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.
K0710B3 — Avg fluid intake per day IV/tube: 7 days
Enter the value requested for this item using the current CMS numeric entry format. Verify the entry against Manual page K-15 and the supporting facility documentation.
Review what the item asks, how to choose the response, and what should be verified before submission.
1. Review intake records within the last 7 days to determine actual intake through parenteral or
tube feeding routes.
2. Calculate proportion of total calories received through these routes.
•
If the resident took no food or fluids by mouth or took just sips of fluid, stop here and
code 3, 51% or more.
•
If the resident had more substantial oral intake than sips of fluid, consult with the
qualified dietitian or other clinically qualified nutrition professional.
•
Select the best response:
1. 25% or less
2. 26% to 50%
3. 51% or more
K0710: Percent Intake by Artificial Route (cont.)
Example
1. Calculation for Proportion of Total Calories from IV or Tube Feeding
Resident H has had a feeding tube since their surgery two weeks ago. They are currently
more alert and feeling much better. They have been taking soft solids by mouth, but only in
small to medium amounts. Within the last 7 days, they have been receiving tube feedings for
nutritional supplementation. The dietitian has totaled their calories per day as follows:
Oral and Tube Feeding Intake
Oral
Tube
Sun.
500
2,000
Mon.
250
2,250
Tues.
250
2,250
Wed.
350
2,250
Thurs.
500
2,000
Fri.
250
2,250
Sat.
350
2,000
Total
2,450
15,000
Coding:
K0710A columns 2 and 3 would be coded 3, 51% or more.
Rationale: Total Oral intake is 2,450 calories
Total Tube intake is 15,000 calories
Total calories is 2,450 + 15,000 = 17,450
Calculation of the percentage of total calories by tube feeding:
15,000/17,450 = .859 X 100 = 85.9%
Resident H received 85.9% of their calories by tube feeding, therefore
K0710A code 3, 51% or more is correct.
K0710B, Average Fluid Intake per Day by IV or Tube Feeding
Steps for Assessment
1. Review intake records from the last 7 days.
2. Add up the total amount of fluid received each day by IV and/or tube feedings only.
3. Divide the week’s total fluid intake by 7 to calculate the average of fluid intake per day.
4. Divide by 7 even if the resident did not receive IV fluids and/or tube feeding on each of the 7
days.
Coding Instructions
Code for the average number of cc per day of fluid the resident received via IV or tube feeding.
Record what was actually received by the resident, not what was ordered.
•
Code 1: 500 cc/day or less
•
Code 2: 501 cc/day or more
K0710: Percent Intake by Artificial Route (cont.)
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