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PDPM Coding Question – A resident had a fall and suffered a traumatic brain injury. Should we be using the 169 codes for deficits following other nontraumatic intracranial hemorrhage if the deficits are related to the fall with traumatic brain injury?

Q: A resident had a fall and suffered a traumatic brain injury. Should we be using the 169 codes for deficits following other nontraumatic intracranial hemorrhage if the deficits are related to the fall with traumatic brain injury?   A: S06.9- is the appropriate...

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PDPM Coding Question – Our IDT team writes a progress note for section GG collaboration. Can the note generally state, “Section GG codes vary but IDT team have collaborated to decide on appropriate GG coding for MDS?”

Q: Our IDT team writes a progress note for section GG collaboration. Can the note generally state, "Section GG codes vary but IDT team have collaborated to decide on appropriate GG coding for MDS?”   A: This statement may need to be more detailed for usual...

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PDPM Coding Question – Recently, we’ve had several new admissions who have a diagnosis of major depression. Just by talking with some residents in my rounds, I would think depression would be captured on the MDS assessment. I’m told that we almost never capture depression, but our residents seem depressed. What are we missing?

Q: Recently, we’ve had several new admissions who have a diagnosis of major depression. Just by talking with some residents in my rounds, I would think depression would be captured on the MDS assessment. I’m told that we almost never capture depression, but our...

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