DiraChart MDS item reference
N0350ASection Nv1.20.1Manual page N-3
Insulin: insulin injections
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 codingAnswer Codes
Use the item-specific response choices below when structured codes apply.
Response format: Numeric entry
N0350A — Insulin: insulin injections
Enter the value requested for this item using the current CMS numeric entry format. Verify the entry against Manual page N-3 and the supporting facility documentation.
Item-specific instructionsCoding Guidance
Review what the item asks, how to choose the response, and what should be verified before submission.
RAI Manual v1.20.1Steps for Assessment
1. Review the resident’s medication administration records for the 7-day look-back period (or
since admission/entry or reentry if less than 7 days).
2. Determine if the resident received insulin injections during the look-back period.
3. Determine if the physician (or nurse practitioner, physician assistant, or clinical nurse
specialist if allowable under state licensure laws) changed the resident’s insulin orders during
the look-back period.
4. Count the number of days insulin injections were received and/or insulin orders changed.
Manual page N-3RAI Manual v1.20.1Coding Instructions
for N0350A
•
Enter in Item N0350A, the number of days during the 7-day look-back period (or since
admission/entry or reentry if less than 7 days) that insulin injections were received.
N0350: Insulin (cont.)
Coding Instructions for N0350B
•
Enter in Item N0350B, the number of days during the 7-day look-back period (or since
admission/entry or reentry if less than 7 days) that the physician (nurse practitioner,
physician assistant, or clinical nurse specialist if allowable under state licensure laws)
changed the resident’s insulin orders.
Manual page N-3RAI Manual v1.20.1Coding Tips
and Special Populations
•
For sliding scale orders:
— A sliding scale dosage schedule that is written to cover different dosages depending
on lab values does not count as an order change simply because a different dose is
administered based on the sliding scale guidelines.
— If the sliding scale order is new, discontinued, or is the first sliding scale order for the
resident, these days can be counted and coded.
•
For subcutaneous insulin pumps, code only the number of days that the resident actually
required a subcutaneous injection to restart the pump.
Manual page N-3 MDS item matrixAssessment Applicability
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