O0110 Special Treatments, Procedures, and Programs | MDS 3.0 Item Lookup

RAI Manual v1.20.1

Steps for Assessment

1. Review the resident’s medical record to determine whether or not the resident received or
performed any of the treatments, procedures, or programs within the assessment period
defined for each column.

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RAI Manual v1.20.1

Coding Instructions

for Column a. On Admission
Check all treatments, procedures, and programs received by, performed on, or participated in by
the resident on days 1–3 of the SNF PPS Stay starting with A2400B. If no treatments,
procedures, or programs were received or performed in the 3-day assessment period, check Z,
None of the above.
Coding Instructions for Column b. While a Resident
Check all treatments, procedures, and programs that the resident received or performed after
admission/entry or reentry to the facility and within the last 14 days. If no treatments, procedures
or programs were received by, performed on, or participated in by the resident within the last 14
days or since admission/entry or reentry, check Z, None of the above.
Coding Instructions for Column c. At Discharge
Check all treatments, procedures, and programs received by, performed on, or participated in by
the resident in the last 3 days of the SNF PPS Stay ending with A2400C. If no treatments,
procedures or programs were received by, performed on, or participated in by the resident in the
3-day assessment period, check Z, None of the above.

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RAI Manual v1.20.1

Coding Tips

•
Facilities may code treatments, programs and procedures that the resident performed
themselves independently or after set-up by facility staff. Do not code services that were
provided solely in conjunction with a surgical procedure or diagnostic procedure, such as
IV medications or ventilators. Surgical procedures include routine pre- and post-operative
procedures.
•
O0110A1, Chemotherapy
Code any type of chemotherapy agent administered as an antineoplastic given by any route in
this item. Each medication should be evaluated to determine its reason for use before coding it
here. Medications coded here are those actually used for cancer treatment. For example,
megestrol acetate is classified as an antineoplastic drug. One of its side effects is appetite
stimulation and weight gain. If megestrol acetate is being given only for appetite stimulation, do
not code it as chemotherapy in this item, as the resident is not receiving the medication for
chemotherapy purposes in this situation. Hormonal and other agents administered to prevent the
recurrence or slow the growth of cancer should not be coded in this item, as they are not
considered chemotherapy for the purpose of coding the MDS. IVs, IV medication, and blood
transfusions administered during chemotherapy are not recorded under items K0520A
(Parenteral/IV), O0110H (IV Medications), or O0110I (Transfusions).
O0110: Special Treatments, Procedures, and Programs (cont.)
Example: Resident J was diagnosed with estrogen receptor–positive breast cancer and was
treated with chemotherapy and radiation. After their cancer treatment, Resident J was prescribed
tamoxifen (a selective estrogen receptor modulator) to decrease the risk of recurrence and/or
decrease the growth rate of cancer cells. Since the hormonal agent is being administered to
decrease the risk of cancer recurrence, it cannot be coded as chemotherapy.
— O0110A2, IV
Check if chemotherapy was administered intravenously.
— O0110A3, Oral
Check if chemotherapy was administered orally (e.g., pills, capsules, or liquids the
patient swallows). This sub-element also applies if the chemotherapy is administered
through a feeding tube/PEG (i.e., enterally).
— O0110A10, Other
Check if chemotherapy was given in a way other than intravenously or orally (e.g.,
intramuscular, intraventricular/intrathecal, intraperitoneal, or topical routes).
•
O0110B1, Radiation
Code intermittent radiation therapy, as well as radiation administered via radiation implant in this
item.
•
O0110C1, Oxygen therapy
Code continuous or intermittent oxygen administered via mask, cannula, etc., delivered to a
resident to relieve hypoxia in this item. Code oxygen used in Bi-level Positive Airway
Pressure/Continuous Positive Airway Pressure (BiPAP/CPAP) here. Do not code hyperbaric
oxygen for wound therapy in this item. This item may be coded if the resident places or removes
their own oxygen mask, cannula.
— O0110C2, Continuous
Check if oxygen therapy was continuously delivered for 14 hours or greater per day.
— O0110C3, Intermittent
Check if oxygen therapy was intermittent (i.e., not delivered continuously for at least
14 hours per day).
— O0110C4, High-concentration
Check if oxygen therapy was provided via a high-concentration delivery system. A
high-concentration oxygen delivery system is one that delivers oxygen at a
concentration that exceeds a fraction of inspired oxygen FiO2 of 40% (i.e., exceeding
that of simple low-flow nasal cannula at a flow rate of 4 liters per minute).
A high-concentration delivery system can include either high- or low-flow systems
(e.g., simple face masks, partial and nonrebreather masks, face tents, venturi masks,
aerosol masks, and high-flow cannula or masks).
O0110: Special Treatments, Procedures, and Programs (cont.)
These devices may also include invasive mechanical ventilators, non-invasive
mechanical ventilators, or trach masks, if the delivered FiO2 of these systems exceeds
40%.
Oxygen-conserving nasal cannula systems with reservoirs (e.g., mustache, pendant)
should be included only if they are used to deliver an FiO2 of greater than 40%.
•
O0110D1, Suctioning
Code only tracheal and/or nasopharyngeal suctioning in this item. Do not code oral suctioning
here. This item may be coded if the resident performs their own tracheal and/or nasopharyngeal
suctioning.
— O0110D2, Scheduled
Check if suctioning was scheduled. Scheduled suctioning is performed when the
resident is assessed as clinically benefiting from regular interventions, such as every
hour or once per shift. Scheduled suctioning applies to medical orders for performing
suctioning at specific intervals and/or implementation of facility-based clinical
standards, protocols, and guidelines.
— O0110D3, As needed
Check if suctioning was performed on an as-needed basis, as opposed to at regular
scheduled intervals, such as when secretions become so prominent that gurgling or
choking is noted or a sudden desaturation occurs from a mucus plug.
•
O0110E1, Tracheostomy care
Code cleansing of the tracheostomy and/or cannula in this item. This item may be coded if the
resident performs their own tracheostomy care. This item includes laryngectomy tube care.
•
O0110F1, Invasive Mechanical Ventilator (ventilator or respirator)
Code any type of electrically or pneumatically powered closed-system mechanical ventilator
support device that ensures adequate ventilation in the resident who is or who may become (such
as during weaning attempts) unable to support their own respiration in this item. During
invasive mechanical ventilation the resident’s breathing is controlled by the ventilator. Residents
receiving closed-system ventilation include those residents receiving ventilation via an
endotracheal tube (e.g., nasally or orally intubated) or tracheostomy. A resident who has been
weaned off of a respirator or ventilator in the last 14 days or is currently being weaned off a
respirator or ventilator, should also be coded here. Do not code this item when the ventilator or
respirator is used only as a substitute for BiPAP or CPAP.
Example: Resident J is connected to a ventilator via tracheostomy (invasive mechanical
ventilation) 24 hours a day while a resident, because of an irreversible neurological injury and
inability to breathe on their own. O0110F1b should be checked, as Resident J is using an
invasive mechanical ventilator because they are unable to initiate spontaneous breathing on their
own and the ventilator is controlling their breathing.
O0110: Special Treatments, Procedures, and Programs (cont.)
•
O0110G1, Non-invasive Mechanical Ventilator
Code any type of CPAP or BiPAP respiratory support devices that prevent airways from closing
by delivering slightly pressurized air through a mask or other device continuously or via
electronic cycling throughout the breathing cycle. The BiPAP/CPAP mask/device enables the
individual to support their own spontaneous respiration by providing enough pressure when
the individual inhales to keep their airways open, unlike ventilators that “breathe” for the
individual. If a ventilator or respirator is being used as a substitute for BiPAP/CPAP, code here.
This item may be coded if the resident places or removes their own BiPAP/CPAP mask/device.
— O0110G2, BiPAP
Check if the non-invasive mechanical ventilator support was BiPAP.
— O0110G3, CPAP
Check if the non-invasive mechanical ventilator support was CPAP.
•
O0110H1, IV medications
Code any drug or biological given by intravenous push, epidural pump, or drip through a central
or peripheral port in this item. Do not code flushes to keep an IV access port patent, or IV fluids
without medication here. Epidural, intrathecal, and baclofen pumps may be coded here, as they
are similar to IV medications in that they must be monitored frequently and they involve
continuous administration of a substance. Subcutaneous pumps are not coded in this item. Do
not include IV medications of any kind that were administered during dialysis or

Manual page O-1

MDS Item

Special Treatments, Procedures, and Programs

Answer Codes

Checked

Not checked

Coding Guidance

Steps for Assessment

Coding Instructions

Coding Tips

Assessment Applicability

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