As a coder, understanding the purpose of M1010 may not be so clear. Many times clinicians enter diagnosis(es) into M1010 that are not appropriate.
M1010 allows for a more comprehensive picture of the patient’s condition prior to the start or resumption of home care. The key to understanding M1010 is knowing that the diagnosis(es) entered in this item include only diagnosis(es) that were “actively treated” in the inpatient setting within the 14 days preceding the date of the assessment M0090. “Actively treated” should be defined as receiving something more than the regularly scheduled medications and treatments necessary to maintain or treat an existing condition.
Things to remember:
- Avoid the use of symptom codes if possible.
- No V or E codes should be listed in M1010.
- Only conditions receiving something more than the regularly scheduled medications and interventions should be listed in M1010.
