| 46456-0 | CMS certification number (CCN) Agency |
| 46457-8 | Inpatient discharge facility |
| 46461-0 | Emergent care |
| 46464-4 | Current payment sources for home care |
| 46465-1 | Conditions prior to medical or treatment regimen change or inpatient stay within past 14 days |
| 46469-3 | Assisting person(s) other than home care agency staff |
| 46471-9 | At home respiratory treatments |
| 46472-7 | Depressive feelings |
| 46474-3 | Emergent care reason |
| 46475-0 | Discharge support services or assistance |
| 46476-8 | Reason for hospitalization |
| 46477-6 | Reason for nursing home admission |
| 46481-8 | Toileting |
| 46482-6 | Transferring |
| 46484-2 | Feeding or eating |
| 46493-3 | Medicaid provider number Agency |
| 46502-1 | Reason for assessment |
| 46503-9 | Most recent inpatient discharge date |
| 46505-4 | Inpatient stay within last 14 days - ICD code # 2 |
| 46506-2 | Medical or treatment regimen change in past 14 days (qualitative) |
| 46508-8 | Regimen change in past 14 days - ICD code # 2 |
| 46509-6 | Regimen change in past 14 days - ICD code # 3 |
| 46510-4 | Regimen change in past 14 days - ICD code # 4 |
| 46512-0 | Primary diagnosis severity rating (qualitative) |
| 46513-8 | Other diagnosis 1 - ICD code |
| 46514-6 | Other diagnosis 1 - severity rating (qualitative) |
| 46515-3 | Other diagnosis 2 - ICD code |
| 46516-1 | Other diagnosis 2 - severity rating (qualitative) |
| 46517-9 | Other diagnosis 3 - ICD code |
| 46518-7 | Other diagnosis 3 - severity rating (qualitative) |
| 46519-5 | Other diagnosis 4 - ICD code |
| 46520-3 | Other diagnosis 4 - severity rating (qualitative) |
| 46521-1 | Other diagnosis 5 - ICD code |
| 46522-9 | Other diagnosis 5 - severity rating (qualitative) |
| 46523-7 | Overall prognosis for recovery from this episode (qualitative) |
| 46524-5 | Rehabilitative prognosis (qualitative) |
| 46525-2 | Life expectancy (qualitative) |
| 46526-0 | Current residence |
| 46527-8 | Primary caregiver |
| 46528-6 | Frequency of primary caregiver assistance (qualitative) |
| 46529-4 | Sensory status - vision (qualitative) |
| 46530-2 | Sensory status - hearing and ability to understand spoken language (qualitative) |
| 46531-0 | Sensory status - speech and oral expression of language (qualitative) |
| 46532-8 | Sensory status - frequency of pain (qualitative) |
| 46533-6 | Experiencing intractable pain (qualitative) |
| 46535-1 | Pressure injury (qualitative) |
| 46537-7 | Number of pressure ulcers - stage 2 |
| 46538-5 | Number of pressure ulcers - stage 3 |
| 46539-3 | Number of pressure ulcers - stage 4 |
| 46540-1 | Unobserved pressure injury (qualitative) |
| 46541-9 | Stage of most problematic pressure injury (qualitative) |
| 46542-7 | Status of most problematic pressure injury (qualitative) |
| 46543-5 | Stasis ulcer (qualitative) |
| 46544-3 | Number of stasis ulcers |
| 46545-0 | Unobserved stasis pressure injury (qualitative) |
| 46546-8 | Status of most problematic stasis ulcer (qualitative) |
| 46547-6 | Surgical wound (qualitative) |
| 46548-4 | Number of surgical wounds |
| 46549-2 | Unobserved surgical wound (qualitative) |
| 46550-0 | Status of most problematic surgical wound (qualitative) |
| 46551-8 | When short of breath (qualitative) |
| 46554-2 | Prior - ambulation (qualitative) |
| 46555-9 | Current ability - ambulation (qualitative) |
| 46556-7 | Prior - feeding (qualitative) |
| 46557-5 | Current ability - feeding (qualitative) |
| 46558-3 | Prior - prepare light meals (qualitative) |
| 46559-1 | Current ability - prepare light meals (qualitative) |
| 46560-9 | Prior - transportation (qualitative) |
| 46561-7 | Current ability - transportation (qualitative) |
| 46562-5 | Prior - laundry (qualitative) |
| 46563-3 | Current ability - laundry (qualitative) |
| 46564-1 | Prior - housekeeping (qualitative) |
| 46565-8 | Current ability - housekeeping (qualitative) |
| 46566-6 | Prior - shopping (qualitative) |
| 46567-4 | Current ability - shopping (qualitative) |
| 46568-2 | Prior - telephone use (qualitative) |
| 46570-8 | Prior - management of oral medications (qualitative) |
| 46571-6 | Current ability - management of oral medications (qualitative) |
| 46572-4 | Prior - management of inhalant medications (qualitative) |
| 46573-2 | Current ability - management of inhalant medications (qualitative) |
| 46574-0 | Prior - management of injectable medications (qualitative) |
| 46575-7 | Current ability - management of injectable medications (qualitative) |
| 46576-5 | Management of equipment (qualitative) |
| 46577-3 | Management of equipment Caregiver (qualitative) |
| 46579-9 | Discharge disposition |
| 46580-7 | Acute care hospitalization reason (qualitative) |
| 46583-1 | Therapy need (qualitative) |
| 46584-9 | Payment diagnosis - primary ICD code |
| 46585-6 | Payment diagnosis - first secondary ICD |
| 46586-4 | When urinary incontinence occurs (qualitative) |
| 46588-0 | Ostomy for bowel elimination (qualitative) |
| 46590-6 | When confused (qualitative) |
| 46591-4 | When anxious (qualitative) |
| 46594-8 | Prior - grooming (qualitative) |
| 46596-3 | Prior - dress upper body (qualitative) |
| 46598-9 | Prior - dress lower body (qualitative) |
| 46600-3 | Prior - bathing (qualitative) |
| 46601-1 | Current ability - bathing (qualitative) |
| 46602-9 | Prior - toileting (qualitative) |
| 46603-7 | Current ability - toileting (qualitative) |