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OASIS-E: 30 New Questions on Cancer, Dialysis, IV Antibiotics...

Posted by Melissa Cott on Jan 4, 2022

The draft version of the new 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 ActivitiesDownload OASIS-E  Start of Care Assessment (draft) 
  • 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

OASIS E Effective January 23

Possible Cancer Treatment-related ICDs Included in Coding on M1021/3

 

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

OASIS E Effective January 23

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

OASIS E Effective January 23

Possible ICDs Included in Coding on M1021/3

 

OASIS E Effective January 23

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.

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