Form Coding Instructions

Indicate the patient's usual ability to swallow

Source: Centers for Medicare & Medicaid Services

95946-0 Swallowing/Nutritional Status

Observation ID in Form

K0110

Form Coding Instructions

Check all that apply.

Source: Centers for Medicare & Medicaid Services

Form Coding Instructions

(3-day assessment period)

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component
Usual ability to swallow
Property
Find
Time
RptPeriod
System
^Patient
Scale
Nom
Method
CMS Assessment

Long Common Name

Usual ability to swallow during assessment period [CMS Assessment]

Basic Attributes

Class
SURVEY.CMS
Type
Surveys
First Released
Version 2.69
Last Updated
Version 2.69 (ADD)
Order vs. Observation
Observation

Normative Answer List LL575-2

AnswerCodeScoreAnswer ID
Regular food: solids and liquids swallowed safely without supervision and without modified food or liquid consistency.ALA10070-3
Modified food consistency/supervision: Patient requires modified food or liquid consistency and/or needs supervision during eating for safety.BLA10013-3
Tube/parenteral feeding: Tube/parenteral feeding used wholly or partially as a means of sustenance.CLA10103-2

Member of these Panels

LOINCLong Common Name
89963-3Deprecated Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 3.0 during assessment period [CMS Assessment]