suspected deep tissue injury in evolution.





M1320

Status of Most Problematic Pressure Ulcer that is Observable

M1320

Status of Most Problematic Pressure Ulcer that is Observable

M1322

Current Number of Stage I Pressure Ulcers: Intact skin with non-blanchable redness of a localized area usually over a bony prominence. The area may be painful, firm, soft, warmer or cooler as compared to adjacent tissue.

M1322

Current Number of Stage 1 Pressure Ulcers: Intact skin with non-blanchable redness of a localized area usually over a bony prominence. The area may be painful, firm, soft, warmer or cooler as compared to adjacent tissue. Darkly pigmented skin may not have a visible blanching; in dark skin tones only it may appear with persistent blue or purple hues.

M1324

Stage of Most Problematic Unhealed Pressure Ulcer that is Stageable

1 Stage I

2 Stage II

3 Stage III

4 Stage IV

NA Patient has no pressure ulcers or no stageable pressure ulcers




Stage of Most Problematic Unhealed Pressure Ulcer that is Stageable

1 Stage 1

2 Stage 2

3 Stage 3

4 Stage 4

NA Patient has no pressure ulcers or no stageable pressure ulcers

M1330

Does this patient have a Stasis Ulcer?

M1330

Does this patient have a Stasis Ulcer?

M1332

Current Number of

Stasis Ulcer(s) that are Observable

M1332

Current Number of (Observable) Stasis Ulcer(s)

M1334

Status of Most Problematic Stasis Ulcer that is Observable

M1334

Status of Most Problematic Stasis Ulcer that is Observable

M1340

Does this patient have a Surgical Wound?

M1340

Does this patient have a Surgical Wound?

M1342

Status of Most Problematic Surgical Wound that is Observable

M1342

Status of Most Problematic Surgical Wound that is Observable

M1350

Does this patient have a Skin Lesion or Open Wound (excluding bowel ostomy), other than those described above, that is receiving intervention by the home health agency?

M1350

Does this patient have a Skin Lesion or Open Wound (excluding bowel ostomy), other than those described above, that is receiving intervention by the home health agency?

M1400

When is the patient dyspneic or noticeably Short of Breath?

M1400

When is the patient dyspneic or noticeably Short of Breath?

M1410

Respiratory Treatments utilized at home: (Mark all that apply.)

M1410

Respiratory Treatments utilized at home: (Mark all that apply.)

M1500

Symptoms in Heart Failure Patients: If patient has been diagnosed with heart failure, did the patient exhibit symptoms indicated by clinical heart failure guidelines (including dyspnea, orthopnea, edema, or weight gain) at the time of or at any time since the previous OASIS assessment?

M1501

Symptoms in Heart Failure Patients: If patient has been diagnosed with heart failure, did the patient exhibit symptoms indicated by clinical heart failure guidelines (including dyspnea, orthopnea, edema, or weight gain) at the time of or at any time since the most recent SOC/ROC assessment?

M1510

Heart Failure Follow-up: If patient has been diagnosed with heart failure and has exhibited symptoms indicative of heart failure at the time of or at any time since the previous OASIS assessment, what action(s) has (have) been taken to respond? (Mark all that apply.)

M1511

Heart Failure Follow-up: If patient has been diagnosed with heart failure and has exhibited symptoms indicative of heart failure at the time of or at any time since the most recent SOC/ROC assessment, what action(s) has (have) been taken to respond? (Mark all that apply.)

M1600

Has this patient been treated for a Urinary Tract Infection in the past 14 days?

M1600

Has this patient been treated for a Urinary Tract Infection in the past 14 days?

M1610

Urinary Incontinence or Urinary Catheter Presence

M1610

Urinary Incontinence or Urinary Catheter Presence

M1615

When does Urinary Incontinence occur?

M1615

When does Urinary Incontinence occur?

M1620

Bowel Incontinence Frequency

M1620

Bowel Incontinence Frequency

M1630

Ostomy for Bowel Elimination: Does this patient have an ostomy for bowel elimination that (within the last 14 days): a) was related to an inpatient facility stay, or b) necessitated a change in medical or treatment regimen?

M1630

Ostomy for Bowel Elimination: Does this patient have an ostomy for bowel elimination that (within the last 14 days): a) was related to an inpatient facility stay, or b) necessitated a change in medical or treatment regimen?

M1700

Cognitive Functioning: Patient's current (day of assessment) level of alertness, orientation, comprehension, concentration, and immediate memory for simple commands.

M1700

Cognitive Functioning: Patient's current (day of assessment) level of alertness, orientation, comprehension, concentration, and immediate memory for simple commands.

M1710

When Confused (Reported or Observed Within the Last 14 Days)

M1710

When Confused (Reported or Observed Within the Last 14 Days)

M1720

When Anxious (Reported or Observed Within the Last 14 Days)

M1720

When Anxious (Reported or Observed Within the Last 14 Days)

M1730

Depression Screening: Has the patient been screened for depression, using a standardized, validated depression screening tool?

M1730

Depression Screening: Has the patient been screened for depression, using a standardized, validated depression screening tool?

M1740

Cognitive, behavioral, and psychiatric symptoms that are demonstrated at least once a week (Reported or Observed): (Mark all that apply.)

M1740

Cognitive, behavioral, and psychiatric symptoms that are demonstrated at least once a week (Reported or Observed): (Mark all that apply.)

M1745

Frequency of Disruptive Behavior Symptoms (Reported or Observed) Any physical, verbal, or other disruptive/dangerous symptoms that are injurious to self or others or jeopardize personal safety.

M1745

Frequency of Disruptive Behavior Symptoms (Reported or Observed) Any physical, verbal, or other disruptive/dangerous symptoms that are injurious to self or others or jeopardize personal safety.

M1750

Is this patient receiving

Psychiatric Nursing Services at home provided by a qualified psychiatric nurse?

M1750

Is this patient receiving

Psychiatric Nursing Services at home provided by a qualified psychiatric nurse?

M1800

Grooming: Current ability to tend safely to personal hygiene needs (specifically: washing face and hands, hair care, shaving or make up, teeth or denture care, or fingernail care).

M1800

Grooming: Current ability to tend safely to personal hygiene needs (specifically: washing face and hands, hair care, shaving or make up, teeth or denture care, or fingernail care).

M1810

Current Ability to Dress Upper Body safely (with or without dressing aids) including undergarments, pullovers, front- opening shirts and blouses, managing zippers, buttons, and snaps:

M1810

Current Ability to Dress Upper Body safely (with or without dressing aids) including undergarments, pullovers, front-opening shirts and blouses, managing zippers, buttons, and snaps:

M1820

Current Ability to Dress Lower Body safely (with or without dressing aids) including undergarments, slacks, socks or nylons, shoes:

M1820

Current Ability to Dress Lower Body safely (with or without dressing aids) including undergarments, slacks, socks or nylons, shoes:

M1830

Bathing: Current ability to wash entire body safely. Excludes grooming (washing face, washing hands, and shampooing hair).

M1830

Bathing: Current ability to wash entire body safely. Excludes grooming (washing face, washing hands, and shampooing hair).

M1840

Toilet Transferring: Current ability to get to and from the toilet or bedside commode safely and transfer on and off toilet/commode.

M1840

Toilet Transferring: Current ability to get to and from the toilet or bedside commode safely and transfer on and off toilet/commode.

M1845

Toileting Hygiene: Current ability to maintain perineal hygiene safely, adjust clothes and/or incontinence pads before and after using toilet, commode, bedpan, urinal. If managing ostomy, includes cleaning area around stoma, but not managing equipment.

M1845

Toileting Hygiene: Current ability to maintain perineal hygiene safely, adjust clothes and/or incontinence pads before and after using toilet, commode, bedpan, urinal. If managing ostomy, includes cleaning area around stoma, but not managing equipment.

M1850

Transferring: Current ability to move safely from bed to chair, or ability to turn and position self in bed if patient is bedfast.

M1850

Transferring: Current ability to move safely from bed to chair, or ability to turn and position self in bed if patient is bedfast.




GG0170C (Sect. GG)

Code the patient’s usual performance at the SOC/ROC using the 6-point scale. If activity was not attempted at SOC/ROC, code the reason. Code the patient’s discharge goal using the 6-point scale. Do not use codes 07, 09, or 88 to code discharge goal. Lying to Sitting on Side of Bed: The ability to safely move from lying on the back to sitting on the side of the bed with feet flat on the floor, and with no back support.

M1860

Ambulation/Locomotion:

Current ability to walk safely, once in a standing position, or use a wheelchair, once in a seated position, on a variety of surfaces.

M1860

Ambulation/Locomotion:

Current ability to walk safely, once in a standing position, or use a wheelchair, once in a seated position, on a variety of surfaces.

M1870

Feeding or Eating: Current ability to feed self-meals and snacks safely. Note: This refers only to the process of eating,

chewing, and swallowing, not

preparing the food to be eaten.

M1870

Feeding or Eating: Current ability to feed self-meals and snacks safely. Note: This refers only to the process of eating,

chewing, and swallowing, not

preparing the food to be eaten.

M1880

Current Ability to Plan and Prepare Light Meals (for example, cereal, sandwich) or reheat delivered meals safely:

M1880

Current Ability to Plan and Prepare Light Meals (for example, cereal, sandwich) or reheat delivered meals safely:

M1890

Ability to Use Telephone: Current ability to answer the phone safely, including dialing numbers, and effectively using the telephone to communicate.

M1890

Ability to Use Telephone: Current ability to answer the phone safely, including dialing numbers, and effectively using the

telephone to communicate.

M1900

Prior Functioning ADL/IADL: Indicate the patient’s usual ability with everyday activities prior to this current illness, exacerbation, or injury. Check only one box in each row.

  1. Household tasks (specifically: light meal preparation, laundry, shopping, and phone use )

  2. Transfer

  3. Ambulation

  4. Self-Care (specifically: grooming, dressing, bathing, and toileting hygiene)


M1900

Prior Functioning ADL/IADL: Indicate the patient’s usual ability with everyday activities prior to this current illness, exacerbation, or injury.

  1. Household tasks (specifically: light meal preparation, laundry, shopping, and phone use )

  2. Transfer

  3. Ambulation

  4. Self-Care (specifically: grooming, dressing, bathing, and toileting hygiene)


M1910

Has this patient had a multi-factor Falls Risk Assessment using a standardized, validated assessment tool?

M1910

Has this patient had a multi-factor Falls Risk Assessment using a standardized, validated assessment tool?

M2000

Drug Regimen Review: Does a complete drug regimen review indicate potential clinically significant medication issues (for example, adverse drug reactions, ineffective drug therapy, significant side effects, drug interactions, duplicate therapy, omissions, dosage errors, or noncompliance [non-adherence])?

M2001

Drug Regimen Review: Did a complete drug regimen review identify potential clinically significant medication issues?

M2002

Medication Follow-up: Was a physician or the physician-designee contacted within one calendar day to resolve clinically significant medication issues, including reconciliation?

M2003

Medication Follow-up: Did the agency contact a physician (or physician-designee) by midnight of the next calendar day and complete prescribed/recommended actions in response to the identified potential clinically significant medication issues?

M2004

Medication Intervention: If there were any clinically significant medication issues at the time of, or at any time since the previous OASIS assessment, was a physician or the physician- designee contacted within one calendar day to resolve any identified clinically significant medication issues, including reconciliation?

M2005

Medication Intervention: Did the agency contact and complete physician (or physician-designee) prescribed/recommended actions by midnight of the next calendar day each time potential clinically significant medication issues were identified since the SOC/ROC?

M2010

Patient/Caregiver High Risk Drug Education: Has the patient/caregiver received instruction on special precautions for all high-risk medications (such as hypoglycemics, anticoagulants, etc.) and how and when to report problems that may occur?

M2010

Patient/Caregiver High Risk Drug Education: Has the patient/caregiver received instruction on special precautions for all high-risk medications (such as hypoglycemics, anticoagulants, etc.) and how and when to report problems that may occur?

M2015

Patient/Caregiver Drug Education Intervention: At the time of, or at any time since the previous OASIS assessment, was the patient/caregiver instructed by agency staff or other health care provider to monitor the effectiveness of drug therapy, adverse drug reactions, and significant side effects, and how and when to report problems that may occur?

M2016

Patient/Caregiver Drug Education Intervention: At the time of, or at any time since the most recent SOC/ROC assessment, was the patient/caregiver instructed by agency staff or other health care provider to monitor the effectiveness of drug therapy, adverse drug reactions, and significant side effects, and how and when to report problems that may occur?

M2020

Management of Oral Medications: Patient's current

ability to prepare and take all oral

medications reliably and safely, including administration of the correct dosage at the appropriate times/intervals. Excludes

injectable and IV medications. (NOTE: This refers to ability, not compliance or willingness.)

M2020

Management of Oral Medications: Patient's current

ability to prepare and take all oral

medications reliably and safely, including administration of the correct dosage at the appropriate times/intervals. Excludes

injectable and IV medications. (NOTE: This refers to ability, not compliance or willingness.)

M2030

Management of Injectable Medications: Patient's current

ability to prepare and take all

prescribed injectable medications reliably and safely, including administration of correct dosage at the appropriate times/intervals. Excludes IV medications.

M2030

Management of Injectable Medications: Patient's current

ability to prepare and take all

prescribed injectable medications reliably and safely, including administration of correct dosage at the appropriate times/intervals. Excludes IV medications.

M2040

Prior Medication Management: Indicate the patient’s usual ability with managing oral and injectable medications prior to his/her most recent illness, exacerbation or injury. Check only one box in each row.

  1. Injectable medications

  2. Oral medications


M2040

Prior Medication Management: Indicate the patient’s usual ability with managing oral and injectable medications prior to his/her most recent illness, exacerbation or injury. Check only one box in each row.

  1. Injectable medications

  2. Oral medications

M2102

Types and Sources of

Assistance: Determine the ability and willingness of non-agency caregivers (such as family members, friends, or privately paid caregivers) to provide assistance for the following activities, if assistance is needed.

Excludes all care by your agency staff. (Check only one box in each row.)

  1. ADL assistance

  2. IADL assistance

  3. Medication administration

  4. Medical procedures/ treatments

  5. Management of Equipment

  6. Supervision and safety

  7. Advocacy or facilitation

M2102

Types and Sources of

Assistance: Determine the ability and willingness of non-agency caregivers (such as family members, friends, or privately paid caregivers) to provide assistance for the following activities, if assistance is needed. Excludes all care by your agency staff.

  1. ADL assistance

  2. IADL assistance

  3. Medication administration

  4. Medical procedures/ treatments

  5. Management of Equipment

  6. Supervision and safety

  7. Advocacy or facilitation

M2110

How Often does the patient receive ADL or IADL assistance from any caregiver(s) (other than home health agency staff)?

M2110

How Often does the patient receive ADL or IADL assistance from any caregiver(s) (other than home health agency staff)?

M2200

Therapy Need: In the home health plan of care for the Medicare payment episode for which this assessment will define a case mix group, what is the indicated need for therapy visits (total of reasonable and necessary physical, occupational, and speech-language pathology visits combined)? (Enter zero [“000” ] if no therapy visits indicated.)

M2200

Therapy Need: In the home health plan of care for the Medicare payment episode for which this assessment will define a case mix group, what is the indicated need for therapy visits (total of reasonable and necessary physical, occupational, and speech-language pathology visits combined)? (Enter zero [ “000” ] if no therapy visits indicated.)

M2250

Plan of Care Synopsis: (Check only one box in each row.) Does the physician-ordered plan of care include the following:

M2250

Plan of Care Synopsis: (Check only one box in each row.) Does the physician-ordered plan of care include the following:

M2300

Emergent Care: At the time of or at any time since the previous OASIS assessment has the patient utilized a hospital emergency department (includes holding/observation status)?

M2301

Emergent Care: At the time of or at any time since the most recent SOC/ROC assessment has the patient utilized a hospital emergency department (includes holding/observation status)?

M2310

Reason for Emergent Care: For what reason(s) did the patient seek and/or receive emergent care (with or without hospitalization)?

M2310

Reason for Emergent Care: For what reason(s) did the patient seek and/or receive emergent care (with or without hospitalization)?

M2400

Intervention Synopsis - (Check only one box in each row.) At the time of or at any time since the previous OASIS assessment, were the following interventions BOTH included in the physician-ordered plan of care AND implemented?

M2401

Intervention Synopsis: (Check only one box in each row.) At the time of or at any time since the most recent SOC/ROC assessment, were the following interventions BOTH included in the physician-ordered plan of care AND implemented?

M2410

To which Inpatient Facility has the patient been admitted?

M2410

To which Inpatient Facility has the patient been admitted?

M2420

Discharge Disposition: Where is the patient after discharge from your agency? (Choose only one answer.)

M2420

Discharge Disposition: Where is the patient after discharge from your agency? (Choose only one answer.)

M2430

Reason for Hospitalization: For what reason(s) did the patient require hospitalization? (Mark all that apply.)

M2430

Reason for Hospitalization: For what reason(s) did the patient require hospitalization? (Mark all that apply.)

M0903

Date of Last (Most Recent) Home Visit:

M0903

Date of Last (Most Recent) Home Visit:

M0906

Discharge/Transfer/Death Date: Enter the date of the discharge, transfer, or death (at home) of the patient.

M0906

Discharge/Transfer/Death Date: Enter the date of the discharge, transfer, or death (at home) of the patient.


7 | Page

OASIS-C1/ICD-10 to OASIS-C2 Change Table

File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
File TitleAppendix A OASISICD10-OASISc Change Table final
SubjectOASIS ICD10 to OASIS C2 Change Table
AuthorCenters for Medicare and Medicaid Services;Center for Clinical S
File Modified0000-00-00
File Created2021-01-23

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