Long-Term Care

Coding J0100C: Non-medication Intervention for Pain

MDS 3.0 Insider, August 8, 2011

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Non-medication pain interventions include, but are not limited to, the following:

  • Bio-feedback
  • Application of heat/cold
  • Massage
  • Physical therapy
  • Nerve block
  • Stretching and strengthening exercises
  • Chiropractic
  • Electrical stimulation
  • Radiotherapy
  • Ultrasound
  • Acupuncture

But how do you code these on the MDS?

The RAI User’s Manual provides the following steps for assessment:

  1. Review medical record to determine if a pain regimen exists.
  2. Review the medical record and interview staff and direct caregivers to determine what, if any, pain management interventions the resident received during the 5-day look-back period. Include information from all disciplines.

Based on the information you gained during the assessment process, code this item as follows:

  • Code 0, no: if the medical record does not contain documentation that a non-medication pain intervention was received.
  • Code 1, yes: if the medical record contains documentation that a non-medication pain intervention was scheduled as part of the care plan and it is documented that the intervention was actually received and assessed for efficacy.

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You will take an online certification exam at your convenience. The exam is not administered at the live Boot Camp location. While you do not need to attend the Boot Camp to qualify for certification, the Boot Camp teaches all of the material covered on the exam and is an excellent way to ensure that you're fully prepared for both the exam and your work. For complete details, visit www.cpraonline.com.

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