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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