| 95011-3 | Roll left and right - usual functional ability:Find:RptPeriod:^Patient:Ord:CMS Assessment | |
| 95010-5 | Sit to lying - usual functional ability:Find:RptPeriod:^Patient:Ord:CMS Assessment | |
| 95009-7 | Lying to sitting on side of bed - usual functional ability:Find:RptPeriod:^Patient:Ord:CMS Assessment | |
| 95008-9 | Sit to stand - usual functional ability:Find:RptPeriod:^Patient:Ord:CMS Assessment | |
| 95007-1 | Chair &or bed-to-chair transfer - usual functional ability:Find:RptPeriod:^Patient:Ord:CMS Assessment | |
| 95006-3 | Toilet transfer - usual functional ability:Find:RptPeriod:^Patient:Ord:CMS Assessment | |
| 95004-8 | Walk 10 feet - usual functional ability:Find:RptPeriod:^Patient:Ord:CMS Assessment | |
| 95003-0 | Walk 50 feet with two turns - usual functional ability:Find:RptPeriod:^Patient:Ord:CMS Assessment | |
| 95002-2 | Walk 150 feet - usual functional ability:Find:RptPeriod:^Patient:Ord:CMS Assessment | |
| 95738-1 | Does the patient use a wheelchair or scooter:Find:RptPeriod:^Patient:Ord:CMS Assessment | |
| 94992-5 | Wheel 50 feet with two turns - usual functional ability:Find:RptPeriod:^Patient:Ord:CMS Assessment | |
| 95739-9 | Indicate the type of wheelchair or scooter used:Type:RptPeriod:^Patient:Nom:CMS Assessment | |
| 94991-7 | Wheel 150 feet - usual functional ability:Find:RptPeriod:^Patient:Ord:CMS Assessment | |
| 95739-9 | Indicate the type of wheelchair or scooter used:Type:RptPeriod:^Patient:Nom:CMS Assessment | |