Section I0020 for OBRA only

[glm777, BSN, RN]

In completing this section for our non skilled residents, do we have to use the most recent admitting dx or the dx that is keeping the resident in the facility?

For example, our resident's last admission to the facility was in January 2020 with a dx of COVID. Of course, she no longer has Covid or any effects of Covid. She remains in the facility because she has severe dementia with confusion.

What dx should be coded in I0200?

Thank you!

[Talino]

I0200 only applies on Medicare type assm’ts. It is skipped in OBRA. Nonetheless, the primary as documented elsewhere, should be the diagnosis that requires the most care the resident receives.