MDS 3.0: Section O
The intent of the items in this section is to identify any special treatments, programs, and procedures that the resident received during the specified time periods.
Note: This course has been updated to reflect the RAI changes effective 10/1/2025.
The intent of the items in this section is to identify any special treatments, programs, and procedures that the resident received during the specified time periods. Note: This course has been updated to reflect the RAI changes effective 10/1/2025.
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In support of improving patient care, Relias LLC is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.
Nurses will receive 2.00 Nursing Contact Hours after successfully completing this course.
California Board of Registered Nursing
Provider approved by the California Board of Registered Nursing, CEP# 13791
Nurses will receive 2.00 contact hours for participating in this course.
Apply the appropriate Coding Instructions for accurate completion of MDS 3.0 Section O – Special Treatments, Programs, and Procedures.
Identify the Steps for Assessment and/or Coding Tips, as applicable, related to MDS 3.0 Section O – Special Treatments, Programs, and Procedures.
Outline:
Section 1: Introduction
About This Course
Learning Objectives
Section 2: O0110 Special Treatments and Procedures
Rationale
Health Related Quality of Care
Planning for Care
Steps for Assessment
Coding Instructions
Coding Instructions for Column a. On Admission
Coding Instructions for Column b. While a Resident
Coding Instructions for Column c. At Discharge
O0110A1, Chemotherapy
O0110B1, Radiation
0110C1, Oxygen therapy
O0110D1, Suctioning
O0110E1, Tracheostomy care
O0110F1, Invasive Ventilator (ventilator or respirator)
O0110G1, Non-Invasive Mechanical Ventilator (BiPAP/CPAP)
O0110H1, IV medications
O0110I1, Transfusions
O0110J1, Dialysis
O0110K1, Hospice care
O0110M1, Isolation or quarantine for active infectious disease (does not include standard body/fluid precautions)
O0110O1, IV Access
O0110Z1, None of the above
Coding Tips
Section 3: O0250 Influenza Vaccine
Rationale
Health-Related Quality of Life
Planning for Care
Steps for Assessment
Coding Instructions
Coding Tips
Examples
Example 1
Example 2
Example 3
Section 4: O0300 – Pneumococcal Vaccine
Rationale
Health-Related Quality of Life
Planning for Care
Steps for Assessment
Instructions
Coding Tips
Examples
Example 1
Example 2
Example 3
Example 4
Section 5: O0350: Resident’s COVID-19 Vaccination is Up To Date
Rationale
Health-Related Quality of Life
Planning for Care
Steps for Assessment
Coding Instructions
Coding Tip
Definition
UP TO DATE for COVID-19 Vaccine
Section 6: O0390: Therapy Services
Item
Rationale
Health-Related Quality of Life
Planning for Care
Steps for Assessment
Coding Instructions
Coding Tips
Minutes of Therapy
Non-Skilled Services
Co-Treatment
Therapy Aides and Students
Therapy Aides
Therapy Students
Therapy
Modes of Therapy
Individual Therapy
Concurrent Therapy
Group Therapy
Therapy Modalities
Section 7: O0400: Therapies
Steps for Assessment
Coding Instructions
Examples
Example 1
Section 8: O0425 Part A Therapies
Rationale
Planning for Care
Steps for Assessment
Coding Instruction for Speech-Language Pathology and Audiology Services and Occupational and Physical Therapies
Modes of Therapy
Example
Section 9: O0430: Distinct Calendar Days of Part A Therapy
Rationale
Coding Instructions:
Example
Section 10: O0500 Restorative Nursing Care
Rationale
Health-Related Quality of Life
Planning for Care
Steps for Assessment
Coding Instructions
Technique
Coding Tips
Examples
Example 2
Example 3
Example 4
Section 11: Conclusion
Course Contributors
Reference
Reviewer: Laura Anderson, MSN RN, WCC
Laura Anderson is currently a Curriculum Designer for Post-Acute Care at Relias and manages a team of subject matter expert writers. Previously, she was a Director of Nursing, Clinical Informatics Nurse, Senior Clinical Consultant, Nurse Auditor, Business Office Manager, Clinical Author, and Wound Care Nurse. Laura has dedicated more than 20 years of professional practice to the skilled nursing and long-term care industry. After receiving her Masters of Science in nursing with an emphasis in geriatrics, mental health, and education from the University of Wisconsin-Madison, she continued to pursue additional training in wound care. Laura is passionate about providing quality, resident-centered care that encompasses the whole person.
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