95004-8

Walk 10 feet - usual functional ability during assessment period [CMS Assessment]

Active

Fully-Specified Name

Component: Walk 10 feet - usual functional ability
Property: Find
Time: RptPeriod
System: ^Patient
Scale: Ord
Method: CMS Assessment

Normative Answer List: LL5571-6

Source: Centers for Medicare & Medicaid Services

Answer	Code	Answer ID
Independent - Person completes the activity by themself with no assistance from a helper.	06	LA30909-8
Setup or cleanup assistance - Helper sets up or cleans up; person completes activity. Helper assists only prior to or following the activity.	05	LA30910-6
Supervision or touching assistance - Helper provides verbal cues and/or touching/steadying and/or contact guard assistance as person completes activity. Assistance may be provided throughout the activity or intermittently.	04	LA30911-4
Partial/moderate assistance - Helper does less than half the effort. Helper lifts, holds or supports trunk or limbs, but provides less than half the effort.	03	LA10055-4
Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.	02	LA11759-0
Dependent - Helper does all of the effort. Person does none of the effort to complete the activity. Or, the assistance of 2 or more helpers is required for the person to complete the activity.	01	LA30914-8
Person refused.	07	LA30915-5
Not applicable - Person does not usually do this activity.	11	LA30916-3
Not attempted due to short-term medical condition or safety concerns.	90	LA30917-1

Related Codes

Code System	Code	Code Version
CMS MDS (Centers for Medicare & Medicaid Services)	GG0170I1	v1.18.11
CMS OASIS (Centers for Medicare & Medicaid Services)	GG0170I1	D
CMS OASIS (Centers for Medicare & Medicaid Services)	GG0170I3	D
CMS OASIS (Centers for Medicare & Medicaid Services)	GG0170I4	D1
CMS OASIS (Centers for Medicare & Medicaid Services)	GG0170I1	D1
CMS OASIS (Centers for Medicare & Medicaid Services)	GG0170I3	D1
CMS OASIS (Centers for Medicare & Medicaid Services)	GG0170I1	E
CMS OASIS (Centers for Medicare & Medicaid Services)	GG0170I4	E
CMS OASIS (Centers for Medicare & Medicaid Services)	GG0170I3	E
CMS FASI (Centers for Medicare & Medicaid Services)	GG0170I7	1.0
CMS LCDS (Centers for Medicare & Medicaid Services)	GG0170I3	5.00
CMS IRF-PAI (Centers for Medicare & Medicaid Services)	GG0170I1	3.0
CMS IRF-PAI (Centers for Medicare & Medicaid Services)	GG0170I3	3.0
CMS LCDS (Centers for Medicare & Medicaid Services)	GG0170I1	4.00
CMS LCDS (Centers for Medicare & Medicaid Services)	GG0170I3	4.00
CMS IRF-PAI (Centers for Medicare & Medicaid Services)	GG0170I1	4.0
CMS IRF-PAI (Centers for Medicare & Medicaid Services)	GG0170I3	4.0
CMS LCDS (Centers for Medicare & Medicaid Services)	GG0170I1	5.00
CMS MDS (Centers for Medicare & Medicaid Services)	GG0170I1	1.17.1
CMS MDS (Centers for Medicare & Medicaid Services)	GG0170I3	1.17.1
CMS MDS (Centers for Medicare & Medicaid Services)	GG0170I5	1.17.1
CMS MDS (Centers for Medicare & Medicaid Services)	GG0170I1	1.17.2
CMS MDS (Centers for Medicare & Medicaid Services)	GG0170I3	1.17.2
CMS MDS (Centers for Medicare & Medicaid Services)	GG0170I5	1.17.2

Basic Attributes

Class: SURVEY.CMS
Type: Surveys
First Released: Version 2.68
Last Updated: Version 2.69
Change Reason: Release 2.69: COMPONENT: Corrected "Walks" to "Walk" to for consistency across CMS assessment forms.;
Order vs. Observation: Observation

Member of these Panels

LOINC	Long Common Name	Answer List	Answer List Type	Answers
103991-6	CMS - Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 4.2 during assessment period [CMS Assessment]	LL4681-4	Normative	10
105175-4	Functional assessment standardized items (FASI) - v1.1 during assessment period [CMS Assessment]
94848-9	Functional assessment standardized items (FASI) - version 1.0 [CMS Assessment]
89963-3	Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 3.0 during assessment period [CMS Assessment]	LL4681-4	Normative	10
93128-7	Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 4.0 during assessment period [CMS Assessment]	LL4681-4	Normative	10
87509-6	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 4.00 during assessment period [CMS Assessment]	LL4681-4	Normative	10
93222-8	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 5.00 during assessment period [CMS Assessment]	LL4681-4	Normative	10
103949-4	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 5.1 during assessment period [CMS Assessment]	LL4681-4	Normative	10
87507-0	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 4.00 during assessment period [CMS Assessment]	LL4681-4	Normative	10
93221-0	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 5.00 during assessment period [CMS Assessment]	LL4681-4	Normative	10
103946-0	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 5.1 during assessment period [CMS Assessment]	LL4681-4	Normative	10
90480-5	MDS v3.0 - RAI v1.17.1, 1.17.2 - Interim Payment Assessment (IPA) item set during assessment period [CMS Assessment]	LL4971-9	Normative	10
90473-0	MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home comprehensive (NC) item set during assessment period [CMS Assessment]	LL4971-9	Normative	10
90477-1	MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home discharge (ND) item set during assessment period [CMS Assessment]	LL4971-9	Normative	10
90478-9	MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home part A PPS discharge (NPE) item set during assessment period [CMS Assessment]	LL4971-9	Normative	10
90474-8	MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home PPS (NP) item set during assessment period [CMS Assessment]	LL4971-9	Normative	10
90475-5	MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home quarterly (NQ) item set during assessment period [CMS Assessment]	LL4971-9	Normative	10
91552-0	MDS v3.0 - RAI v1.17.1, 1.17.2 - Swing bed discharge (SD) item set during assessment period [CMS Assessment]	LL4971-9	Normative	10
90476-3	MDS v3.0 - RAI v1.17.1, 1.17.2 - Swing bed PPS (SP) item set during assessment period [CMS Assessment]	LL4971-9	Normative	10
101105-5	MDS v3.0 - RAI v1.18.11 - Nursing home comprehensive (NC) item set during assessment period [CMS Assessment]	LL4971-9	Normative	10
101110-5	MDS v3.0 - RAI v1.18.11 - Nursing home PPS (NP) item set during assessment period [CMS Assessment]	LL4971-9	Normative	10
101106-3	MDS v3.0 - RAI v1.18.11 - Nursing home quarterly (NQ) item set during assessment period [CMS Assessment]	LL4971-9	Normative	10
101113-9	MDS v3.0 - RAI v1.18.11 - Swing bed discharge (SD) item set during assessment period [CMS Assessment]	LL4971-9	Normative	10
101112-1	MDS v3.0 - RAI v1.18.11 - Swing bed PPS (SP) item set during assessment period [CMS Assessment]	LL4971-9	Normative	10
88369-4	Outcome and assessment information set (OASIS) form - version D - Follow-up - recertification or other follow-up during assessment period [CMS Assessment]
88371-0	Outcome and assessment information set (OASIS) form - version D, D1 - Discharged from agency 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]
99178-6	Outcome and assessment information set (OASIS) form - version E - Discharge from Agency during assessment period [CMS Assessment]
99153-9	Outcome and assessment information set (OASIS) form - version E - 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]

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