Source anchor
CMS MDS 3.0 RAI Manual v1.20.1 is the governed baseline currently attached to this lookup item.
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MDS Lookup
Percent Intake by Artificial Route
Complete K0710 only if Column 2 and/or Column 3 are checked for K0520A and/or K0520B.
Matrix review
Matrix values are not attached yet, but the page is ready for them when governance data is added.
Answer coverage
1 governed answer row(s) are attached for this item.
Answer Codes
Code 3
51% or more
If the resident had more substantial oral intake than sips of fluid, consult with the qualified dietitian or other clinically qualified nut...
What this item is
Complete K0710 only if Column 2 and/or Column 3 are checked for K0520A and/or K0520B.
When to use it
Use this item when the facility is completing content tied to Section K and needs to stay anchored to v1.20.1.
Reminders
- Current source status: Published.
- Item locator: Manual page K-15
- CMS exact locator: Manual page K-15
- This item has 1 governed answer row(s) attached.
Source awareness
This page is grounded in CMS MDS 3.0 RAI Manual v1.20.1. Review the exact text and locators before treating the item as final reference content.
Source & Review
Manual
CMS MDS 3.0 RAI Manual v1.20.1
Status
Published
Effective start
2025-10-01
Item locator
Manual page K-15
CMS exact locator
Manual page K-15
Full CMS Text
Complete K0710 only if Column 2 and/or Column 3 are checked for K0520A and/or K0520B.
Item Rationale
Health-related Quality of Life
Nutritional approaches that vary from the normal, such as parenteral/IV or feeding tubes, can diminish an individual’s sense of dignity and self-worth as well as diminish pleasure from eating.
Planning for Care
The proportion of calories received through artificial routes should be monitored with periodic reassessment to ensure adequate nutrition and hydration. Periodic reassessment is necessary to facilitate transition to increased oral intake as indicated by the resident’s condition. K0710A, Proportion of Total Calories the Resident Received through Parenteral or Tube Feeding Steps for Assessment
1. Review intake records within the last 7 days to determine actual intake through parenteral or
tube feeding routes.
2. Calculate proportion of total calories received through these routes.
If the resident took no food or fluids by mouth or took just sips of fluid, stop here and
code 3, 51% or more.
If the resident had more substantial oral intake than sips of fluid, consult with the qualified dietitian or other clinically qualified nutrition professional.
Coding Instructions
Select the best response:
1. 25% or less 2. 26% to 50% 3. 51% or more Example 1. Calculation for Proportion of Total Calories from IV or Tube Feeding
Resident H has had a feeding tube since their surgery two weeks ago. They are currently more alert and feeling much better. They have been taking soft solids by mouth, but only in small to medium amounts. Within the last 7 days, they have been receiving tube feedings for nutritional supplementation. The dietitian has totaled their calories per day as follows: Oral and Tube Feeding Intake Oral Tube Sun. 2,000 Mon. 2,250 Tues. 2,250 Wed. 2,250 Thurs. 2,000 Fri. 2,250 Sat. 2,000 Total 2,450 15,000 Coding: K0710A columns 2 and 3 would be coded 3, 51% or more.
Rationale: Total Oral intake is 2,450 calories Total Tube intake is 15,000 calories Total calories is 2,450 + 15,000 = 17,450 Calculation of the percentage of total calories by tube feeding:
15,000/17,450 = .859 X 100 = 85.9% Resident H received 85.9% of their calories by tube feeding, therefore K0710A code 3, 51% or more is correct. K0710B, Average Fluid Intake per Day by IV or Tube Feeding
Steps for Assessment
1. Review intake records from the last 7 days.
2. Add up the total amount of fluid received each day by IV and/or tube feedings only.
3. Divide the week’s total fluid intake by 7 to calculate the average of fluid intake per day.
4. Divide by 7 even if the resident did not receive IV fluids and/or tube feeding on each of the 7
days.
Coding Instructions
Code for the average number of cc per day of fluid the resident received via IV or tube feeding. Record what was actually received by the resident, not what was ordered. Code 1: 500 cc/day or less Code 2: 501 cc/day or more
Examples
1. Calculation for Average Daily Fluid Intake Resident A, a long term care resident, has swallowing difficulties secondary to Huntington’s
disease. They are able to take oral fluids by mouth with supervision, but not enough to maintain hydration. They received the following daily fluid totals by supplemental tube feedings (including water, prepared nutritional supplements, juices) within the last 7 days. IV Fluid Intake Sun. 1250 cc Mon. 775 cc Tues. 925 cc Wed. 1200 cc Thurs. 1200 cc Fri. 500 cc Sat. 450 cc Total 6,300 cc Coding: K0710B columns 2 and 3 would be coded 2, 501cc/day or more.
Rationale: The total fluid intake by supplemental tube feedings = 6,300 cc
6,300 cc divided by 7 days = 900 cc/day 900 cc is greater than 500 cc, therefore code 2, 501 cc/day or more is correct.
2. Resident K has been able to take some fluids orally; however, due to their progressing
multiple sclerosis, their dysphagia is not allowing them to remain hydrated enough. Therefore, they received the following fluid amounts within the last 7 days via supplemental tube feedings while in the hospital and after they were admitted to the nursing home. While in the Hospital While in the Nursing Home Mon. 400 cc Fri. 510 cc Tues. 520 cc Sat. 520 cc Wed. 500 cc Sun. 490 cc Thurs. 480 cc Total 1,900 cc Total 1,520 cc Coding: K0710B2 would be coded 2, 501 cc/day or more, and K0710B3 would be coded 1, 500 cc/day or less.
Rationale: The total fluid intake within the last 7 days while Resident K was a
resident of the nursing home was 1,520 cc (510 cc + 520 cc + 490 cc = 1,520 cc). Average fluid intake while a resident totaled 507 cc (1,520 cc divided by 3 days). 507 cc is greater than 500 cc, therefore code 2, 501 cc/day or more is correct for K0710B2, While a Resident. The total fluid intake during the entire 7 days (includes fluid intake while Resident K was in the hospital AND while Resident K was a resident of the nursing home) was 3,420 cc (1,900 cc + 1,520 cc). Average fluid intake during the entire 7 days was 489 cc (3,420 cc divided by 7 days). 489 cc is less than 500 cc, therefore code 1, 500 cc/day or less is correct for K0710B3, During Entire 7 Days. Intent: This item is intended to record any dental problems present in the 7-day look-back period.
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