MDS Insights – December 2025 Edition

MDS Coding Tips of the Month

SECTION H0100: Appliances of the MDS – RAI Manual

Coding Tips and Special Populations

• Suprapubic catheters and nephrostomy tubes should be coded as an indwelling catheter (H0100A) only and not as an ostomy (H0100C).
• Female external catheters and other non-invasive urine output management devices or systems should be coded as external catheters (H0100B).
• Condom catheters and external urinary pouches are often used intermittently or at night only; these should be coded as external catheters.
• Do not code gastronomies or other feeding ostomies in this section. Only appliances used for elimination are coded here.
• Do not include one-time catheterizations for urine specimen collection or other diagnostic exams (e.g., to measure post-void residual) during look-back period as intermittent catheterization.
• Self-catheterizations that are performed by the resident in the facility should be coded as intermittent catheterization (H0100D). This includes self-catheterizations using clean technique.
  

Symbria is committed to maintaining a high standard and level of communication with our clients and employees regarding clinical education, MDS understanding, patient assessment, and coding efficiency.  As a result, MDS Insights was born.  In this monthly offering, we hope to provide some valuable information that can foster a quality level of care that meets the needs of the patients that we serve.