MANUAL v1.20.1 · 2025-10-01MATRIX v1.20.1v4 · 2025-10-01
GG

Section GG: Functional Abilities and Goals

102 of 102 items loaded.

All sections
GG0100A

Self-Care: Prior Function

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.

MDS Item Matrix page 6
GG0100B

Indoor Mobility (Ambulation): Prior Function

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.

MDS Item Matrix page 6
GG0100C

Stairs: Prior Function

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.

MDS Item Matrix page 6
GG0100D

Functional Cognition: Prior Function

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.

MDS Item Matrix page 6
GG0110A

Manual wheelchair

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.

MDS Item Matrix page 6
GG0110B

Motorized wheelchair and/or scooter

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.

MDS Item Matrix page 6
GG0110C

Mechanical lift

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.

MDS Item Matrix page 6
GG0110D

Walker

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.

MDS Item Matrix page 6
GG0110E

Orthotics/Prosthetics

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.

MDS Item Matrix page 6
GG0110Z

None of the above

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.

MDS Item Matrix page 6
GG0115

Functional Limitation in Range of Motion

Intent: The intent of GG0115 is to determine whether

3 governed answer/subitem rows
GG0115A

ROM limitation: upper extremity

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.

MDS Item Matrix page 6
GG0115B

ROM limitation: lower extremity

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.

MDS Item Matrix page 6
GG0120

Mobility Devices

Item Rationale

Manual page GG-8
GG0120A

Mobility devices: cane/crutch

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.

MDS Item Matrix page 6
GG0120B

Mobility devices: walker

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.

MDS Item Matrix page 6
GG0120C

Mobility devices: wheelchair (manual or electric)

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.

MDS Item Matrix page 6
GG0120D

Mobility devices: limb prosthesis

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.

MDS Item Matrix page 6
GG0120Z

Mobility devices: none of the above

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.

MDS Item Matrix page 6
GG0130

Self-Care and GG0170: Mobility subsection added

to consolidate shared guidance from the respective GG0130

4 governed answer/subitem rows
GG0130A1

Eating (Admission Performance)

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.

MDS Item Matrix page 6
GG0130A3

Eating (Discharge Performance)

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.

MDS Item Matrix page 6
GG0130A5

Eating (OBRA/Interim Performance)

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.

MDS Item Matrix page 6
GG0130B1

Oral Hygiene (Admission Performance)

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.

MDS Item Matrix page 6
GG0130B3

Oral Hygiene (Discharge Performance)

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.

MDS Item Matrix page 6
GG0130B5

Oral Hygiene (OBRA/Interim Performance)

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.

MDS Item Matrix page 6
GG0130C1

Toileting Hygiene (Admission Performance)

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.

MDS Item Matrix page 6
GG0130C3

Toileting Hygiene (Discharge Performance)

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.

MDS Item Matrix page 6
GG0130C5

Toileting Hygiene (OBRA/Interim Performance)

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.

MDS Item Matrix page 6
GG0130E1

Shower/bathe self (Admission Performance)

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.

MDS Item Matrix page 6
GG0130E3

Shower/bathe self (Discharge Performance)

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.

MDS Item Matrix page 6
GG0130E5

Shower/bathe self (OBRA/Interim Performance)

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.

MDS Item Matrix page 6
GG0130F1

Upper body dressing (Admission Performance)

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.

MDS Item Matrix page 6
GG0130F3

PDPM Upper body dressing (Discharge Performance)

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.

MDS Item Matrix page 7
GG0130F5

Upper body dressing (OBRA/Interim Performance)

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.

MDS Item Matrix page 7
GG0130G1

Lower body dressing (Admission Performance)

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.

MDS Item Matrix page 7
GG0130G3

Lower body dressing (Discharge Performance)

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.

MDS Item Matrix page 7
GG0130G5

Lower body dressing (OBRA/Interim Performance)

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.

MDS Item Matrix page 7
GG0130H1

Putting on/taking off footwear (Admission Performance)

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.

MDS Item Matrix page 7
GG0130H3

Putting on/taking off footwear (Discharge Performance)

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.

MDS Item Matrix page 7
GG0130H5

Putting on/taking off footwear(OBRA/Interim Performance)

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.

MDS Item Matrix page 7
GG0130I1

Personal Hygiene (Admission Performance)

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.

MDS Item Matrix page 7
GG0130I3

Personal Hygiene (Discharge Performance)

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.

MDS Item Matrix page 7
GG0130I5

Personal Hygiene (OBRA/Interim Performance)

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.

MDS Item Matrix page 7
GG0170

Mobility (OBRA/Interim)

Examples and Coding Tips

Manual page GG-37
GG0170A1

Roll left and right (Admission Performance)

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.

MDS Item Matrix page 7
GG0170A3

Roll left and right (Discharge Performance)

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.

MDS Item Matrix page 7
GG0170A5

Roll left and right (OBRA/Interim Performance)

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.

MDS Item Matrix page 7
GG0170B1

Sit to lying (Admission Performance)

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.

MDS Item Matrix page 7
GG0170B3

Sit to lying (Discharge Performance)

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.

MDS Item Matrix page 7
GG0170B5

Sit to lying (OBRA/Interim Performance)

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.

MDS Item Matrix page 7
GG0170C1

Lying to sitting on bed side (Admission Performance)

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.

MDS Item Matrix page 7
GG0170C3

Lying to sitting on bed side (Discharge Performance)

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.

MDS Item Matrix page 7
GG0170C5

Lying to sitting on bed side (OBRA/Interim Performance)

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.

MDS Item Matrix page 7
GG0170D1

Sit to stand (Admission Performance)

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.

MDS Item Matrix page 7
GG0170D3

Sit to stand (Discharge Performance)

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.

MDS Item Matrix page 7
GG0170D5

Sit to stand (OBRA/Interim Performance)

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.

MDS Item Matrix page 7
GG0170E1

Chair/bed-to-chair transfer (Admission Performance)

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.

MDS Item Matrix page 7
GG0170E3

Chair/bed-to-chair transfer (Discharge Performance)

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.

MDS Item Matrix page 7
GG0170E5

Chair/bed-to-chair transfer (OBRA/Interim Performance)

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.

MDS Item Matrix page 7
GG0170F1

Toilet transfer (Admission Performance)

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.

MDS Item Matrix page 7
GG0170F3

Toilet transfer (Discharge Performance)

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.

MDS Item Matrix page 7
GG0170F5

Toilet transfer (OBRA/Interim Performance)

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.

MDS Item Matrix page 7
GG0170FF1

Tub/Shower Transfer (Admission Performance)

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.

MDS Item Matrix page 7
GG0170FF3

Tub/Shower Transfer (Discharge Performance)

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.

MDS Item Matrix page 7
GG0170FF5

Tub/Shower Transfer (OBRA/Interim Performance)

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.

MDS Item Matrix page 7
GG0170G1

Car Transfer (Admission Performance)

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.

MDS Item Matrix page 7
GG0170G3

Car Transfer (Discharge Performance)

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.

MDS Item Matrix page 7
GG0170I1

Walk 10 feet (Admission Performance)

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.

MDS Item Matrix page 7
GG0170I3

Walk 10 feet (Discharge Performance)

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.

MDS Item Matrix page 7
GG0170I5

Walk 10 feet (OBRA/Interim Performance)

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.

MDS Item Matrix page 7
GG0170J1

PDPM Walk 50 feet with two turns (Admission Performance)

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.

MDS Item Matrix page 8
GG0170J3

Walk 50 feet with two turns (Discharge Performance)

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.

MDS Item Matrix page 8
GG0170J5

Walk 50 feet with two turns (OBRA/Interim Performance)

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.

MDS Item Matrix page 8
GG0170K1

Walk 150 feet (Admission Performance)

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.

MDS Item Matrix page 8
GG0170K3

Walk 150 feet (Discharge Performance)

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.

MDS Item Matrix page 8
GG0170K5

Walk 150 feet (OBRA/Interim Performance)

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.

MDS Item Matrix page 8
GG0170L1

Walking 10 feet on uneven surfaces (Admission Performance)

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.

MDS Item Matrix page 8
GG0170L3

Walking 10 feet on uneven surfaces (Discharge Performance)

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.

MDS Item Matrix page 8
GG0170M1

1 step (curb) (Admission Performance)

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.

MDS Item Matrix page 8
GG0170M3

1 step (curb) (Discharge Performance)

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.

MDS Item Matrix page 8
GG0170N1

4 steps (Admission Performance)

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.

MDS Item Matrix page 8
GG0170N3

4 steps (Discharge Performance)

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.

MDS Item Matrix page 8
GG0170O1

12 steps (Admission Performance)

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.

MDS Item Matrix page 8
GG0170O3

12 steps (Discharge Performance)

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.

MDS Item Matrix page 8
GG0170P1

Picking up object (Admission Performance)

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.

MDS Item Matrix page 8
GG0170P3

Picking up object (Discharge Performance)

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.

MDS Item Matrix page 8
GG0170Q1

Use of wheelchair/scooter (Admission Performance)

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.

MDS Item Matrix page 8
GG0170Q3

Use of wheelchair/scooter (Discharge Performance)

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.

MDS Item Matrix page 8
GG0170Q5

Use of wheelchair/scooter (OBRA/Interim Performance)

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.

MDS Item Matrix page 8
GG0170R1

Wheel 50 feet with two turns (Admission Performance)

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.

MDS Item Matrix page 8
GG0170R3

Wheel 50 feet with two turns (Discharge Performance)

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.

MDS Item Matrix page 8
GG0170R5

Wheel 50 feet with two turns (OBRA/Interim Performance)

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.

MDS Item Matrix page 8
GG0170RR1

Type wheelchair/scooter used (Admission Performance)

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.

MDS Item Matrix page 8
GG0170RR3

Type wheelchair/scooter used (Discharge Performance)

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.

MDS Item Matrix page 8
GG0170RR5

Type wheelchair/scooter used (OBRA/Interim Performance)

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.

MDS Item Matrix page 8
GG0170S1

Wheel 150 feet (Admission Performance)

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.

MDS Item Matrix page 8
GG0170S3

Wheel 150 feet (Discharge Performance)

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.

MDS Item Matrix page 8
GG0170S5

Wheel 150 feet (OBRA/Interim Performance)

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.

MDS Item Matrix page 8
GG0170SS1

Type wheelchair/scooter used (Admission Performance)

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.

MDS Item Matrix page 8
GG0170SS3

Type wheelchair/scooter used (Discharge Performance)

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.

MDS Item Matrix page 8
GG0170SS5

Type wheelchair/scooter used (OBRA/Interim Performance)

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.

MDS Item Matrix page 8