0
Does not apply
if the resident responds that they did not participate in rehabilitation therapy for
reasons unrelated to pain (e.g., therapy not needed,
unable to schedule) over the past 5 days.
DiraChart MDS item reference
J0520Section Jv1.20.1Manual page J-14
Pain Interference with Therapy Activities
Steps for Assessment
Quick coding
Answer Codes
Use the item-specific response choices below when structured codes apply.
Response format: Coded response
1
Rarely or not at all
if the resident responds that pain has rarely or not at all limited their
participation in rehabilitation therapy sessions over the
past 5 days.
2
Occasionally
if the resident responds that pain has occasionally limited their participation in
rehabilitation therapy sessions over the past 5 days.
3
Frequently
if the resident responds that pain has frequently limited their participation in
rehabilitation therapy sessions over the past 5 days.
4
Almost constantly
if the resident responds that pain has almost constantly limited their
participation in rehabilitation therapy sessions over the past 5 days.
8
Unable to answer
if the resident is unable to answer the question, does not
respond, or gives a nonsensical response.
Item-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. Read the question and response choices as written.
Manual page J-14Coding Instructions
Code for pain interference with therapy activities over the last 5 days.
•
Code 0, Does not apply: if the resident responds
that they did not participate in rehabilitation therapy for
reasons unrelated to pain (e.g., therapy not needed,
unable to schedule) over the past 5 days.
•
Code 1, Rarely or not at all: if the resident
responds that pain has rarely or not at all limited their
participation in rehabilitation therapy sessions over the
past 5 days.
•
Code 2, Occasionally: if the resident responds that
pain has occasionally limited their participation in
rehabilitation therapy sessions over the past 5 days.
•
Code 3, Frequently: if the resident responds that
pain has frequently limited their participation in
rehabilitation therapy sessions over the past 5 days.
•
Code 4, Almost constantly: if the resident
responds that pain has almost constantly limited their
participation in rehabilitation therapy sessions over the past 5 days.
•
Code 8, Unable to answer: if the resident is unable to answer the question, does not
respond, or gives a nonsensical response.
Coding Tips
•
This item should be coded based on the resident’s interpretation of the provided response
options for frequency. If the resident is unable to decide between two options, then the
assessor should code for the option with the higher frequency.
DEFINITION
REHABILITATION
THERAPY
Special healthcare services
or programs that help a
person regain physical,
mental, and/or cognitive
(thinking and learning)
abilities that have been lost
or impaired as a result of
disease, injury, or treatment.
Can include, for example,
physical therapy,
occupational therapy, speech
therapy, and cardiac and
pulmonary therapies.
J0520: Pain Interference with Therapy Activities (cont.)
•
Rehabilitation therapies may include treatment supervised in person by a therapist or
nurse or other staff or the resident carrying out a prescribed therapy program without staff
members present.
•
Rehabilitation therapies do not include restorative nursing programs.
Example
1. When asked, “Over the past 5 days, how often have you limited your participation in
rehabilitation therapy sessions due to pain?” the resident responded, “Since the surgery a
week ago, the pain has made it hard to even get out of bed. I try to push myself, but the pain
frequently limits how much I can do with my therapist.”
Coding: J0520 would be coded 3, Frequently.
Rationale: The resident reports that pain frequently limited participation in therapies
over the past 5 days.
MDS item matrixAssessment Applicability
See where this item applies across Nursing Home, Swing Bed, discharge, required-use, OBRA, and program or policy columns.
18 relationships6 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
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
Verify in the CMS Source
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Reference details
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