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OASIS edit -4182

Edit -4182 is a fatal consistency edit in CMS's OASIS-E2 data specifications V3.02.0, effective for records with completion dates on or after 2026-04-01. A fatal edit rejects the record: "Records with fatal errors will be rejected. All fatal errors in a record must be corrected and resubmitted." It checks 2 items: M1311_NBR_PRSULC_STG2_A1, M1324_STG_PRBLM_ULCER. CMS's action: "Make appropriate corrections to the records and resubmit."

What CMS's data specification says about -4182

CMS's OASIS-E2 Data Submission Specifications V3.02.0 (HTML edit page oe_4182.html, generated 11/05/2025) list edit -4182 with edit type Consistency and severity Fatal. The edit text, as CMS publishes it:

If M0100_ASSMT_REASON=[01,03,09] AND M1324_STG_PRBLM_ULCER=[02], then if M1311_NBR_PRSULC_STG2_A1 is active it must not equal [^] and it must be greater than [00].

CMS's overview document defines this edit type: "Consistency edits define logical constraints among multiple items."

What the iQIES error message for -4182 says

CMS's OASIS Error Message Reference Guide v2.4 (Excel, posted 2026-02-05 on the QTSO reference manuals page) has 1 current entry for this edit. Each is copied in full, with whitespace normalised:

-4182

Error ID
-4182
Severity
Fatal
Type
Consistency
Error message
If M0100_ASSMT_REASON=[01,03,09] AND M1324_STG_PRBLM_ULCER-[02], then if M1311_NBR_PRSULC_STG2_A1 is active it must not equal [^] and it must be greater than [00].
Potential cause
The value submitted in M1311A1 (Current Number of Unhealed PU at Each Stage: Stage 2) is not consistent with the value submitted in item M1324 (Stage of Most Problematic Unhealed Observable PU) and M0100 (Reason for Assessment).
Tips
IF M1324 is 02 AND M0100 is 01, 03, or 09, THEN M1311A1 must not be skipped (^) and must be greater than 00.
Action
Make appropriate corrections to the records and resubmit.
Effective start date
2020-01-01
Effective end date
2099-12-31 (CMS uses this date for an open-ended entry)

Items this edit checks

CMS's Item List for -4182 names 2 items.

Item IDDescription (CMS)Item page
M1311_NBR_PRSULC_STG2_A1Number of Stage 2 Pressure UlcersM1311
M1324_STG_PRBLM_ULCERStage of most problematic pressure ulcer/injuryM1324

Other current edits whose CMS Item List shares one or more items with -4182 (the broad -3060 value edit, which covers 365 items, is left out):

Edit IDSeverityTypeiQIES labelItems shared
-5681FatalConsistencyNo label in the guide2
-3090FatalFormatInvalid Value1
-3100FatalFormatInvalid Numeric Format1
-4171FatalConsistencyNo label in the guide1
-4192FatalConsistencyNo label in the guide1
-4202FatalConsistencyNo label in the guide1
-5112FatalSkip patternNo label in the guide1
-5123FatalSkip patternNo label in the guide1

What happens to the record

CMS's overview, section 6.4, on fatal edits: "Violation of a fatal edit will result in rejection of the submission file." CMS's iQIES error message guide: "Records with fatal errors will be rejected. All fatal errors in a record must be corrected and resubmitted."

Which records this edit applies to

Data specifications version 3.02 has an effective start date of 2026-04-01 and no end date (CMS overview, Table 1). CMS selects the edit set by the record's completion date: "When a submitted record is validated by the iQIES system, its completion date is evaluated and is used to load the appropriate set of edits for the specifications in effect on that date."

Frequently asked questions

Is OASIS edit -4182 fatal or a warning?

Fatal. CMS lists edit -4182 with severity Fatal in the OASIS-E2 data specifications V3.02.0. The CMS overview states: "Violation of a fatal edit will result in rejection of the submission file." The iQIES error guide adds: "Records with fatal errors will be rejected. All fatal errors in a record must be corrected and resubmitted."

Which OASIS items can trigger edit -4182?

CMS's Item List for edit -4182 names 2 items: M1311_NBR_PRSULC_STG2_A1, M1324_STG_PRBLM_ULCER. The full list with descriptions is in the table above.

How do I fix OASIS edit -4182?

CMS's OASIS Error Message Reference Guide v2.4 gives this action for -4182: "Make appropriate corrections to the records and resubmit." Its tips: "IF M1324 is 02 AND M0100 is 01, 03, or 09, THEN M1311A1 must not be skipped (^) and must be greater than 00."

Which records does edit -4182 apply to?

Under version 3.02 of the data specifications, records whose completion date, item M0090_INFO_COMPLETED_DT, is on or after 2026-04-01, the effective start date CMS gives that version. Records completed earlier are checked under the version in effect on their completion date (CMS overview, Table 1 and section 3.2); the effective start date on each guide entry above is the date CMS's error guide gives that entry. The CMS overview states: "When a submitted record is validated by the iQIES system, its completion date is evaluated and is used to load the appropriate set of edits for the specifications in effect on that date."

Sources

  1. CMS, OASIS-E2 Data Submission Specifications V3.02.0 FINAL (zip): HTML edit page oe_4182.html and the Unduplicated Edits By ID Report. https://www.cms.gov/files/zip/oasis-e2-data-specs-v3-02-0-final-zip.zip (download page: https://www.cms.gov/medicare/quality/home-health/data-specifications)
  2. CMS, OASIS Data Submission Specifications Overview, Version 3.02.0, October 29, 2025 (in the same zip).
  3. CMS QTSO, OASIS Error Message Reference Guide v2.4 (Excel), posted 2026-02-05. https://qtso.cms.gov/system/files/qtso/OASIS%20Error%20Message%20Reference%20Guide%20FINAL%202.4.26.xlsx

CMS text on this page is copied from CMS's documents without rewording; whitespace is normalised, and one rendering artifact in CMS's HTML (a double quote standing in for an apostrophe) is corrected to the apostrophe in CMS's PDF report. This page is maintained by Logicly, which is not affiliated with CMS. Checked against the CMS files on 2026-10-16.