| 93167-5 | IRF-PAI v4.0 - Identification information:-:RptPeriod:^Patient:-:CMS Assessment | |
| 87415-6 | IRF-PAI v3.0 - Medical information:-:RptPeriod:^Patient:-:CMS Assessment | |
| 85410-9 | IRF-PAI - Discharge information:-:RptPeriod:^Patient:-:CMS Assessment | |
| 85420-8 | IRF-PAI - Therapy information:-:RptPeriod:^Patient:-:CMS Assessment | |
| 93171-7 | IRF-PAI v4.0 - Quality indicators - admission:-:RptPeriod:^Patient:-:CMS Assessment | |
| 93172-5 | IRF-PAI v4.0 - Quality indicators - discharge:-:RptPeriod:^Patient:-:CMS Assessment | |
| 85648-4 | Signature of persons completing the assessment:-:RptPeriod:Form:-:CMS Assessment | |
| 85814-2 | IRF-PAI - Signature of persons completing the assessment:-:RptPeriod:Form:-:CMS Assessment | |
| 103991-6 | CMS - Inpatient Rehabilitation Facility - Patient Assessment Instrument - version 4.2:-:RptPeriod:^Patient:-:CMS Assessment | |