MDS Section GG cheat sheet and printable worksheet for SNF admissions.

This guide covers MDS Section GG for SNF admissions. Section GG (Functional Abilities and Goals) is where functional performance is documented on the MDS: self-care, mobility, therapy, and details that feed PDPM planning. In admissions, those details are useful only when staff can verify them against the referral packet, payer context, and facility capacity.

The Section GG codes at a glance

Section GG (Functional Abilities and Goals) records a resident's usual performance on self-care and mobility items using a six-level scale, plus four "activity was not attempted" codes. Use the table below as a quick reference, then confirm details against the current CMS RAI Manual.

MDS Section GG response codes and their meaning
GG code Meaning What it indicates
06 Independent Resident completes the activity with no helper assistance.
05 Setup or clean-up assistance Helper assists only before or after; resident does the activity.
04 Supervision or touching assistance Helper gives verbal cues or steadying / contact-guard help.
03 Partial / moderate assistance Helper does less than half the effort.
02 Substantial / maximal assistance Helper does more than half the effort.
01 Dependent Helper does all the effort, or two or more helpers are required.
07 Refused Resident refused to complete the activity.
09 Not applicable Not attempted, and the resident did not perform this activity before the current illness, exacerbation, or injury.
10 Not attempted (environment) Environmental limitations prevented the activity.
88 Not attempted (medical / safety) A medical condition or safety concern prevented the activity.

Source: CMS RAI Manual

The six performance levels (06 down to 01) describe how much help a resident needs; the 07, 09, 10, and 88 codes record why an activity was not attempted. In admissions, these GG codes help staff sanity-check whether a referral packet's functional story matches the therapy notes and the expected level of care, which also feeds PDPM classification planning.

Printable Section GG admissions verification worksheet

A one-page, PHI-free reference your team can print or save as a PDF and keep at the desk during referral packet review. It pairs the GG performance scale with the questions staff check against source documents. It is a reference only, not coding, clinical, compliance, or reimbursement advice. Confirm MDS rules against the current CMS RAI Manual and your facility policies.

VeriSight Analytics™ · AdmitScore™

Section GG admissions verification worksheet

Tracking #

Reviewer

Date

Use de-identified notes only. No names, initials, room numbers, or dates of birth anywhere on this sheet. Reference referrals by your internal tracking number. Do not record PHI on a printed sheet you cannot secure.

GG performance scale (quick reference)

  • 06 Independent: no helper assistance
  • 05 Setup / clean-up assistance only
  • 04 Supervision or touching assistance
  • 03 Partial / moderate assistance
  • 02 Substantial / maximal assistance
  • 01 Dependent: helper does all, or two+ helpers

Activity-not-attempted codes: 07 refused · 09 not applicable · 10 environment · 88 medical / safety. Confirm against the current CMS RAI Manual.

Packet-vs-documentation check

  • Current therapy (PT / OT) documentation present Y / N
  • Nursing notes support the stated level of care Y / N
  • Functional story matches hospital course and goals Y / N
  • Prior level of function documented Y / N

Self-care and mobility items to confirm

Item area Packet says Verified?
Eating / oral hygiene / toileting Y / N
Sit-to-stand and transfers Y / N
Walking / wheelchair mobility Y / N
Bathing and dressing Y / N

Payer and authorization follow-ups

Open questions before acceptance

Decision path: Accept Request clarification Hold for review

Reference only. Not coding, clinical, compliance, or reimbursement advice. Facility staff make final decisions. © 2026 VeriSight Analytics.

Section GG points to payment and care questions before you accept

SNF teams often receive incomplete or inconsistent referral packets. Section GG language, therapy notes, prior level of function, and payer requirements can each raise a question to settle with the hospital, the payer, or your own team. PDPM and functional-status details are planning context for administrators. They do not guarantee reimbursement and are not clinical acceptance rules. Five checks to run:

  1. Self-care and mobility baseline

    Compare the packet's functional-status story with therapy notes, hospital course, discharge goals, and expected assistance level.

  2. Therapy documentation support

    Check whether PT, OT, or nursing documentation supports the level of skilled need implied by the referral.

  3. Inconsistent packet facts

    Watch for mismatches between diagnoses, medication lists, nursing notes, functional status, and requested level of care.

  4. Medicare Advantage follow-up

    If payer authorization depends on skilled need, therapy goals, or functional decline, missing Section GG support should trigger clarification.

  5. Facility fit questions

    High assistance needs, wounds, isolation, medications, or staffing constraints should be reviewed with the operational team before the final decision.

Questions about Section GG and AdmitScore

Does Section GG decide whether a facility should accept a referral?

No. It is one input among several, and staff verify payer, authorization, clinical documentation, care needs, and staffing before deciding.

Is AdmitScore an MDS or PDPM coding tool?

No. It does not code the MDS or replace your MDS coordinator.

Where this fits

AdmitScore is part of admissions review: it helps staff find payer, authorization, documentation, and follow-up questions in a referral packet, and staff verify each one at the source. It works alongside whatever you use for managing inbound referrals and does not replace your EHR.