Steps for Assessment
1. Examine the resident to note the presence of any urinary or
bowel appliances.
2. Review the medical record, including bladder and bowel
records, for documentation of current or past use of urinary
or bowel appliances.
DiraChart MDS item reference
H0100Section Hv1.20.1Manual page H-1
Appliances
Item Rationale
Quick coding
Answer Codes
Use the item-specific response choices below when structured codes apply.
Response format: Instruction / group heading
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Item-specific instructions
Coding Guidance
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Coding Instructions
Check next to each appliance that was used at any time in the
past 7 days. Select none of the above if none of the appliances
A-D were used in the past 7 days.
•
H0100A, indwelling catheter (including suprapubic
catheter and nephrostomy tube)
•
H0100B, external catheter
•
H0100C, ostomy (including urostomy, ileostomy, and
colostomy)
•
H0100D, intermittent catheterization
•
H0100Z, none of the above
DEFINITIONS
EXTERNAL CATHETER
Device attached to the shaft
of the penis like a condom, a
female external catheter, or
other non-invasive urine
output management device
or system that routes urine to
a drainage bag.
OSTOMY
Any type of surgically created
opening of the
gastrointestinal or
genitourinary tract for
discharge of body waste.
UROSTOMY
A stoma for the urinary
system used in cases where
long-term drainage of urine
through the bladder and
urethra is not possible, e.g.,
after extensive surgery or in
case of obstruction.
ILEOSTOMY
A stoma that has been
constructed by bringing the
end or loop of small intestine
(the ileum) out onto the
surface of the skin.
COLOSTOMY
A stoma that has been
constructed by connecting a
part of the colon onto the
anterior abdominal wall.
INTERMITTENT
CATHETERIZATION
Insertion and removal of a
catheter through the urethra
for bladder drainage.
H0100: Appliances (cont.)
Coding Tips
and Special Populations
•
Suprapubic catheters and nephrostomy tubes should be coded as an indwelling catheter
(H0100A) only and not as an ostomy (H0100C).
•
Female external catheters and other non-invasive urine output management devices or
systems should be coded as external catheters (H0100B).
•
Condom catheters and external urinary pouches are often used intermittently or at night
only; these should be coded as external catheters.
•
Do not code gastrostomies or other feeding ostomies in this section. Only appliances used
for elimination are coded here.
•
Do not include one-time catheterizations for urine specimen collection or other diagnostic
exams (e.g., to measure post-void residual) during look-back period as intermittent
catheterization.
•
Self-catheterizations that are performed by the resident in the facility should be coded as
intermittent catheterization (H0100D). This includes self-catheterizations using clean
technique.
MDS item matrixAssessment Applicability
See where this item applies across Nursing Home, Swing Bed, discharge, required-use, OBRA, and program or policy columns.
18 relationships7 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)
Item Subset Required Use ISC Skip Patterns
Official CMS source
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