0
No
if a diagnosis of coma or persistent vegetative state is not present during
the 7-day look-back period. Continue to B0200, Hearing.
DiraChart MDS item reference
B0100Section Bv1.20.1Manual page B-1
Comatose
Item Rationale
Quick coding
Answer Codes
Use the item-specific response choices below when structured codes apply.
Response format: Coded response
1
Yes
if the record indicates that a physician, nurse practitioner or clinical nurse
specialist has documented a diagnosis of coma or persistent vegetative state that is
applicable during the 7-day look-back period. Skip to GG0100, Prior Functioning:
Everyday Activities.
Item-specific instructions
Coding Guidance
Review what the item asks, how to choose the response, and what should be verified before submission.
Steps for Assessment
1. Review the medical record to determine if a neurological diagnosis of comatose or persistent
vegetative state has been documented by a physician, or nurse practitioner, physician
assistant, or clinical nurse specialist if allowable under state licensure laws.
Coding Instructions
•
Code 0, no: if a diagnosis of coma or persistent vegetative state is not present during
the 7-day look-back period. Continue to B0200, Hearing.
•
Code 1, yes: if the record indicates that a physician, nurse practitioner or clinical nurse
specialist has documented a diagnosis of coma or persistent vegetative state that is
applicable during the 7-day look-back period. Skip to GG0100, Prior Functioning:
Everyday Activities.
DEFINITION
COMATOSE (coma)
A pathological state in which
neither arousal (wakefulness,
alertness) nor awareness
exists. The person is
unresponsive and cannot be
aroused; they do not open
their eyes, do not speak and
do not move their extremities
on command or in response
to noxious stimuli (e.g., pain).
B0100: Comatose (cont.)
Coding Tips
•
Only code if a diagnosis of coma or persistent
vegetative state has been assigned. For example, some
residents in advanced stages of progressive neurologic
disorders such as Alzheimer’s disease may have severe
cognitive impairment, be non-communicative and sleep
a great deal of time; however, they are usually not
comatose or in a persistent vegetative state, as defined
here.
MDS item matrixAssessment Applicability
See where this item applies across Nursing Home, Swing Bed, discharge, required-use, OBRA, and program or policy columns.
17 relationships6 groups+
Assessment Applicability
See where this item applies across Nursing Home, Swing Bed, discharge, required-use, OBRA, and program or policy columns.
Nursing Home Subsets
Swing Bed Subsets
Shared NH/SB Subsets
OBRA Stand Alone Assessments
OBRA Admission A=01, B=99, F=99, G=^, H=0
MDS Item Matrix v1.20.1 v4
OBRA Quarterly A=02, B=99, F=99, G=^, H=0
MDS Item Matrix v1.20.1 v4
OBRA Annual / Sig Chg A=03, B=99, F=99, G=^, H=0 A= 04, B=99, F=99, G=^, H=0
MDS Item Matrix v1.20.1 v4
OBRA Discharge A=99, B=99, F=10, 11, G=1, 2, H=0
MDS Item Matrix v1.20.1 v4
Program and Policy Use
D/C Items (Only when A0310F = 10 or 11)
Official CMS source
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Reference details
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