DiraChart MDS item reference
Steps for Assessment
Use the item-specific response choices below when structured codes apply.
This row introduces a grouped MDS item. Complete the applicable child items shown in the current item set.
Review what the item asks, how to choose the response, and what should be verified before submission.
1. Review the resident’s medical record (e.g., rehabilitation therapy evaluation and treatment
records, recreation therapy notes, mental health professional progress notes), and consult
with each of the qualified care providers to collect the information required for this item
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Days—Enter the number of days therapy services were provided in the last 7 days. A day
of therapy is defined as treatment for 15 minutes or more in the day. Enter 0 if therapy
was provided but for less than 15 minutes every day for the last 7 days. If the total
number of minutes during the last 7 days is 0, skip this item and leave blank.
Example
Following a stroke, Resident F was admitted to the skilled nursing facility in stable condition for
rehabilitation therapy on 10/06/19 under Part A skilled nursing facility coverage. Their
diagnoses included asthma, and they were referred to respiratory therapy.
Respiratory therapy services that were provided over the 7-day look-back period:
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Respiratory therapy services; Sunday–Thursday for 10 minutes each day.
Coding: O0400D2 would be coded 0.
Rationale: Total minutes were 50 over the 7-day look-back period (10 × 5 = 50).
Although a total of 50 minutes of respiratory therapy services were provided over the 7-
day look-back period, there were not any days that respiratory therapy was provided for
15 minutes or more. Therefore, O0400D equals zero days.
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