OASIS-C tip of the week: Reason for Emergent Care

Question: Are responses for M2310, Reason for Emergent Care, selected because of the reasons the patient sought and/or received treatment in the ER? For example, a patient went to the ER because of flu symptoms, nausea, vomiting and chills and was given a prescription. Response 19 is selected. The patient is also a diabetic, and lab work showed the patient was hyperglycemic. He was instructed to continue to check his blood sugars and consult his PCP if they continued to be elevated. Would Response 10 also be marked even though it was not the reason responsible for the ER visit?

CMS Response:

M2310, Reason for Emergent Care, reports all the reasons the patient both sought and received care in the hospital’s emergency department. Chapter 3, Response-Specific Instructions state “If more than one reason contributed to the hospital emergency department visit, mark all appropriate responses.” Other Response-Specific instructions use the phrase “…patient sought care…” “…if a patient seeks care…”

In your scenario above, both Response 19 and 10 would be appropriate for M2310 because the patient sought care for GI flu symptoms (19-Other than above reasons) and received care for hyperglycemia (10-Hypo/Hyperglycemia, diabetes out of control).

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