LL4153-4    CMS IRFPAI_GG Functional Abilies / Answers: 9; Scale: Ord; Code: 1-88; Score: -

BASIC PROPERTIES
  Answer List num: LL4153-4
  OID: 1.3.6.1.4.1.12009.10.1.2752
  Status: ACTIVE
  Description: Answers: 9; Scale: Ord; Code: 1-88; Score: -
  Externally Defined: False
  Name: CMS IRFPAI_GG Functional Abilies
  # of Answers Shown: 9
  # of LOINCs Using This List: 26
  Source Name: Centers for Medicare & Medicaid Services

ANSWER LIST    (LL4153-4)  
 
Source: Centers for Medicare & Medicaid Services
  SEQ#        Answer        Code         Answer ID    
  1       Independent - Patient completes the activity by him/herself with no assistance from a helper.       06       LA9983-3  
  2       Setup or clean-up assistance - Helper sets up or cleans up; patient completes activity. Helper assists only prior to or following the activity.       05       LA10073-7  
  3       Supervision or touching assistance - Helper provides verbal cues or touching/steadying assistance as patient completes activity. Assistance may be provided throughout the activity or intermittently.       04       LA11757-4  
  4       Partial/moderate assistance - Helper does less than half the effort. Helper lifts, holds or supports trunk or limbs, but provides less than half the effort.       03       LA10055-4  
  5       Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.       02       LA11759-0  
  6       Dependent - Helper does all of the effort. Patient does none of the effort to complete the activity. Or, the assistance of 2 or more helpers is required for the patient to complete the activity.       01       LA27665-1  
  7       Patient refused       07       LA10058-8  
  8       Not applicable       09       LA4720-4  
  9       Not attempted due to medical condition or safety concerns       88       LA26735-3  

LOINCS THAT USE THIS ANSWER LIST
  83188-3    Wheel 50 feet with two turns - functional ability during 3 day assessment period [CMS Assessment]
  83190-9    Picking up object - functional ability during 3 day assessment period [CMS Assessment]
  83192-5    12 steps - functional ability during 3 day assessment period [CMS Assessment]
  83194-1    4 steps - functional ability during 3 day assessment period [CMS Assessment]
  83196-6    1 step (curb) - functional ability during 3 day assessment period [CMS Assessment]
  83198-2    Walking 10 feet on uneven surfaces - functional ability during 3 day assessment period [CMS Assessment]
  83200-6    Walk 150 feet - functional ability during 3 day assessment period [CMS Assessment]
  83202-2    Walk 50 feet with two turns - functional ability during 3 day assessment period [CMS Assessment]
  83204-8    Walk 10 feet - functional ability during 3 day assessment period [CMS Assessment]
  83206-3    Car transfer - functional ability during 3 day assessment period [CMS Assessment]
  83208-9    Toilet transfer - functional ability during 3 day assessment period [CMS Assessment]
  83210-5    Bed-to-chair transfer - functional ability during 3 day assessment period [CMS Assessment]
  83212-1    Sit to stand - functional ability during 3 day assessment period [CMS Assessment]
  83214-7    Lying to sitting on side of bed - functional ability during 3 day assessment period [CMS Assessment]
  83216-2    Sit to lying - functional ability during 3 day assessment period [CMS Assessment]
  83218-8    Roll left and right - functional ability during 3 day assessment period [CMS Assessment]
  83220-4    Putting on/taking off footwear - functional ability during 3 day assessment period [CMS Assessment]
  83222-0    Lower body dressing - functional ability during 3 day assessment period [CMS Assessment]
  83224-6    Upper body dressing - functional ability during 3 day assessment period [CMS Assessment]
  83226-1    Shower/bathe self - functional ability during 3 day assessment period [CMS Assessment]
  83228-7    Toileting hygiene - functional ability during 3 day assessment period [CMS Assessment]
  83230-3    Oral hygiene - functional ability during 3 day assessment period [CMS Assessment]
  83232-9    Eating - functional ability during 3 day assessment period [CMS Assessment]
  83235-2    Wheel 150 feet - functional ability during 3 day assessment period [CMS Assessment]
  85652-6    Wash upper body - functional ability during 3 day assessment period [CMS Assessment]
  85926-4    Lying to sitting on side of bed - functional ability [CMS Assessment]