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Checked
Condition applies under the item instruction.
Manual page K-1DiraChart MDS item reference
K0100ASection Kv1.20.1Manual page K-1
Swallow disorder: loss liquids/solids from mouth
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.
Quick coding
Answer Codes
Use the item-specific response choices below when structured codes apply.
Response format: Check all that apply
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Not checked
Condition does not apply under the item instruction.
Manual page K-1Item-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. Ask the resident if they have had any difficulty swallowing during the 7-day look-back
period. Ask about each of the symptoms in K0100A through K0100D.
Observe the resident during meals or at other times when they are eating, drinking, or
swallowing to determine whether any of the listed symptoms of possible swallowing disorder
are exhibited.
K0100: Swallowing/Nutritional Status (cont.)
2. Interview staff members on all shifts who work with the resident and ask if any of the four
listed symptoms were evident during the 7-day look-back period.
3. Review the medical record, including nursing, physician, dietary, and speech language
pathologist notes, and any available information on dental history or problems. Dental
problems may include poor fitting dentures, dental caries, edentulous, mouth sores, tumors
and/or pain with food consumption.
Coding Instructions
Check all that apply.
•
K0100A, loss of liquids/solids from mouth when eating or drinking. When
the resident has food or liquid in their mouth, the food or liquid dribbles down chin or
falls out of the mouth.
•
K0100B, holding food in mouth/cheeks or residual food in mouth after
meals. Holding food in mouth or cheeks for prolonged periods of time (sometimes
labeled pocketing) or food left in mouth because resident failed to empty mouth
completely.
•
K0100C, coughing or choking during meals or when swallowing
medications. The resident may cough or gag, turn red, have more labored breathing,
or have difficulty speaking when eating, drinking, or taking medications. The resident
may frequently complain of food or medications “going down the wrong way.”
•
K0100D, complaints of difficulty or pain with swallowing. Resident may
refuse food because it is painful or difficult to swallow.
•
K0100Z, none of the above: if none of the K0100A through K0100D signs or
symptoms were present during the look-back period.
Coding Tips
•
Do not code a swallowing problem when interventions have been successful in treating
the problem and therefore the signs/symptoms of the problem (K0100A through
K0100D) did not occur during the 7-day look-back period.
•
Code even if the symptom occurred only once in the 7-day look-back period.
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