Re: 2nd attempt: coding UTIs- no symptoms- ?no coding?

[RRS2000]

To code UTI in Section I2 on the MDS, the resident must be symptomatic during the 30-day observation period.  In addition, there must be supporting chart documentation, significant lab findings, and a physician diagnosis.  See the RAI User's Manual, page 3-136.

Rena

Rena R. Shephard, MHA, RN, FACDONA, RAC-C
Chair, American Association of Nurse Assessment Coordinators
[EMAIL PROTECTED]

Subj: 2nd attempt: coding UTIs- no symptoms- ?no coding?
Date: 3/21/04 5:54:52 AM Pacific Standard Time
From: [EMAIL PROTECTED]
Reply-to: [EMAIL PROTECTED]
To: [EMAIL PROTECTED]
Sent from the Internet



                                              


If I have a resident who comes from the hospital with diagnosis of UTI, lab work shows a UTI, receiving medication still for UTI, but no documented in my time frame, receiving medications for a UTI, do I code UTI? 

The main question is, do you have to have symptoms before you go any further with coding a UTI?   If you have no symptoms, does your investigation stop?