GG Codes

Code 01

Dependent

- Helper does ALL the effort.

- Patient/resident does none of the effort to complete the activity.

- Or, the assistance of 2 or more helpers is required for the patient/resident to complete the activity

Code 02

Substantial/Maximal Assistance

- Helper does MORE THAN HALF the effort

- Helper lifts or holds trunk or limbs and provides more than half the effort

Code 03

Partial/Moderate Assistance

- Helper does less than half the effort

- Helper lifts, holds, or supports trunk or limbs, but provides less than half the effort

Code 04

Supervision or Touching Assistance

- Helper provides verbal cues and/or touching/steadying and/or contact guard assistance as patient/resident completes activity

- Assistance may be provided throughout the activity or intermittently

Code 05

Setup or Cleanup Assistance

- Helper sets up or cleans up; patient/resident completes activity

- Helper assists only prior to or following the activity

Code 06

Independent

- Patient/resident safely completes the activity by themselves with no assistance from a helper

- Can include assistive devices, ex. someone using a reacher to pick something up off of the floor

GG Codes in a SNF

when using GG codes, you complete it at admission and discharge

GG Codes are reported

at onset, typically not into the daily note

What GG Code: Before bedtime, the CNA providers water and toothpaste to the patient to clean their dentures. The patient cleans their upper denture plate. The patient then cleans half of their lower denture plate, but states they are tired and unable to finish cleansing the lower denture plate. The CNA finished cleaning the lower denture plate and the patient inserts the dentures in their mouth.

Code 03 - Partial/moderate assistance

- The helper provides less than half the effort to complete oral hygiene

What GG code: The patient is morbidly obese and has a diagnosis of debility. The patient requests the use of a bedpan when voiding or having bowel movements and requires two CNAs to pull the patient's pants and underwear down and to mobilize the patient onto and off the bedpan. The patient is unable to complete any of their perineal/perianal hygiene. Both CNAs help the patient pull up the patient's underwear and pants.

Code 01 - Dependent

- The assistance of two CNAs was needed to complete the activity of toileting hygiene

What GG Code: Toilet Transfer- A clinician attempts to assess a patient's toilet transfer ability, but the patient states they do not need to void or have a bowel movement and does not want to demonstrate the activity. The clinician speaks to a CNA who cared for the patient earlier that morning. The CNA describes that when assisting the patient with a toilet transfer, the CNA provided steadying (touching) assistance as the patient lowered their underwear and then transferred onto the toilet. After voiding, the patient cleansed themself. The CNA further explained how the patient stood up from the toilet as the CNA steadied them and how the patient pulled up their underwear as the CNA continued to provide steadying assistance to ensure the patient did not lose their balance.

Code 04 - Supervision or touching assistance

- In this scenario, the CNA provided ample information to allow the clinician to code the patient's performance using the six-point scale. use of an "activity not attempted" code should occur only after determining that the activity is not completed and the performance code cannot be determined based on patient/caregiver report, collaboration with other facility staff, or assessment or similar activities.