DiraChart MDS item reference
This item is referenced against CMS MDS source materials. Verify coding against the current CMS RAI Manual, item set instructions, and facility documentation before submission.
Use the item-specific response choices below when structured codes apply.
I0020B — ICD Code 1 - 13
Enter the value requested for this item using the current CMS icd-10-cm entry format. Verify the entry against Manual page I-1 and the supporting facility documentation.
Review what the item asks, how to choose the response, and what should be verified before submission.
1. Indicate the resident’s primary medical condition category that best describes the primary
reason for the Medicare Part A stay. Medical record sources for physician diagnoses include
the most recent history and physical, transfer documents, discharge summaries, progress
notes, and other resources as available.
I0020: Indicate the resident’s primary medical condition category
(cont.)
Complete only if A0310B = 01 or 08
•
Indicate the resident’s primary medical condition category that best describes the primary
reason for the Medicare Part A stay; then proceed to I0020B and enter the International
Classification of Diseases (ICD) code for that condition, including the decimal.
•
When an acute condition represents the primary reason for the resident's SNF stay, it can be
coded in I0020B. However, it is more common that a resident presents to the SNF for care
related to an aftereffect of a disease, condition, or injury. Therefore, subsequent encounter or
sequelae codes should be used.
•
Include the primary medical condition coded in item I0020B in items I0100–I8000: Active
Diagnoses in the Last 7 Days.
— Code 01, Stroke, if the resident’s primary medical condition category is due to
stroke.
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