Version 2.78

81885-6 Other Diagnoses: ICD-10-CM

Observation ID in Form

M1023_B2_ICD-M1023_F2_ICD

Fully-Specified Name

Component
Diagnosis.secondary
Property
Imp
Time
Pt
System
^Patient
Scale
Nom
Method

Additional Names

Short Name
Dx.secondary

Basic Attributes

Class
CLIN
Type
Clinical
First Released
Version 2.56
Last Updated
Version 2.73
Order vs. Observation
Observation
Common Test Rank Get Info
11495

Member of these Panels

LOINC Long Common Name
76464-7 American Physical Therapy Association registry panel
86244-1 Deprecated Outcome and assessment information set (OASIS) form - version C2 - Follow-up - recertification or other follow-up [CMS Assessment]
86189-8 Deprecated Outcome and assessment information set (OASIS) form - version C2 - Resumption of care [CMS Assessment]
85907-4 Deprecated Outcome and assessment information set (OASIS) form - version C2 - Start of care [CMS Assessment]
88369-4 Outcome and assessment information set (OASIS) form - version D - Follow-up - recertification or other follow-up during assessment period [CMS Assessment]
88368-6 Outcome and assessment information set (OASIS) form - version D, D1 - Resumption of care during assessment period [CMS Assessment]
88373-6 Outcome and assessment information set (OASIS) form - version D, D1 - Start of care during assessment period [CMS Assessment]
93058-6 Outcome and assessment information set (OASIS) form - version D1 - Follow-up - recertification or other follow-up during assessment period [CMS Assessment]
99160-4 Outcome and assessment information set (OASIS) form - version E - Resumption of Care during assessment period [CMS Assessment]
99131-5 Outcome and assessment information set (OASIS) form - version E - Start of Care during assessment period [CMS Assessment]

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Diagnóstico secundario:Interpretación:Punto temporal:^ Paciente:Nominal:
it-IT Italian (Italy) Diagnosi.secondaria:Imp:Pt:^Paziente:Nom:
Synonyms: Clinico Diagnosi secondaria Impressione/interpretazione di studio paziente Punto nel tempo (episodio)
zh-CN Chinese (China) 诊断.次要:印象:时间点:^患者:名义型:
Synonyms: 分类型应答;分类型结果;名义性;名称型;名词型;名词性;标称性;没有自然次序的名义型或分类型应答 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 印象是一种诊断陈述,始终是对其他某种观察指标的解释或抽象(一系列检验项目结果、一幅图像或者整个某位病人),而且几乎总是由某位专业人员产生。;检查印象;检查印象/解释;检查的印象/解释;检查解释;解释;阐释 时刻;随机;随意;瞬间 次要诊断;诊断.次要(次级、次);次诊断;次级诊断 诊断结论;判断;结论

85920-7 Other Diagnoses Symptom Control Rating

Term Description

Assessment of the degree of symptom control includes review of presenting signs and symptoms, type and number of medications, frequency of treatment readjustments, and frequency of contact with health care provider, the degree to which each condition limits daily activities, and if symptoms are controlled by current treatments.
Source: Regenstrief LOINC

Observation ID in Form

M1023_B2_Severity - M1023_F2_Severity

Form Coding Instructions

Rate the degree of symptom control for the condition listed in Column 1. Do not assign a symptom control rating if the diagnosis code is a V, W, X, Y or Z-code. Note that the rating for symptom control in Column 2 should not be used to determine the sequencing of the diagnoses listed in Column 1. These are separate items and sequencing may not coincide

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component
Symptom control rating
Property
Find
Time
RptPeriod
System
^Patient
Scale
Ord
Method
CMS Assessment

Basic Attributes

Class
SURVEY.CMS
Type
Surveys
First Released
Version 2.63
Last Updated
Version 2.77
Change Reason
Release 2.77: TIME_ASPCT: Decision by CMS to update the Timing to RptPeriod from Pt for all CMS Assessments;
Order vs. Observation
Observation

Normative Answer List LL4489-2

Answer Code Score Answer ID
Asymptomatic, no treatment needed at this time 0 LA27597-6
Symptoms well controlled with current therapy 1 LA27598-4
Symptoms controlled with difficulty, affecting daily functioning; patient needs ongoing monitoring 2 LA27599-2
Symptoms poorly controlled; patient needs frequent adjustment in treatment and dose monitoring 3 LA27600-8
Symptoms poorly controlled; history of re-hospitalizations 4 LA27601-6

Member of these Panels

LOINC Long Common Name
86244-1 Deprecated Outcome and assessment information set (OASIS) form - version C2 - Follow-up - recertification or other follow-up [CMS Assessment]
86189-8 Deprecated Outcome and assessment information set (OASIS) form - version C2 - Resumption of care [CMS Assessment]
85907-4 Deprecated Outcome and assessment information set (OASIS) form - version C2 - Start of care [CMS Assessment]
88369-4 Outcome and assessment information set (OASIS) form - version D - Follow-up - recertification or other follow-up during assessment period [CMS Assessment]
88368-6 Outcome and assessment information set (OASIS) form - version D, D1 - Resumption of care during assessment period [CMS Assessment]
88373-6 Outcome and assessment information set (OASIS) form - version D, D1 - Start of care during assessment period [CMS Assessment]
93058-6 Outcome and assessment information set (OASIS) form - version D1 - Follow-up - recertification or other follow-up during assessment period [CMS Assessment]
99160-4 Outcome and assessment information set (OASIS) form - version E - Resumption of Care during assessment period [CMS Assessment]
99131-5 Outcome and assessment information set (OASIS) form - version E - Start of Care during assessment period [CMS Assessment]

85914-0 Optional Diagnosis: ICD-10-CM

Term Description

An underlying condition for an on-going diagnosis that has already resolved. This does not include underlying conditions for an on-going diagnosis that is also on-going; that condition can be reported as a secondary or co-morbid diagnosis.
Source: Regenstrief LOINC

Observation ID in Form

M1025_B3-M1025_F3

Form Coding Instructions

Column 3: (OPTIONAL) There is no requirement that HHAs enter a diagnosis code in M1025 (Columns 3 and 4). Diagnoses reported in M1025 will not impact payment. Agencies may choose to report an underlying condition in M1025 (Columns 3 and 4) when: a Z-code is reported in Column 2 AND the underlying condition for the Z-code in Column 2 is a resolved condition. An example of a resolved condition is uterine cancer that is no longer being treated following a hysterectomy

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component
Underlying resolved condition ICD code
Property
Prid
Time
RptPeriod
System
^Patient
Scale
Nom
Method
CMS Assessment

Basic Attributes

Class
SURVEY.CMS
Type
Surveys
First Released
Version 2.63
Last Updated
Version 2.77
Change Reason
Release 2.77: TIME_ASPCT: Decision by CMS to update the Timing to RptPeriod from Pt for all CMS Assessments;
Order vs. Observation
Observation

Normative Answer List LL3174-1

Externally Defined
Yes
Code System
ICD
Code System OID
1.3.6.1.4.1.12009.10.1.2055
Link to External List
http://www.cdc.gov/nchs/icd/icd10cm.htm

Member of these Panels

LOINC Long Common Name
86244-1 Deprecated Outcome and assessment information set (OASIS) form - version C2 - Follow-up - recertification or other follow-up [CMS Assessment]
86189-8 Deprecated Outcome and assessment information set (OASIS) form - version C2 - Resumption of care [CMS Assessment]
85907-4 Deprecated Outcome and assessment information set (OASIS) form - version C2 - Start of care [CMS Assessment]

86254-0 Optional Diagnosis: ICD-10-CM - multiple coding

Term Description

Additional codes for an underlying condition for an on-going diagnosis that has already resolved. For example, a manifestation code.
Source: Regenstrief LOINC

Observation ID in Form

M1025_B4 - M1025_F4

Form Coding Instructions

Column 4: (OPTIONAL) If a Z-code is reported in M1021/M1023 (Column 2) and the agency chooses to report a resolved underlying condition that requires multiple diagnosis codes under ICD-10-CM coding guidelines, enter the diagnosis descriptions and the ICD-10-CM codes in the same row in Columns 3 and 4. For example, if the resolved condition is a manifestation code, record the diagnosis description and ICD-10- CM code for the underlying condition in Column 3 of that row and the diagnosis description and ICD-10- CM code for the manifestation in Column 4 of that row. Otherwise, leave Column 4 blank in that row

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component
Underlying resolved condition.multiple coding ICD code
Property
Prid
Time
RptPeriod
System
^Patient
Scale
Nom
Method
CMS Assessment

Basic Attributes

Class
SURVEY.CMS
Type
Surveys
First Released
Version 2.63
Last Updated
Version 2.77
Change Reason
Release 2.77: TIME_ASPCT: Decision by CMS to update the Timing to RptPeriod from Pt for all CMS Assessments;
Order vs. Observation
Observation

Member of these Panels

LOINC Long Common Name
86244-1 Deprecated Outcome and assessment information set (OASIS) form - version C2 - Follow-up - recertification or other follow-up [CMS Assessment]
86189-8 Deprecated Outcome and assessment information set (OASIS) form - version C2 - Resumption of care [CMS Assessment]
85907-4 Deprecated Outcome and assessment information set (OASIS) form - version C2 - Start of care [CMS Assessment]