OASIS-E Start of Care OASIS assessment has fifteen (15) sections.
- A - Administrative Information
- B - Hearing, Speech, and Vision
- C - Cognitive Patterns
- D - Mood
- E - Behavior
- F - Preferences for Customary Routine Activities
- G - Functional Status
- GG - Functional Abilities and Goals
- H - Bladder and Bowel
- I - Active Diagnoses
- J - Health Conditions
- K - Swallowing/Nutritional Status
- M - Skin Conditions
- N - Medications
- O - Special Treatment, Procedures, and Programs
Section O: Special Treatment, Procedures, and Programs
You will document any special treatments the patient is receiving in Section O. With a patient receiving these high-risk treatments you would probably include necessary monitoring and teaching in Form Locator 21 on the CMS485.
For many of the items a related ICD-10 diagnosis code would be expected on OASIS M1021/M1023.
The presence of any of these items would possibly indicate the need for monitoring and patient teaching in your careplan.
Cancer Treatments
Possible Cancer Treatment-related ICDs Included in Coding on M1021/3
- Z92.21 Personal history of antineoplastic chemotherapy
- Z51.11 Encounter for antineoplastic chemotherapy
Careplan
Assessment for the patient with cancer includes presence of unmanaged pain, depression, difficulty sleeping, exhaustion/fatigue, hair loss, loss of appetite, nausea/vomiting, unintentional weight loss, diarrhea.
Patient teaching includes how to minimize chemotherapy and radiation side-effects including management of nausea and/or vomiting, diarrhea, appetite loss, hair loss, fatigue and insomnia.
Respiratory Therapies
Possible ICDs Included in Coding on M1021/3
- Z99.81 Dependence on supplemental oxygen (C1)
- Z93.0 Tracheostomy status (E1)
- Z99.11 Dependence on respirator [ventilator] status (F1)
- G47.33 Obstructive sleep apnea (adult) (pediatric) (G1)
- Z99.89 Dependence on other enabling machines and devices (G3)
If necessary include related assessment and teaching in your careplan.
IV Medications
Possible ICDs Included in Coding on M1021/3
- Z79.899 Other long-term current drug therapy (H1, H2, H10)
- Z79.2 Long term (current) use of antibiotics (H3)
- Z79.01 Long term (current) use of anticoagulants (H4)
Possible ICDs Included in Coding on M1021/3
- Condition causing the need for the transfusion (anemia etc) (I1)
- Z99.2 Dependence on renal dialysis (J)
- Z45.2 Encounter for adjustment and management of VAD (O)
If necessary Include related assessment and teaching in your careplan.
Does Your Infection Surveillance Include These 4 Criteria?
