| M1200 is answered as 01 but the 485 box 18A does not have the word VISION in it | then add VISION PARTIALLY IMPAIRED to 18A-Other |
| M1200 = 02 | then check 18A box 9 LEGALLY BLIND |
| M1210 = 02 | then check 18A box 04 HEARING |
| M1230 = 02, 03, 04, or 05 | hen check 18A box 8 SPEECH |
| M1400 = 01 and 18A-Other does not already have the word DYSPNEA | then add DYSPNEA WALKING >20 FT to 18A-Other |
| M1400 = 02 and 18A-Other does not already have the word DYSPNEA | then add DYSPNEA W/MODERATE EXERTION to 18A-Other |
| M1400 = 03 | then check 18A box 10 DYSPNEA W/MIN EXER. |
| M1400 = 04 and 18A-Other does not already have the word DYSPNEA | then add DYSPNEA AT REST to 18A-Other |
| M1610 = 01 | then check 18A box 2 BOWEL/BLADDER (INCONTINENCE) |
| M1620 between 01 and 05 | then check 18A box 2 BOWEL/BLADDER (INCONTINENCE) |
| M1860 between 01 and 05 | then check 18A box 7 AMBULATION checked |
| M1710 = 02 or 03 and 18A-Other does not already have the letters CONFUS | then add CONFUSED AT TIMES to 18A-Other |
| M1710 = 04 and 18A-Other does not already have the letters CONFUS | then add CONSTANT CONFUSION to 18A-Other |
| M1710 = NA and 18A-Other does not already have the letters NON-RESPO | then add NON-RESPONSIVE to 18A-Other |
| M1720 = 02 and 18A-Other does not already have the letters ANXIET | then add DAILY ANXIETY to 18A-Other |
| M1720 = 03 and 18A-Other does not already have the letters ANXIET | then add CONSTANT ANXIETY to 18A-Other |
| M1740 has box 1 | then check 19 box 3 FORGETFUL |
| M1740 has box 2 checked and 19-Other does not have the word DECISION | then add IMPAIRED DECISION MAKING to 19-Other |
| M1740 has box 3 checked and 19-Other does not have the letters DISRUPTI | then add VERBAL DISRUPTION to 19-Other |
| M1740 has box 4 checked and 19-Other does not have the letters AGGRESSI | then add PHYSICAL AGGRESSION to 19-Other |
| M1740 has box 5 checked and 19-Other does not have the letters DISRUPTI | then add VERBAL DISRUPTION to 19-Other |
| M1740 has box 6 checked and 19-Other does not have the letters DELUSION | then add DELUSIONS, HALLUCINATIONS, PARANOIA to 19-Other |