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 6GG0100BIndoor Mobility (Ambulation): Prior Function
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MDS Item Matrix page 6GG0100CStairs: Prior Function
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MDS Item Matrix page 6GG0100DFunctional Cognition: Prior Function
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MDS Item Matrix page 6GG0110AManual 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 6GG0110BMotorized wheelchair and/or scooter
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MDS Item Matrix page 6GG0110CMechanical lift
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MDS Item Matrix page 6GG0110DWalker
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MDS Item Matrix page 6GG0110EOrthotics/Prosthetics
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MDS Item Matrix page 6GG0110ZNone of the above
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MDS Item Matrix page 6GG0115Functional Limitation in Range of Motion
Intent: The intent of GG0115 is to determine whether
3 governed answer/subitem rowsGG0115AROM limitation: upper extremity
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MDS Item Matrix page 6GG0115BROM limitation: lower extremity
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MDS Item Matrix page 6GG0120Mobility Devices
Item Rationale
Manual page GG-8GG0120AMobility devices: cane/crutch
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MDS Item Matrix page 6GG0120BMobility devices: walker
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MDS Item Matrix page 6GG0120CMobility devices: wheelchair (manual or electric)
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MDS Item Matrix page 6GG0120DMobility devices: limb prosthesis
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MDS Item Matrix page 6GG0120ZMobility devices: none of the above
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MDS Item Matrix page 6GG0130Self-Care and GG0170: Mobility subsection added
to consolidate shared guidance from the respective GG0130
4 governed answer/subitem rowsGG0130A1Eating (Admission Performance)
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MDS Item Matrix page 6GG0130A3Eating (Discharge Performance)
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MDS Item Matrix page 6GG0130A5Eating (OBRA/Interim Performance)
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MDS Item Matrix page 6GG0130B1Oral Hygiene (Admission Performance)
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MDS Item Matrix page 6GG0130B3Oral Hygiene (Discharge Performance)
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MDS Item Matrix page 6GG0130B5Oral Hygiene (OBRA/Interim Performance)
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MDS Item Matrix page 6GG0130C1Toileting Hygiene (Admission Performance)
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MDS Item Matrix page 6GG0130C3Toileting Hygiene (Discharge Performance)
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MDS Item Matrix page 6GG0130C5Toileting Hygiene (OBRA/Interim Performance)
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MDS Item Matrix page 6GG0130E1Shower/bathe self (Admission Performance)
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MDS Item Matrix page 6GG0130E3Shower/bathe self (Discharge Performance)
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MDS Item Matrix page 6GG0130E5Shower/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 6GG0130F1Upper body dressing (Admission Performance)
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MDS Item Matrix page 6GG0130F3PDPM Upper body dressing (Discharge Performance)
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MDS Item Matrix page 7GG0130F5Upper body dressing (OBRA/Interim Performance)
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MDS Item Matrix page 7GG0130G1Lower body dressing (Admission Performance)
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MDS Item Matrix page 7GG0130G3Lower body dressing (Discharge Performance)
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MDS Item Matrix page 7GG0130G5Lower body dressing (OBRA/Interim Performance)
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MDS Item Matrix page 7GG0130H1Putting on/taking off footwear (Admission Performance)
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MDS Item Matrix page 7GG0130H3Putting on/taking off footwear (Discharge Performance)
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MDS Item Matrix page 7GG0130H5Putting 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 7GG0130I1Personal 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 7GG0130I3Personal Hygiene (Discharge Performance)
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MDS Item Matrix page 7GG0130I5Personal 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 7GG0170Mobility (OBRA/Interim)
Examples and Coding Tips
Manual page GG-37GG0170A1Roll left and right (Admission Performance)
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MDS Item Matrix page 7GG0170A3Roll left and right (Discharge Performance)
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MDS Item Matrix page 7GG0170A5Roll left and right (OBRA/Interim Performance)
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MDS Item Matrix page 7GG0170B1Sit to lying (Admission Performance)
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MDS Item Matrix page 7GG0170B3Sit to lying (Discharge Performance)
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MDS Item Matrix page 7GG0170B5Sit to lying (OBRA/Interim Performance)
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MDS Item Matrix page 7GG0170C1Lying to sitting on bed side (Admission Performance)
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MDS Item Matrix page 7GG0170C3Lying to sitting on bed side (Discharge Performance)
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MDS Item Matrix page 7GG0170C5Lying to sitting on bed side (OBRA/Interim Performance)
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MDS Item Matrix page 7GG0170D1Sit to stand (Admission Performance)
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MDS Item Matrix page 7GG0170D3Sit to stand (Discharge Performance)
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MDS Item Matrix page 7GG0170D5Sit to stand (OBRA/Interim Performance)
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MDS Item Matrix page 7GG0170E1Chair/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 7GG0170E3Chair/bed-to-chair transfer (Discharge Performance)
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MDS Item Matrix page 7GG0170E5Chair/bed-to-chair transfer (OBRA/Interim Performance)
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MDS Item Matrix page 7GG0170F1Toilet 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 7GG0170F3Toilet transfer (Discharge Performance)
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MDS Item Matrix page 7GG0170F5Toilet transfer (OBRA/Interim Performance)
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MDS Item Matrix page 7GG0170FF1Tub/Shower Transfer (Admission Performance)
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MDS Item Matrix page 7GG0170FF3Tub/Shower Transfer (Discharge Performance)
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MDS Item Matrix page 7GG0170FF5Tub/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 7GG0170G1Car Transfer (Admission Performance)
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MDS Item Matrix page 7GG0170G3Car Transfer (Discharge Performance)
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MDS Item Matrix page 7GG0170I1Walk 10 feet (Admission Performance)
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MDS Item Matrix page 7GG0170I3Walk 10 feet (Discharge Performance)
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MDS Item Matrix page 7GG0170I5Walk 10 feet (OBRA/Interim Performance)
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MDS Item Matrix page 7GG0170J1PDPM Walk 50 feet with two turns (Admission Performance)
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MDS Item Matrix page 8GG0170J3Walk 50 feet with two turns (Discharge Performance)
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MDS Item Matrix page 8GG0170J5Walk 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 8GG0170K1Walk 150 feet (Admission Performance)
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MDS Item Matrix page 8GG0170K3Walk 150 feet (Discharge Performance)
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MDS Item Matrix page 8GG0170K5Walk 150 feet (OBRA/Interim Performance)
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MDS Item Matrix page 8GG0170L1Walking 10 feet on uneven surfaces (Admission Performance)
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MDS Item Matrix page 8GG0170L3Walking 10 feet on uneven surfaces (Discharge Performance)
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MDS Item Matrix page 8GG0170M11 step (curb) (Admission Performance)
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MDS Item Matrix page 8GG0170M31 step (curb) (Discharge Performance)
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MDS Item Matrix page 8GG0170N14 steps (Admission Performance)
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MDS Item Matrix page 8GG0170N34 steps (Discharge Performance)
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MDS Item Matrix page 8GG0170O112 steps (Admission Performance)
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MDS Item Matrix page 8GG0170O312 steps (Discharge Performance)
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MDS Item Matrix page 8GG0170P1Picking up object (Admission Performance)
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MDS Item Matrix page 8GG0170P3Picking up object (Discharge Performance)
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MDS Item Matrix page 8GG0170Q1Use 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 8GG0170Q3Use 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 8GG0170Q5Use 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 8GG0170R1Wheel 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 8GG0170R3Wheel 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 8GG0170R5Wheel 50 feet with two turns (OBRA/Interim Performance)
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MDS Item Matrix page 8GG0170RR1Type wheelchair/scooter used (Admission Performance)
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MDS Item Matrix page 8GG0170RR3Type wheelchair/scooter used (Discharge Performance)
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MDS Item Matrix page 8GG0170RR5Type wheelchair/scooter used (OBRA/Interim Performance)
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MDS Item Matrix page 8GG0170S1Wheel 150 feet (Admission Performance)
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MDS Item Matrix page 8GG0170S3Wheel 150 feet (Discharge Performance)
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MDS Item Matrix page 8GG0170S5Wheel 150 feet (OBRA/Interim Performance)
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MDS Item Matrix page 8GG0170SS1Type wheelchair/scooter used (Admission Performance)
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MDS Item Matrix page 8GG0170SS3Type wheelchair/scooter used (Discharge Performance)
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MDS Item Matrix page 8GG0170SS5Type wheelchair/scooter used (OBRA/Interim Performance)
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MDS Item Matrix page 8