Quiz: GG Codes

What are the mobility items included in GG0170?

-Roll L & R -Sit to lying -Lying to sitting on side of bed -Sit to stand -Chair/bed-to-chair transfer -Toilet transfer -Car transfer -Walk 10 feet -Walk 50 feet with 2 turns -Walk 150 feet -Walk 10 feet on uneven surfaces -1 step (curb) -4 steps -12 steps -Pickup up object Wheelchair mobility: -Wheel 50 feet with 2 turns -Wheel 150 feet

If the patient does not eat or drink by mouth at the time of assessment, and did not eat or drink by mouth prior to the current illness, how is eating coded?

09, not applicable

If the patient is unable to eat or drink by mouth and relies solely on tube feedings or TPN due to a new medical condition, how is eating coded?

88, not attempted due to medical condition or safety concerns

If the patient's medical condition does not allow completion of all tasks of the roll L & R activity (roll L, roll R, roll to back) for the entire assessment period, how is the activity coded?

88, not attempted due to medical condition or safety concerns

Dane has requested to use the restroom. They transfer to the BSC with Mod A. They require Total A to manage clothing before & after toileting. They complete their own peri care while seated on the commode. What is Dane's score for toilet hygiene?

Code 02, substantial/maximal assistance

Mr. Y has limited mobility due to his multiple & complex medical conditions. He prefers to wash his body while sitting in front of the sink in his bathroom. Mr. Y washes, rinses, & dries his face, chest, & abdomen. A helper assists with washing, rinsing, & drying Mr. Y's hands, arms, upper legs, lower legs, buttocks, & back. How would you code Mr. Y's performance for showering/bathing?

Code 02, substantial/maximal assistance

Mrs. F requires someone to retrieve her socks & shoes that she keeps in her closet. A helper must first thread her socks/shoes over her toes & help support the weight of the shoe, then Mrs. F can complete the task. Mrs. F needs the helper to initiate taking off her socks & unstrapping the Velcro used for fastening her shoes. How would you code Mrs. F's performance in putting on/taking off footwear?

Code 02, substantial/maximal assistance

Mrs. K sustained a SCI affecting movement & strength in both UEs. She places her left hand into one-third of the left sleeve of her shirt and is unable to continue with the activity. A helper then completes the remaining upper body dressing for Mrs. K. How would you code Mrs. K's performance for UB dressing?

Code 02, substantial/maximal assistance

Ms. R wheels about 10 feet, including around one corner to the hallway. A helper pushes her wheelchair an additional 40 feet around another corner and into her bathroom. How would you code Ms. R's performance for wheel 50 feet with two turns?

Code 02, substantial/maximal assistance

A helper provides verbal instruction to assist Mr. M in rolling onto his right side. Due to left arm weakness, Mr. M needs physical assistance from the helper to initiate rolling onto his right side. Mr. M returns to lying on his back without assistance and uses his right arm to grasp the left bedrail to slowly roll onto his left hip and then return to lying on his back. How would you code Mr. M's performance in rolling right & left?

Code 03, partial/moderate assistance

Dane had back surgery and the physician has ordered that they cannot complete a shower until POD 8 due to the risk for infection. Instead, Dane completes a sponge bath while seated at the sink. They are able to bathe their upper body & peri area independently. They require assistance for their lower body. They complete ~60% of the task. What is Dane's score for shower/bathe self?

Code 03, partial/moderate assistance

Mrs. P requires a helper to lift her nightgown and pull down her underwear due to balance problems. After voiding, Mrs. P wipes herself and pulls her underwear back up. How would you code Mrs. P's performance for toileting hygiene?

Code 03, partial/moderate assistance

The physical therapist provides steadying assistance when Mr. J ascends 4 steps. While descending 4 steps, the physical therapist provides trunk support as Mr. J holds the stair railing. How would you code Mr. J's performance for 4 steps?

Code 03, partial/moderate assistance

Mr. D is required to follow hip precautions due to recent hip surgery. He requires a helper to retrieve his clothing from the closet. Mr. D uses his adaptive equipment to assist in threading his legs into his pants. Mr. D requires the helper to steady him when standing to manage pulling on or pulling down his pants/undergarments. How would you code Mr. D's performance for LB dressing?

Code 04, supervision or touching assistance

Mrs. P walks 70 feet with a quad cane, completing two turns during the walk. A helper provides steadying assistance only when Mrs. P turns. How would you code Mrs. P's performance for walking 50 feet with two turns?

Code 04, supervision/touching assistance

Ms. C uses a long-handed reacher to retrieve items. She requires a helper to locate her reacher & bring it to her. She does not need assistance to pick up the object after the helper brings her the reacher. How would you code Ms. C's performance for pickup up object?

Code 05, setup or cleanup assistance

Dane gather their clothes and is able to put their underwear and shorts on independently. They require assistance getting their heel into their shoe & tying their shoelaces. What is their score for LB dressing?

Code 06, independent

Mr. L had bilateral leg amputations 3 years ago. Prior to the current admission, he used a wheelchair and did not walk. Mr. L does not use prosthetic devices and uses only a wheelchair for mobility. How would you code Mr. L's performance for walking 10 feet?

Code 09, not applicable -- not attempted & the patient did not perform this activity prior to the current illness

Mrs. R is unable to eat or drink by mouth since she had a stroke 1 week ago. She receives nutrition & fluids through a G-tube, which is administered by a helper. How would you code Mrs. R's performance for eating?

Code 88, not attempted due to medical conditions or safety

What is code 01?

Dependent: one helper provides all the effort to complete the activity or the assistance of 2 or more helpers is required

What is code 06?

Independent: patient completes the activity with or without assistive devices by themselves with no assistance

What is code 02?

Maximal assistance: assistance from one helper providing MORE than half the effort

What is code 09?

Not applicable: not attempted and the patient did not perform this activity prior to the current illness, exacerbation, or injury

What is code 10?

Not attempted due to environmental limitations

What is code 88?

Not attempted due to medical conditions or safety concerns

What is code 03?

Partial/moderate assistance: assistance from one helper providing LESS than half the effort

What is code 07?

Patient/resident refused to complete the activity

What is code 05?

Setup or cleanup assistance from one helper

What is code 04?

Supervision or touching assistance: verbal/nonverbal cueing or steadying/touching/contact guard assistance from one helper

What is upper body dressing?

The ability to dress & undress above the waist; including fasteners, if applicable.

What is lower body dressing?

The ability to dress & undress below the waist, including fasteners; does not include footwear