| 85673-2 | LCDS v4.00 - Administrative information - expired:-:RptPeriod:^Patient:-:CMS Assessment | |
| 83279-0 | IRF-PAI v3.0, LCDS v4.00, OASIS E - Health conditions - discharge or expired or transfer:-:RptPeriod:^Patient:-:CMS Assessment | |
| 87522-9 | IRF-PAI v3.0, LCDS v4.00 - Medications - discharge and expired:-:RptPeriod:^Patient:-:CMS Assessment | |
| 83247-7 | IRF-PAI v2.0, LCDS v4.00 - Special treatments, procedures, and programs - discharge:-:RptPeriod:^Patient:-:CMS Assessment | |