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pdfMDS 3.0 Item Set Change History
for October 2020
Version 1.17.2
Table of Contents
Version 1.17.2 Changes..................................................................................................................................................................................... 2
Section GG Items .............................................................................................................................................................................................................2
Section I Items .................................................................................................................................................................................................................2
Section J Items.................................................................................................................................................................................................................2
Version 1.17.1 Changes..................................................................................................................................................................................... 3
Section A Items ................................................................................................................................................................................................................3
Section B Items ................................................................................................................................................................................................................5
Section C Items ................................................................................................................................................................................................................5
Section D Items ................................................................................................................................................................................................................6
Section E Items ................................................................................................................................................................................................................6
Section G Item .................................................................................................................................................................................................................7
Section GG Items .............................................................................................................................................................................................................7
Section H Items ..............................................................................................................................................................................................................10
Section I Items ...............................................................................................................................................................................................................10
Section J Items...............................................................................................................................................................................................................12
Section K Items ..............................................................................................................................................................................................................14
Section M Items .............................................................................................................................................................................................................15
Section N Items ..............................................................................................................................................................................................................16
Section O Items..............................................................................................................................................................................................................16
Section V Items ..............................................................................................................................................................................................................19
Section X Items ..............................................................................................................................................................................................................19
Section Z Items ..............................................................................................................................................................................................................21
Legend: X = item set impacted
na = not applicable; changed item does not impact this item set
Page 1 of 22
MDS 3.0 Item Set Change History
for October 2020
Version 1.17.2
Version 1.17.2 Changes
Section GG Items
Item
Change Description
Footer
Incremented version to 1.17.2 with an effective date of 10/01/2020
GG0130
Item header changed to:
Functional Abilities and Goals - Start of SNF PPS Stay or State PDPM
Instructional language changed to:
GG0130. Self-Care (If A0310B = 01, the assessment period is days 1 through 3 of
the SNF PPS Stay starting with A2400B. If state requires completion with an OBRA
assessment, the assessment period is the ARD plus 2 previous days; complete only
column 1.)
Item header changed to:
Functional Abilities and Goals - Start of SNF PPS Stay or State PDPM
Instructional language changed to:
GG0170. Mobility (If A0310B = 01, the assessment period is days 1 through 3 of the
SNF PPS Stay starting with A2400B. If state requires completion with an OBRA
assessment, the assessment period is the ARD plus 2 previous days; complete only
column 1.)
GG0130
GG0170
GG0170
NC
NQ
ND
NT/ST
NPE
NP
OSA
IPA
SP
SD
x
x
x
x
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na
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na
na
na
na
na
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na
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NC
NQ
ND
NT/ST
NPE
NP
OSA
IPA
SP
SD
x
x
na
na
na
na
na
na
na
na
NC
NQ
ND
NT/ST
NPE
NP
OSA
IPA
SP
SD
x
x
na
na
na
na
na
na
na
na
Section I Items
Item
Change Description
I0020
Instructional language changed to:
I0020. Indicate the resident’s primary medical condition category
Complete only if A0310B = 01 or if state requires completion with an OBRA
assessment
Section J Items
Item
Change Description
J2100
Instructional language changed to:
J2100. Recent Surgery Requiring Active SNF Care - Complete only if A0310B = 01
or if state requires completion with an OBRA assessment
Page 2 of 22
MDS 3.0 Item Set Change History
for October 2020
Version 1.17.2
NOTE: Two new item sets, OSA and IPA, are introduced with version 1.17.1 of the MDS 3.0 Item Sets.
Eight item sets—NO/SO, NOD, NS/SS, NSD, SOD, and SSD—have been retired.
Version 1.17.1 Changes
Section A Items
Item
Change Description
Footer
Incremented version to 1.17.1 with an effective date 10/01/2019
A0050
Item and responses added:
A0050. Type of Record
Items and responses added:
A0100. Facility Provider Numbers
Item and responses added:
A0200. Type of Provider.
New item and responses added:
A0300. Optional State Assessment
A. Is this assessment for state payment purposes only?
0. No
1. Yes
New item and responses added:
A0300. Optional State Assessment
Complete only if A0200 = 1
A. Is this assessment for state payment purposes only?
0. No
1. Yes
New item and responses added:
A0300B. Assessment type
1. Start of therapy assessment.
2. End of therapy assessment
3. Both Start and End of therapy assessment
4. Change of therapy assessment
5. Other payment assessment
Item and responses added:
A0310. Type of Assessment
A0100
A0200
A0300A
A0300A
A0300B
A0310A
Page 3 of 22
NC
NQ
ND
NT/ST
NPE
NP
OSA
IPA
SP
SD
x
x
x
x
x
x
x
x
x
x
na
na
na
na
na
na
x
x
na
na
na
na
na
na
na
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x
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na
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na
x
na
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na
na
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na
x
na
na
MDS 3.0 Item Set Change History
for October 2020
Version 1.17.2
Item
Change Description
A0310B
A0310C
Removed response option 02. 14-day scheduled assessment
Removed response option 03. 30-day scheduled assessment
Removed response option 04. 60-day scheduled assessment
Removed response option 05. 90-day scheduled assessment
Removed response option 07. Unscheduled assessment used for PPS
Added response option 08. IPA – Interim Payment Assessment
Removed “s” from “Assessments” in:
PPS Scheduled Assessment for a Medicare Part A Stay
PPS Unscheduled Assessment for a Medicare Part A Stay
Item deleted
A0310D
Item deleted
A0310E
Item and responses added:
E. Is this assessment the first assessment (OBRA, Scheduled PPS, or Discharge)
since the most recent admission/entry or reentry?
Item and responses added:
F. Entry/discharge reporting
Item and responses added:
G. Type of discharge - Complete only if A0310F = 10 or 11
New item and responses added:
G1. Is this a SNF Part A Interrupted Stay?
0. No
1. Yes
New item and responses added:
G1. Is this a SNF Part A Interrupted Stay?
0. No
1. Yes (Assessment not required at this time)
Item and responses added:
A0410. Unit Certification or Licensure Designation
Items and responses added:
A0500. Legal Name of Resident
Items and responses added:
A0600. Social Security and Medicare Numbers
Deleted (or comparable railroad insurance number) from the item label
A0310F
A0310G
A0310G1
A0310G1
A0410
A0500
A0600
A0600B
A0700
A0800
A0900
A1000
Item added:
A0700. Medicaid Number – Enter “+” if pending, “N” if not a Medicaid recipient
Item and responses added:
A0800. Gender
Item added:
A0900. Birth Date
Item and responses added:
A1000. Race/Ethnicity
Page 4 of 22
NC
NQ
ND
NT/ST
NPE
NP
OSA
IPA
SP
SD
x
x
x
x
x
x
na
x
x
x
x
x
x
x
x
x
na
na
x
x
x
x
x
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x
na
na
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na
na
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na
MDS 3.0 Item Set Change History
for October 2020
Version 1.17.2
Item
Change Description
A1100
Items and responses added:
A1100. Language
Item and responses added:
A1200. Marital Status
Items added:
A1300. Optional Resident Items
Deleted (“mental retardation” in federal regulation):
Is the resident currently considered by the state level II PASRR process to have
serious mental illness and/or intellectual disability or a related condition?
Deleted (“mental retardation” in federal regulation):
B. Intellectual Disability
Item added:
A1600. Entry Date
Item added:
A1900. Admission Date (Date this episode of care in this facility began)
Item added:
A2300. Assessment Reference Date
Instructional language added to the item label:
Complete only if A0310G1 = 0
Item and responses added:
A2400A. Has the resident had a Medicare-covered stay since the most recent
entry?
Item added:
A2400B. Start date of most recent Medicare stay
Item added:
A2400C. End date of most recent Medicare stay
A1200
A1300
A1500
A1510B
A1600
A1900
A2300
A2400
A2400A
A2400B
A2400C
NC
NQ
ND
NT/ST
NPE
NP
OSA
IPA
SP
SD
na
na
na
na
na
na
x
x
na
na
na
na
na
na
na
na
x
x
na
na
na
na
na
na
na
na
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na
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NC
NQ
ND
NT/ST
NPE
NP
OSA
IPA
SP
SD
na
na
na
na
na
na
x
x
na
na
na
na
na
na
na
na
x
x
na
na
NC
NQ
ND
NT/ST
NPE
NP
OSA
IPA
SP
SD
na
na
na
na
na
na
x
x
na
na
Section B Items
Item
Change Description
B0100
Item and responses added:
B0100. Comatose
Item and responses added:
B0700. Makes Self Understood
B0700
Section C Items
Item
Change Description
C0100
Item and responses added:
C0100. Should Brief Interview for Mental Status (C0200-C0500) be Conducted?
Page 5 of 22
MDS 3.0 Item Set Change History
for October 2020
Version 1.17.2
Item
Change Description
C0200
Item and responses added:
C0200. Repetition of Three Words
Items and responses added:
C0300. Temporal Orientation (orientation to year, month, and day)
Items and responses added:
C0400. Recall
Item added:
C0500. BIMS Summary Score
Item and responses added:
C0600. Should the Staff Assessment for Mental Status (C0700 - C1000) be
Conducted?
Item and responses added:
C0700. Short-term Memory OK
Item and responses added:
C1000. Cognitive Skills for Daily Decision Making
C0300
C0400
C0500
C0600
C0700
C1000
NC
NQ
ND
NT/ST
NPE
NP
OSA
IPA
SP
SD
na
na
na
na
na
na
x
x
na
na
na
na
na
na
na
na
x
x
na
na
na
na
na
na
na
na
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x
na
na
na
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na
na
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na
na
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na
na
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na
na
na
na
na
na
na
na
x
x
na
na
na
na
na
na
na
na
x
x
na
na
NC
NQ
ND
NT/ST
NPE
NP
OSA
IPA
SP
SD
na
na
na
na
na
na
x
x
na
na
na
na
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na
na
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na
na
x
x
NC
NQ
ND
NT/ST
NPE
NP
OSA
IPA
SP
SD
na
na
na
na
na
na
x
x
na
na
Section D Items
Item
Change Description
D0100
Item and responses added:
D0100. Should Resident Mood Interview be Conducted?
Items and responses added:
D0200. Resident Mood Interview (PHQ-9©)
Item added:
D0300. Total Severity Score
Item deleted
D0200
D0300
D0350
D0500
D0600
D0650
Items and responses added:
D0500. Staff Assessment of Resident Mood (PHQ-9-OV*)
Item added:
D0600. Total Severity Score.
Item deleted
Section E Items
Item
Change Description
E0100
Items and responses added:
E0100. Potential Indicators of Psychosis
Page 6 of 22
MDS 3.0 Item Set Change History
for October 2020
Version 1.17.2
Item
Change Description
E0200
Items and responses added:
E0200. Behavioral Symptom - Presence & Frequency
Item and responses added:
E0800. Rejection of Care - Presence & Frequency
Item and responses added:
E0900. Wandering - Presence & Frequency
Corrected the skip pattern wording from “Behavioral” to “Behavior”: Response option
0. Behavior not exhibited Skip to E1100, Change in Behavior or Other Symptoms
E0800
E0900
E0900
NC
NQ
ND
NT/ST
NPE
NP
OSA
IPA
SP
SD
na
na
na
na
na
na
x
x
na
na
na
na
na
na
na
na
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na
na
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na
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NC
NQ
ND
NT/ST
NPE
NP
OSA
IPA
SP
SD
na
na
na
na
na
na
x
na
na
na
NC
NQ
ND
NT/ST
NPE
NP
OSA
IPA
SP
SD
Section G Item
Item
Change Description
G0110
Items and responses added:
G0110. Activities of Daily Living (ADL) Assistance: G0110A1, G0110B1, G0110H1,
and G0110I1; G0110A2, G0110B2, G0110H2, and G0110I2
Section GG Items
Item
Change Description
GG0100
Added “Complete only if A0310B = 01” beneath the GG0100 item label.
x
x
na
na
na
x
na
na
x
na
GG0110
Added “Complete only if A0310B = 01” beneath the GG0110 item label.
x
x
na
na
na
x
na
na
x
na
Section GG
Interim
Payment
Assessment
New section added:
Functional Abilities and Goals - Interim Payment Assessment
na
na
na
na
na
na
na
x
na
na
Page 7 of 22
MDS 3.0 Item Set Change History
for October 2020
Version 1.17.2
Item
Change Description
GG0130
New items and responses added:
GG0130. Self-Care (Assessment period is the last 3 days)
Code the resident's usual performance for each activity using the 6-point scale. If an
activity was not attempted, code the reason.
Coding:
Safety and Quality of Performance - If helper assistance is required because
resident's performance is unsafe or of poor quality, score according to amount of
assistance provided.
Activities may be completed with or without assistive devices.
06. Independent - Resident completes the activity by him/herself with no assistance
from a helper.
05. Setup or clean-up assistance - Helper sets up or cleans up; resident completes
activity. Helper assists only prior to or following the activity.
04. Supervision or touching assistance - Helper provides verbal cues and/or
touching/steadying and/or contact guard assistance as resident completes activity.
Assistance may be provided throughout the activity or intermittently.
03. Partial/moderate assistance - Helper does LESS THAN HALF the effort. Helper
lifts, holds, or supports trunk or limbs, but provides less than half the effort.
02. Substantial/maximal assistance - Helper does MORE THAN HALF the effort.
Helper lifts or holds trunk or limbs and provides more than half the effort.
01. Dependent - Helper does ALL of the effort. Resident does none of the effort to
complete the activity. Or, the assistance of 2 or more helpers is required for the
resident to complete the activity.
If activity was not attempted, code reason:
07. Resident refused
09. Not applicable - Not attempted and the resident did not perform this activity prior
to the current illness, exacerbation, or injury.
10. Not attempted due to environmental limitations (e.g., lack of equipment, weather
constraints)
88. Not attempted due to medical condition or safety concerns
New item added:
A. Eating: The ability to use suitable utensils to bring food and/or liquid to the mouth
and swallow food and/or liquid once the meal is placed before the resident.
New item added:
B. Oral hygiene: The ability to use suitable items to clean teeth. Dentures (if
applicable): The ability to insert and remove dentures into and from the mouth, and
manage denture soaking and rinsing with use of equipment.
New item added:
C. Toileting hygiene: The ability to maintain perineal hygiene, adjust clothes before
and after voiding or having a bowel movement. If managing an ostomy, include
wiping the opening but not managing equipment.
GG0130A5
GG0130B5
GG0130C5
Page 8 of 22
NC
NQ
ND
NT/ST
NPE
NP
OSA
IPA
SP
SD
na
na
na
na
na
na
na
x
na
na
na
na
na
na
na
na
na
x
na
na
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na
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na
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x
na
na
na
na
na
na
na
na
na
x
na
na
MDS 3.0 Item Set Change History
for October 2020
Version 1.17.2
Item
Change Description
GG0170
New items and responses added:
GG0170. Mobility (Assessment period is the last 3 days)
Code the resident's usual performance for each activity using the 6-point scale. If an
activity was not attempted, code the reason.
Coding:
Safety and Quality of Performance - If helper assistance is required because
resident's performance is unsafe or of poor quality, score according to amount of
assistance provided.
Activities may be completed with or without assistive devices.
06. Independent - Resident completes the activity by him/herself with no assistance
from a helper.
05. Setup or clean-up assistance - Helper sets up or cleans up; resident completes
activity. Helper assists only prior to or following the activity.
04. Supervision or touching assistance - Helper provides verbal cues and/or
touching/steadying and/or contact guard assistance as resident completes activity.
Assistance may be provided throughout the activity or intermittently.
03. Partial/moderate assistance - Helper does LESS THAN HALF the effort. Helper
lifts, holds, or supports trunk or limbs, but provides less than half the effort.
02. Substantial/maximal assistance - Helper does MORE THAN HALF the effort.
Helper lifts or holds trunk or limbs and provides more than half the effort.
01. Dependent - Helper does ALL of the effort. Resident does none of the effort to
complete the activity. Or, the assistance of 2 or more helpers is required for the
resident to complete the activity.
If activity was not attempted, code reason:
07. Resident refused
09. Not applicable - Not attempted and the resident did not perform this activity prior
to the current illness, exacerbation, or injury.
10. Not attempted due to environmental limitations (e.g., lack of equipment, weather
constraints)
88. Not attempted due to medical condition or safety concerns
New item added:
B. Sit to lying: The ability to move from sitting on side of bed to lying flat on the bed.
New item added:
C. Lying to sitting on side of bed: The ability to 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.
New item added:
D. Sit to stand: The ability to come to a standing position from sitting in a chair,
wheelchair, or on the side of the bed.
New item added:
E. Chair/bed-to-chair transfer: The ability to transfer to and from a bed to a chair (or
wheelchair).
New item added:
F. Toilet transfer: The ability to get on and off a toilet or commode.
GG0170B5
GG0170C5
GG0170D5
GG0170E5
GG0170F5
Page 9 of 22
NC
NQ
ND
NT/ST
NPE
NP
OSA
IPA
SP
SD
na
na
na
na
na
na
na
x
na
na
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na
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x
na
na
MDS 3.0 Item Set Change History
for October 2020
Version 1.17.2
Item
Change Description
GG0170I5
New item added:
I. Walk 10 feet: Once standing, the ability to walk at least 10 feet in a room, corridor,
or similar space. If interim performance is coded 07, 09, 10, or 88 Skip to H0100,
Appliances
New item added:
J. Walk 50 feet with two turns: Once standing, the ability to walk at least 50 feet and
make two turns.
New item added:
K. Walk 150 feet: Once standing, the ability to walk at least 150 feet in a corridor or
similar space.
GG0170J5
GG0170K5
NC
NQ
ND
NT/ST
NPE
NP
OSA
IPA
SP
SD
na
na
na
na
na
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na
x
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x
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NC
NQ
ND
NT/ST
NPE
NP
OSA
IPA
SP
SD
na
na
na
na
na
na
na
x
na
na
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na
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na
na
na
x
x
na
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na
na
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na
na
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x
x
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NC
NQ
ND
NT/ST
NPE
NP
OSA
IPA
SP
SD
na
na
na
na
na
na
na
x
na
na
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na
Section H Items
Item
Change Description
H0100
Items and responses added:
H0100C, D, Z. Appliances
Item and responses added:
H0200C. Current toileting program or trial
Item and responses added:
H0500. Bowel Toileting Program
H0200C
H0500
Section I Items
Item
Change Description
I0020
I0020
Items and responses added:
I0020. Indicate the resident’s primary medical condition category
Response options 01 - 13
Updated instructional language and moved beneath the item label:
Complete only if A0310B = 01 or 08
Deleted response option 14, Other Medical Condition
I0020A
Deleted item and boxes
I0020B
New item added:
I0020B. ICD Code
Item added:
I0100. Cancer (with or without metastasis)
Item added:
I0400. Coronary Artery Disease (CAD)
I0020
I0100
I0400
Page 10 of 22
MDS 3.0 Item Set Change History
for October 2020
Version 1.17.2
Item
Change Description
I1300
Item added:
I1300. Ulcerative Colitis, Crohn’s Disease, or Inflammatory Bowel Disease
Item added:
I1500. Renal Insufficiency, Renal Failure, or ESRD
Item added:
I1700. Multidrug-Resistant Organism (MDRO)
Item added:
I2000. Pneumonia
Item added:
I2100. Septicemia
Item added:
I2500. Wound Infection (other than foot)
Item added:
I2900. Diabetes Mellitus (DM) (e.g., diabetic retinopathy, nephropathy, and
neuropathy)
Item added:
I4300. Aphasia
Item added:
I4400. Cerebral Palsy
Item added:
I4500. Cerebrovascular Accident (CVA), Transient Ischemic Attack (TIA), or Stroke
Item added:
I4900. Hemiplegia or Hemiparesis
Item added:
I5100. Quadriplegia
Item added:
I5200. Multiple Sclerosis (MS)
Item added:
I5300. Parkinson's Disease
Item added:
I5500. Traumatic Brain Injury (TBI)
Item added:
I5600. Malnutrition (protein or calorie) or at risk for malnutrition
Modified text:
I5900. Bipolar Disorder
Item added:
I6200. Asthma, Chronic Obstructive Pulmonary Disease (COPD), or Chronic Lung
Disease (e.g., chronic bronchitis and restrictive lung diseases such as asbestosis)
Item added:
I6300. Respiratory Failure
I1500
I1700
I2000
I2100
I2500
I2900
I4300
I4400
I4500
I4900
I5100
I5200
I5300
I5500
I5600
I5900
I6200
I6300
Page 11 of 22
NC
NQ
ND
NT/ST
NPE
NP
OSA
IPA
SP
SD
na
x
na
na
na
x
na
x
x
na
na
x
na
na
na
x
na
na
x
na
na
na
na
na
na
na
na
x
na
na
na
na
na
na
na
na
x
x
na
na
na
na
na
na
na
na
x
x
na
na
na
na
na
na
na
na
na
x
na
na
na
na
na
na
na
na
x
x
na
na
na
na
na
na
na
na
x
x
x
na
na
na
na
na
na
na
x
x
na
na
na
na
na
na
na
na
na
x
na
na
na
na
na
na
na
na
x
x
na
na
na
na
na
na
na
na
x
x
na
na
na
na
na
na
na
na
x
x
na
na
na
na
na
na
na
na
x
x
na
na
na
na
na
na
na
na
na
x
na
na
na
na
na
na
na
na
na
x
na
na
x
x
x
na
na
x
na
na
x
x
na
na
na
na
na
na
x
x
na
na
na
na
na
na
na
na
x
x
na
na
MDS 3.0 Item Set Change History
for October 2020
Version 1.17.2
Item
Change Description
I7900
Item added:
I7900. None of the above active diagnoses within the last 7 days
Item added:
I8000. Additional active diagnoses
I8000
NC
NQ
ND
NT/ST
NPE
NP
OSA
IPA
SP
SD
na
na
na
na
na
na
x
x
na
na
na
na
na
na
na
na
na
x
na
na
NC
NQ
ND
NT/ST
NPE
NP
OSA
IPA
SP
SD
na
na
na
na
na
na
x
x
na
na
na
na
na
na
na
na
x
x
na
na
na
na
na
na
na
na
x
na
na
na
x
x
na
na
na
x
na
na
x
na
x
x
na
na
na
x
na
na
x
na
na
na
na
na
na
na
na
x
na
na
x
x
na
na
na
x
na
x
x
na
x
x
na
na
na
x
na
x
x
na
x
x
na
na
na
x
na
x
x
na
Section J Items
Item
Change Description
J1100
Items added:
J1100. Shortness of Breath (dyspnea): J1100C and J1100Z
Items added:
J1550. Problem Conditions: J1550A, J1550B, and J1550Z
Items added:
J1550. Problem Conditions: J1550C and J1550D
Skip pattern changed:
0. No Skip to J2000, Prior Surgery
1. Yes Continue to J1900, Number of Falls Since Admission/Entry or Reentry or
Prior Assessment (OBRA or Scheduled PPS)
New item and responses added:
J2100. Recent Surgery Requiring Active SNF Care - Complete only if A0310B = 01
or 08
Did the resident have a major surgical procedure during the prior inpatient hospital
stay that requires active care during the SNF stay?
0. No
1. Yes
8. Unknown
New item and responses added:
J2100. Recent Surgery Requiring Active SNF Care
Did the resident have a major surgical procedure during the prior inpatient hospital
stay that requires active care during the SNF stay?
0. No
1. Yes
8. Unknown
New item added:
J2300. Knee Replacement - partial or total
New item added:
J2310. Hip Replacement - partial or total
New item added:
J2320. Ankle Replacement - partial or total
J1550
J1550
J1800
J2100
J2100
J2300
J2310
J2320
Page 12 of 22
MDS 3.0 Item Set Change History
for October 2020
Version 1.17.2
Item
Change Description
J2330
New item added:
J2330. Shoulder Replacement - partial or total
New item added:
J2400. Involving the spinal cord or major spinal nerves
New item added:
J2410. Involving fusion of spinal bones
New item added:
J2420. Involving Iamina, discs, or facets
New item added:
J2499. Other major spinal surgery
New item added:
J2500. Repair fractures of the shoulder (including clavicle and scapula) or arm (but
not hand)
New item added:
J2510. Repair fractures of the pelvis, hip, leg, knee, or ankle (not foot)
New item added:
J2520. Repair but not replace joints
New item added:
J2530. Repair other bones (such as hand, foot, jaw)
New item added:
J2599. Other major orthopedic surgery
New item added:
J2600. Involving the brain, surrounding tissue or blood vessels (excludes skull and
skin but includes cranial nerves)
New item added:
J2610. Involving the peripheral or autonomic nervous system - open or
percutaneous
New item added:
J2620. Insertion or removal of spinal or brain neurostimulators, electrodes, catheters, or
CSF drainage devices
New item added:
J2699. Other major neurological surgery
New item added:
J2700. Involving the heart or major blood vessels - open or percutaneous
procedures
New item added:
J2710. Involving the respiratory system, including lungs, bronchi, trachea, larynx, or
vocal cords - open or endoscopic
New item added:
J2799. Other major cardiopulmonary surgery
J2400
J2410
J2420
J2499
J2500
J2510
J2520
J2530
J2599
J2600
J2610
J2620
J2699
J2700
J2710
J2799
Page 13 of 22
NC
NQ
ND
NT/ST
NPE
NP
OSA
IPA
SP
SD
x
x
na
na
na
x
na
x
x
na
x
x
na
na
na
x
na
x
x
na
x
x
na
na
na
x
na
x
x
na
x
x
na
na
na
x
na
x
x
na
x
x
na
na
na
x
na
x
x
na
x
x
na
na
na
x
na
x
x
na
x
x
na
na
na
x
na
x
x
na
x
x
na
na
na
x
na
x
x
na
x
x
na
na
na
x
na
x
x
na
x
x
na
na
na
x
na
x
x
na
x
x
na
na
na
x
na
x
x
na
x
x
na
na
na
x
na
x
x
na
x
x
na
na
na
x
na
x
x
na
x
x
na
na
na
x
na
x
x
na
x
x
na
na
na
x
na
x
x
na
x
x
na
na
na
x
na
x
x
na
x
x
na
na
na
x
na
x
x
na
MDS 3.0 Item Set Change History
for October 2020
Version 1.17.2
Item
Change Description
J2800
New item added:
J2800. Involving male or female organs (such as prostate, testes, ovaries, uterus,
vagina, external genitalia)
New item added:
J2810. Involving the kidneys, ureters, adrenal glands, or bladder - open or
laparoscopic (includes creation or removal of nephrostomies or urostomies)
New item added:
J2899. Other major genitourinary surgery
New item added:
J2900. Involving tendons, ligaments, or muscles
New item added:
J2910. Involving the gastrointestinal tract or abdominal contents from the esophagus
to the anus, the biliary tree, gall bladder, liver, pancreas, or spleen - open or
laparoscopic (including creation or removal of ostomies or percutaneous feeding
tubes, or hernia repair)
New item added:
J2920. Involving the endocrine organs (such as thyroid, parathyroid), neck, lymph
nodes, or thymus - open
New item added:
J2930. Involving the breast
New item added:
J2940. Repair of deep ulcers, internal brachytherapy, bone marrow or stem cell
harvest or transplant
New item added:
J5000. Other major surgery not listed above
J2810
J2899
J2900
J2910
J2920
J2930
J2940
J5000
NC
NQ
ND
NT/ST
NPE
NP
OSA
IPA
SP
SD
x
x
na
na
na
x
na
x
x
na
x
x
na
na
na
x
na
x
x
na
x
x
na
na
na
x
na
x
x
na
x
x
na
na
na
x
na
x
x
na
x
x
na
na
na
x
na
x
x
na
x
x
na
na
na
x
na
x
x
na
x
x
na
na
na
x
na
x
x
na
x
x
na
na
na
x
na
x
x
na
x
x
na
na
na
x
na
x
x
na
NC
NQ
ND
NT/ST
NPE
NP
OSA
IPA
SP
SD
na
na
na
na
na
na
na
x
x
na
na
na
na
na
na
na
x
x
na
na
na
na
na
na
na
na
x
x
na
na
na
na
na
na
na
na
x
x
na
na
na
na
na
na
na
na
x
x
na
na
Section K Items
Item
Change Description
K0100
Items and responses added:
K0100. Swallowing Disorder
Item and responses added:
K0300. Weight Loss
Item added:
K0510. Nutritional Approaches: Parenteral/IV feeding – While NOT a Resident
Item added:
K0510. Nutritional Approaches: Parenteral/IV feeding – While a Resident
Item added:
K0510. Nutritional Approaches: Feeding tube – While NOT a Resident
K0300
K0510A1
K0510A2
K0510B1
Page 14 of 22
MDS 3.0 Item Set Change History
for October 2020
Version 1.17.2
Item
Change Description
K0510B2
Item added:
K0510. Nutritional Approaches: Feeding tube – While a Resident
Item and column 1 box deleted:
1. While NOT a Resident
Item added:
K0510. Nutritional Approaches: Mechanically altered diet – While a Resident
Item and column 1 box deleted:
1. While NOT a Resident
Item added:
K0510. Nutritional Approaches: None of the above
Item added:
K0510. Nutritional Approaches: None of the above
Column 1 While NOT a Resident and the instructions for completing column 1
deleted
Deleted item and column 1 box, While NOT a Resident
K0510C1
K0510C2
K0510D1
K0510Z1
K0510Z2
K0710
K0710A1
K0710A2
K0710A3
K0710B1
K0710B2
K0710B3
Item added:
K0710. Percent Intake by Artificial Route: Proportion of total calories the resident
received through parenteral/tube feeding: While a Resident
Item added:
K0710. Percent Intake by Artificial Route: Proportion of total calories the resident
received through parenteral/tube feeding: During Entire 7 days
Deleted item and column 1 box, While NOT a Resident
Item added:
K0710. Percent Intake by Artificial Route: Average fluid intake per day by IV/tube
feeding: While a Resident
Item added:
K0710. Percent Intake by Artificial Route: Average fluid intake per day by IV/tube
feeding: During Entire 7 days
NC
NQ
ND
NT/ST
NPE
NP
OSA
IPA
SP
SD
na
na
na
na
na
na
x
x
na
na
x
x
x
na
na
x
na
na
x
x
na
na
na
na
na
na
na
x
na
na
x
x
x
na
na
x
na
na
x
x
na
na
na
na
na
na
x
x
na
na
na
na
na
na
na
na
x
x
na
na
x
x
na
na
na
x
na
na
x
na
x
x
na
na
na
x
na
na
x
na
na
na
na
na
na
na
na
x
na
na
na
na
na
na
na
na
x
x
na
na
x
x
na
na
na
x
na
na
x
na
na
na
na
na
na
na
na
x
na
na
na
na
na
na
na
na
x
x
na
na
NC
NQ
ND
NT/ST
NPE
NP
OSA
IPA
SP
SD
na
na
na
na
na
na
x
x
na
na
na
na
na
na
na
na
x
na
na
na
na
na
na
na
na
na
x
x
na
na
na
na
na
na
na
na
x
x
na
na
Section M Items
Item
Change Description
M0210
Item and responses added:
M0210. Unhealed Pressure Ulcers/Injuries
Item added:
M0300. Current Number of Unhealed Pressure Ulcers/Injuries at Each Stage: A1
Items added:
M0300. Current Number of Unhealed Pressure Ulcers/Injuries at Each Stage: B1,
C1, D1, and F1
Item added:
M1030. Number of Venous and Arterial Ulcers
M0300
M0300
M1030
Page 15 of 22
MDS 3.0 Item Set Change History
for October 2020
Version 1.17.2
Item
Change Description
M1040
Items added:
M1040. Other Ulcers, Wounds and Skin Problems: A–F, Z
Items added:
M1200. Skin and Ulcer/Injury Treatments: A–I, Z
M1200
NC
NQ
ND
NT/ST
NPE
NP
OSA
IPA
SP
SD
na
na
na
na
na
na
x
x
na
na
na
na
na
na
na
na
x
x
na
na
NC
NQ
ND
NT/ST
NPE
NP
OSA
IPA
SP
SD
na
na
na
na
na
na
x
na
na
na
na
na
na
na
na
na
x
x
na
na
NC
NQ
ND
NT/ST
NPE
NP
OSA
IPA
SP
SD
and Programs: A1, B1, C1, D1, E1, F1,
na
na
na
na
na
na
x
na
na
na
and Programs: A2, B2, C2, D2, E2, F2,
na
na
na
na
na
na
x
x
na
na
and Programs: D2 Suctioning
na
na
na
na
na
na
na
na
x
na
and Programs: J1 Dialysis
na
na
na
na
na
na
na
na
x
na
Section N Items
Item
Change Description
N0300
Item added:
N0300. Injections
Items added:
N0350. Insulin
N0350
Section O Items
Item
Change Description
O0100
Items and responses added:
O0100. Special Treatments, Procedures,
H1, I1, J1, Z1: While NOT a Resident
Items and responses added:
O0100. Special Treatments, Procedures,
H2, I2, J2, M2, Z2: While a Resident
Item added:
O0100. Special Treatments, Procedures,
Item added:
O0100. Special Treatments, Procedures,
O0100
O0100D2
O0100J1
O0100L2
Item and row deleted
Items and responses added:
O0400. Therapies: A1–A6, B1–B6, C1–C6, D2
x
x
na
na
na
na
na
na
na
na
na
na
na
na
na
na
x
na
na
na
Item deleted
na
na
na
na
na
na
na
na
na
O0400A6
x
Item deleted
na
na
na
na
na
na
na
na
na
O0400B5
x
Item deleted
na
na
na
na
na
na
na
na
na
O0400B6
x
Item deleted
na
na
na
na
na
na
na
na
na
O0400C5
x
Item deleted
na
na
na
na
na
na
na
na
na
O0400C6
x
Item deleted
na
na
na
na
na
na
na
na
na
x
O0400
O0400A5
Page 16 of 22
MDS 3.0 Item Set Change History
for October 2020
Version 1.17.2
Item
Change Description
O0400D2
Item and responses added:
O0400. Therapies
D. Respiratory Therapy
Item added:
O0420. Distinct Calendar Days of Therapy
O0420
O0420
O0425
O0425A
Item and code boxes deleted
New items added:
O0425. Part A Therapies
Complete only if A0310H = 1
New items added:
O0425A:
A. Speech-Language Pathology and Audiology Services
1. Individual minutes – record the total number of minutes this therapy was
administered to the resident individually since the start date of the resident’s most
recent Medicare Part A stay (A2400B)
2. Concurrent minutes – record the total number of minutes this therapy was
administered to the resident concurrently with one other resident since the start date
of the resident’s most recent Medicare Part A stay (A2400B)
3. Group minutes – record the total number of minutes this therapy was
administered to the resident as part of a group of residents since the start date of
the resident’s most recent Medicare Part A stay (A2400B)
If the sum of individual, concurrent, and group minutes is zero, skip to O0425B,
Occupational Therapy
4. Co-treatment minutes – record the total number of minutes this therapy was
administered to the resident in co-treatment sessions since the start date of the
resident’s most recent Medicare Part A stay (A2400B)
5. Days – record the number of days this therapy was administered for at least 15
minutes a day since the start date of the resident’s most recent Medicare Part A stay
(A2400B)
Page 17 of 22
NC
NQ
ND
NT/ST
NPE
NP
OSA
IPA
SP
SD
na
na
na
na
na
na
x
x
na
na
na
na
na
na
na
na
x
na
na
na
na
na
na
na
na
na
na
na
x
na
x
x
x
na
x
x
na
na
x
x
x
x
x
na
x
x
na
na
x
x
MDS 3.0 Item Set Change History
for October 2020
Version 1.17.2
Item
Change Description
O0425B
New items added:
O0425B:
B. Occupational Therapy
1. Individual minutes – record the total number of minutes this therapy was
administered to the resident individually since the start date of the resident’s most
recent Medicare Part A stay (A2400B)
2. Concurrent minutes – record the total number of minutes this therapy was
administered to the resident concurrently with one other resident since the start date
of the resident’s most recent Medicare Part A stay (A2400B)
3. Group minutes – record the total number of minutes this therapy was
administered to the resident as part of a group of residents since the start date of
the resident’s most recent Medicare Part A stay (A2400B)
If the sum of individual, concurrent, and group minutes is zero, skip to O0425C,
Physical Therapy
4. Co-treatment minutes – record the total number of minutes this therapy was
administered to the resident in co-treatment sessions since the start date of the
resident’s most recent Medicare Part A stay (A2400B)
5. Days – record the number of days this therapy was administered for at least 15
minutes a day since the start date of the resident’s most recent Medicare Part A stay
(A2400B)
New items added:
O0425C:
C. Physical Therapy
1. Individual minutes – record the total number of minutes this therapy was
administered to the resident individually since the start date of the resident’s most
recent Medicare Part A stay (A2400B)
2. Concurrent minutes – record the total number of minutes this therapy was
administered to the resident concurrently with one other resident since the start date
of the resident’s most recent Medicare Part A stay (A2400B)
3. Group minutes – record the total number of minutes this therapy was
administered to the resident as part of a group of residents since the start date of
the resident’s most recent Medicare Part A stay (A2400B)
If the sum of individual, concurrent, and group minutes is zero, skip to O0430,
Distinct Calendar Days of Part A Therapy
4. Co-treatment minutes – record the total number of minutes this therapy was
administered to the resident in co-treatment sessions since the start date of the
resident’s most recent Medicare Part A stay (A2400B)
5. Days – record the number of days this therapy was administered for at least 15
minutes a day since the start date of the resident’s most recent Medicare Part A stay
(A2400B)
O0425C
Page 18 of 22
NC
NQ
ND
NT/ST
NPE
NP
OSA
IPA
SP
SD
x
x
x
na
x
x
na
na
x
x
x
x
x
na
x
x
na
na
x
x
MDS 3.0 Item Set Change History
for October 2020
Version 1.17.2
Item
Change Description
O0430
New item added:
O0430. Distinct Calendar Days of Part A Therapy
Complete only if A0310H = 1
Record the number of calendar days that the resident received Speech-Language
Pathology and Audiology Services, Occupational Therapy, or Physical Therapy for
at least 15 minutes since the start date of the resident’s most recent Medicare Part
A stay (A2400B)
Item added:
O0450. Resumption of Therapy
O0450A
O0450A
O0450B
O0500
O0600
O0700
NC
NQ
ND
NT/ST
NPE
NP
OSA
IPA
SP
SD
x
x
x
na
x
x
na
na
x
x
na
na
na
na
na
na
x
na
na
na
Item and responses deleted
x
x
na
na
na
x
na
na
x
na
Item and date boxes deleted
x
x
na
na
na
x
na
na
x
na
na
na
na
na
na
na
x
x
na
na
na
na
na
na
na
na
x
na
na
na
na
na
na
na
na
na
x
na
na
na
NC
NQ
ND
NT/ST
NPE
NP
OSA
IPA
SP
SD
x
na
na
na
na
na
na
na
na
na
x
na
na
na
na
na
na
na
na
na
x
na
na
na
na
na
na
na
na
na
NC
NQ
ND
NT/ST
NPE
NP
OSA
IPA
SP
SD
na
na
na
na
na
na
x
x
na
na
Items and responses added:
O0500. Restorative Nursing Programs
Item added:
O0600. Physician Examinations
Item added:
O0700. Physician Orders
Section V Items
Item
Change Description
V0100
Modified the instructional language to: “Complete only if A0310E = 0 and if the
following is true for the prior assessment: A0310A = 01-06 or A0310B = 01.”
Response options deleted:
02. 14-day scheduled assessment
03. 30-day scheduled assessment
04. 60-day scheduled assessment
05. 90-day scheduled assessment
07. Unscheduled assessment used for PPS
Response option added:
08. IPA – Interim Payment Assessment
V0100B
V0100B
Section X Items
Item
Change Description
X0150
Item and responses added:
X0150. Type of Provider
Page 19 of 22
MDS 3.0 Item Set Change History
for October 2020
Version 1.17.2
Item
Change Description
X0200
X0600C
Items added:
X0200. Name of Resident
Item and responses added:
X0300. Gender
Item added:
X0400. Birth Date
Item added:
X0500. Social Security Number
New item and responses added:
X0570. Optional State Assessment (A0300A on existing record to be
modified/inactivated)
A. Is this assessment for state payment purposes only?
0. No
1. Yes
New items and responses added:
X0570. Optional State Assessment (A0300A/B on existing record to be
modified/inactivated)
A. Is this assessment for state payment purposes only?
0. No
1. Yes
B. Assessment type
1. Start of therapy assessment.
2. End of therapy assessment
3. Both Start and End of therapy assessment
4. Change of therapy assessment
5. Other payment assessment
Item and responses added:
X0600A. Type of Assessment
Removed response option 02. 14-day scheduled assessment
Removed response option 03. 30-day scheduled assessment
Removed response option 04. 60-day scheduled assessment
Removed response option 05. 90-day scheduled assessment
Removed response option 07. Unscheduled assessment used for PPS
Added response option 08. IPA – Interim Payment Assessment
Removed “s” from “Assessments” in:
PPS Scheduled Assessment for a Medicare Part A Stay
PPS Unscheduled Assessment for a Medicare Part A Stay
Item and responses deleted
X0600D
X0600F
X0300
X0400
X0500
X0570A
X0570A and
X0570B
X0600A
X0600B
NPE
NP
OSA
IPA
SP
SD
na
na
na
x
x
na
na
na
na
na
na
x
x
na
na
na
na
na
na
na
x
x
na
na
na
na
na
na
na
na
x
x
na
na
x
x
x
x
x
x
na
x
na
na
na
na
na
na
na
na
x
na
na
na
na
na
na
na
na
na
na
x
na
na
x
x
x
x
x
x
na
x
x
x
x
x
x
x
x
x
na
na
x
x
Item and responses deleted
x
x
x
x
x
x
na
na
x
x
Item and responses added:
X0600F. Entry/Discharge Reporting
na
na
na
na
na
na
na
x
na
na
Page 20 of 22
NC
NQ
ND
NT/ST
na
na
na
na
na
na
MDS 3.0 Item Set Change History
for October 2020
Version 1.17.2
Item
Change Description
X0700A
Item added:
X0700A. Assessment Reference Date
Item added:
X0800. Correction Number
Items added:
X0900. Reasons for Modification
Item deleted
X0800
X0900
X0900E
X1050
X1100
Items added:
X1050. Reasons for Inactivation
Items added:
X1100. RN Assessment Coordinator Attestation of Completion
NC
NQ
ND
NT/ST
NPE
NP
OSA
IPA
SP
SD
na
na
na
na
na
na
x
x
na
na
na
na
na
na
na
na
x
x
na
na
na
na
na
na
na
na
x
x
na
na
x
x
x
x
x
x
na
na
x
x
na
na
na
na
na
na
x
x
na
na
na
na
na
na
na
na
x
x
na
na
NC
NQ
ND
NT/ST
NPE
NP
OSA
IPA
SP
SD
na
na
na
na
na
na
na
x
na
na
x
x
na
na
na
x
na
x
x
na
x
x
na
na
na
x
na
x
x
na
x
x
na
na
na
x
na
na
x
na
x
x
na
na
na
x
na
na
x
na
x
x
na
na
na
x
na
na
x
na
na
na
na
na
na
na
x
na
na
na
x
x
na
na
na
x
x
na
na
na
x
x
na
na
na
x
x
na
na
na
na
na
na
na
na
na
x
na
na
na
na
na
na
na
na
na
x
na
na
na
x
x
na
na
na
x
x
na
na
na
Section Z Items
Item
Change Description
Z0100
Z0100B
Items and responses added:
Z0100. Medicare Part A Billing
Z0100A. Deleted the text in parentheses:
(RUG group followed by assessment type indicator)
Deleted “RUG” in item label
Z0100C
Item deleted
Z0150A
Items and responses deleted
Z0150B
Items and responses deleted
Z0200
Z0200A
Items added:
Z0200. State Medicaid Billing (if required by the state)
Deleted “RUG” in item label
Z0200B
Deleted “RUG” in item label
Z0200C
New item and responses added:
Z0200. State Medicaid Billing (if required by the state)
C. Is this a Short Stay assessment?
0. No
1. Yes
Items added:
Z0250. Alternate State Medicaid Billing (if required by the state)
Deleted “RUG” in item label
Z0100A
Z0250
Z0250A
Page 21 of 22
MDS 3.0 Item Set Change History
for October 2020
Version 1.17.2
Item
Change Description
Z0250B
Deleted “RUG” in item label
Z0300A
Deleted “RUG” in item label
Z0300B
Deleted “RUG” in item label
Z0300
Items added:
Z0300: Insurance Billing
Items added:
Z0400. Signature of Persons Completing the Assessment or Entry/Death Reporting
Item added:
Z0500. Signature of RN Assessment Coordinator Verifying Assessment Completion
Z0400
Z0500
Page 22 of 22
NC
NQ
ND
NT/ST
NPE
NP
OSA
IPA
SP
SD
x
x
na
na
na
x
x
na
na
na
x
x
x
na
na
x
x
na
x
x
x
x
x
na
na
x
x
na
x
x
na
na
na
na
na
na
x
na
na
na
na
na
na
na
na
na
x
x
na
na
na
na
na
na
na
na
x
x
na
na
| File Type | application/pdf |
| File Title | MDS3.0_Item_Changes_v1.17.2 |
| Subject | MDS3.0 Item Changes version 1.17.2 |
| Author | Centers for Medicare & Medicaid Services |
| File Modified | 2020-05-13 |
| File Created | 2020-05-13 |