OASIS · Section M
M1840 — Toilet Transferring
Response options, how to score it, and the error that most often sends the record back. Cited to Ch. 3, Item M1840.
Response options
| Value | Meaning |
|---|---|
| 0 | Able to get to and from toilet independently with or without device |
| 1 | When reminded, assisted, or supervised by another person, able to get to and from toilet |
| 2 | Unable to get to and from toilet but is able to use a bedside commode (with or without assistance) |
| 3 | Unable to get to and from toilet or bedside commode but is able to use a bedpan/urinal independently |
| 4 | Is totally dependent in toileting |
How to score it
Assess the patient's ability to transfer to/from the toilet and perform associated clothing management. Score usual performance, not best or worst. If patient uses a bedside commode or bedpan independently, that determines the ceiling of independence. See Guidance Manual Ch. 3 for full item guidance.
The common error
Scoring only the physical transfer and not considering clothing management and hygiene components that are part of the full item definition.
CMS Q&As on this item
- Q142 If my patient has a urinary catheter and does not void in the toilet. Would I code totally dependent in…
- Q143 If the patient can safely get to and from the toilet and transfer independently during the day, but uses a…
- Q143.1 My patient lives alone. They can safely get to/from and use the bathroom toilet by themself without…
- Q146 If a patient is able to safely get to and from the toilet and perform the transfer with assistance of another…
- Q146.1 My male patient is bedfast and can place and remove the urinal, but not the bedpan. What response should be…
- Q147.5 We have a patient with multiple sclerosis who is transferred via a mechanical lift device, e.g. Hoyer. They…
- Q148 If a patient uses a bedside commode over the toilet, would this be considered “getting to the toilet” for the…
- Q148.02 If you have a patient that can’t get to the toilet, for instance whose only toilet is on the second floor and…
- Q148.03 If a female patient, who only uses a bed pan and does not use a urinal, can transfer on and off the bed pan…
- Q148.2 M1840 & M1850. Regarding M1840 - Toilet Transferring Response 1 (reminded, assisted, or supervised by another…
- Q155.4 M1840, M1850 & M1860. Is it true that when the word "OR" appears in a question and the patient's condition…
Source: OASIS-E2 Guidance Manual — Ch. 3, Item M1840. Verified 2026-04-26.
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